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Bilateral vasculopexy of anomalous vertebral arteries causing cervicomedullary compression: case report and technical note

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Abstract

Introduction

The authors report an extremely rare cause of cervicomedullary cord compression by anomalous ectatic vertebral arteries.

Material

A 50-year-old male patient presented with a 9 month history of progressive quadriparesis. Investigations revealed that the vertebral arteries on both sides had a mirror-like course and caused a deep indentation into the high cervical cord. Bilateral vasculopexy was done using Teflon slings. The treatment resulted in rapid recovery from symptoms.

Conclusions

Anomalous course of the vertebral artery can result in symptoms of high cervical cord compression. Vasculopexy can result in lasting cure from symptoms.

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References

  1. Aryanpur J, Hurko O, Francomano C et al (1990) Craniocervical decompression for cervicomedullary compression in pediatric patients with achondroplasia. J Neurosurg 73:375–382

    Article  PubMed  CAS  Google Scholar 

  2. Bhayani R, Goel A (1996) Operated falcine meningioma presenting with ipsilateral hemifacial spasm: a case report. Br J Neurosurg 10:603–605

    Article  PubMed  CAS  Google Scholar 

  3. Cacciola F, Phalke U, Goel A (2004) Vertebral artery in relationship to C1–C2 vertebrae: an anatomical study. Neurol India 52(2):178–184

    PubMed  Google Scholar 

  4. Cheng WC, Chang CN (2008) Trigeminal neuralgia caused by contralateral supratentorial meningioma. J Clin Neurosci 15:1162–1163

    Article  PubMed  Google Scholar 

  5. Da Silva JA, da Silva EB (1982) Basilar impression as a cause of trigeminal neuralgia: report of a case. Arq Neuropsiquiatr 40:165–169

    PubMed  Google Scholar 

  6. Desai K, Nadkarni T, Bhayani R, Goel A (2002) Cerebellopontine angle epidermoid tumor presenting with ‘tic convulsif’ and tinnitus—case report. Neurol Med Chir (Tokyo) 42:162–165

    Article  Google Scholar 

  7. Furumoto T, Nagase J, Takahashi K, Itabashi T, Iai H, Ishige N (1996) Cervical myelopathy caused by the anomalous vertebral artery: a case report. Spine 21:2280–2283

    Article  PubMed  CAS  Google Scholar 

  8. Goel A, Shah AH (2009) Trigeminal neuralgia in the presence of ectatic basilar artery and basilar invagination: treatment by foramen magnum decompression. J Neurosurg Spine 111:1220–1222

    Google Scholar 

  9. Grabb PA, Mapstone TB, Oakes WJ (1999) Ventral brain stem compression in pediatric and young adult patients with Chiari I malformations. Neurosurgery 44:520–528

    Article  PubMed  CAS  Google Scholar 

  10. Hasegawa T, Kubota T, lto H et al (1983) Symptomatic duplication of the vertebral artery. Surg Neurol 20:244–248

    Article  PubMed  CAS  Google Scholar 

  11. Jamjoom AB, Rawlinson JN, Coakham HB (1990) Multiple neurological lesions due to vertebrobasilar dolichoectasia. Br J Neurosurg 4:147–154

    Article  PubMed  CAS  Google Scholar 

  12. Jannetta PJ (1977) Observations on the etiology of trigeminal neuralgia, hemifacial spasm, acoustic nerve dysfunction and glossopharyngeal neuralgia. Definitive neurosurgical treatment and results in 117 patients. Neurochirurgia 20:145–154

    PubMed  CAS  Google Scholar 

  13. Satoh S, Yamamoto N, Kitagawa Y, Umemori T, Sasaki T, Iida T (1993) Cervical cord compression by anomalous vertebral artery presenting with neuralgic pain: case report. J Neurosurg 79:283–285

    Article  PubMed  CAS  Google Scholar 

  14. Suzuki S, Tsuchita H, Kurokawa Y, Kitami K, Sohma T, Takeda T (1990) New method of MVD using a vascular tape for neurovascular compression involving the vertebrobasilar artery: report of two cases. Neurol Med Chir (Tokyo) 30:1020–1023

    Article  CAS  Google Scholar 

  15. Takahashi Y, Sugita S, Uchikado H, Miyagi T, Tokutomi T, Shigemori M (2001) Cervical myelopathy due to compression by bilateral vertebral arteries: case report. Neurol Med Chir (Tokyo) 41:322–324

    Article  CAS  Google Scholar 

  16. Takahashi T, Tominaga T, Hassan T, Yoshimoto T (2003) Cervical cord compression with myelopathy caused by bilateral persistence of the first intersegmental arteries: case report. Neurosurgery 53:234–237

    Article  PubMed  Google Scholar 

  17. Takei H, Sagae M, Chiba K, Ogino T (2008) The long term follow-up of surgical treatment for cervical myelopathy with severe nape and upper arm pain caused by the anomalous vertebral artery: case report. Spine 33(17):E611–E613

    Article  PubMed  Google Scholar 

  18. Tokuda K, Myasaka K, Abe H et al (1985) Anomalous atlantoaxial portions of vertebral and posterior inferior cerebellar arteries. Neuroradioiogy 27:410–413

    Article  CAS  Google Scholar 

  19. Vincentelli F, Caruso G, Rabehanta PB et al (1991) Surgical treatment of a rare congenital anomaly of vertebral artery: case report and review of the literature. Neurosurgery 28:416–420

    Article  PubMed  CAS  Google Scholar 

  20. Watanabe K, Hasegawa K, Takano K (2001) Anomalous vertebral artery-induced cervical cord compression causing severe nape pain: case report. J Neurosurg 95(Suppl 1):146–149

    PubMed  CAS  Google Scholar 

  21. Yano K, Murase S, Kuroda T, Noguchi K, Tanabe Y, Yamada H (1993) Cervical cord compression by the vertebral artery causing a severe cervical pain: case report. Surg Neurol 40:43–46

    Article  PubMed  CAS  Google Scholar 

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None of the authors has any potential conflict of interest.

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Correspondence to Atul Goel.

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Shah, A., Mahore, A. & Goel, A. Bilateral vasculopexy of anomalous vertebral arteries causing cervicomedullary compression: case report and technical note. Eur Spine J 21 (Suppl 4), 505–508 (2012). https://doi.org/10.1007/s00586-011-2136-4

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  • DOI: https://doi.org/10.1007/s00586-011-2136-4

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