The diagnosis and management of a vertebral artery loop causing cervical radiculopathy.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
L WoodBronek M Boszczyk

Abstract

Cervical radiculopathies are rarely caused by vertebral artery loop formation, which is estimated to be present in less than 3% of patients. It is uncertain what causes the loop formation: some propose an association with spondylotic changes or trauma, whilst others suggest hypertension and atherosclerosis may be responsible. CASE REPORT 1: A 35-year-old male patient presented with signs and symptoms of cervical radiculopathy that was not improved with anterior cervical discectomy and fusion surgery performed 2 years beforehand. Vertebral artery loop was discovered at the level C5/6 on the MRI. Vertebral artery transposition surgery via a lateral approach was performed at the level of the left C5/6 for symptoms of left C6 radiculopathy. Deroofing of the transverse process was performed with post-surgical complete improvement in weakness and pain. CASE REPORT 2: A 48-year-old female patient presented with a 10-year history of left shoulder pain with occasional radiation into her middle three fingers accompanied by intermittent paraesthesia and weakness. Numerous shoulder surgeries, Botox injections and suprascapular nerve blocks had not provided any significant benefit. A vertebral artery loop was identified at the level of C3/4...Continue Reading

References

Apr 1, 1993·Journal of Neurosurgery·R R SharmaG Bertolis
Sep 2, 1998·Journal of Neurosurgery·M A HorganE H Frank
Jul 20, 2001·British Journal of Anaesthesia·T J Nurmikko, P R Eldridge
Jun 5, 2003·Spine·Yahya PaksoyTunç Cevat Ogün
Jan 27, 2007·Surgical Neurology·Marcus C Korinth, Michael Mull
Apr 27, 2010·The Journal of Headache and Pain·Hans-Holger CapelleJoachim K Krauss
Dec 21, 2010·The Spine Journal : Official Journal of the North American Spine Society·Benoy V BennyMatthew Smuck
Feb 3, 2011·Journal of Korean Neurosurgical Society·Hoon Soo KimSang-Ho Lee
Mar 3, 2012·World Neurosurgery·Salvatore ChibbaroBernard George
Aug 21, 2012·Journal of Neurosurgery. Spine·Ziad A HageFady T Charbel
Jan 25, 2013·Journal of Korean Neurosurgical Society·Sung Bae ParkSang Hyung Lee
Nov 27, 2014·Journal of Radiology Case Reports·Ahmed DoweidarSalwa Al-Kandery
Jun 21, 2016·The Laryngoscope·Nicholas L DeepMatthew L Carlson

❮ Previous
Next ❯

Citations

Nov 2, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Bronek Boszczyk
Jun 8, 2021·Radiology Case Reports·Laura TackPierre Floré
Jun 27, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mazda FarshadMarco D Burkhard

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Neurosurgical Sciences
Vittorio M RussoAdrian T Casey
European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Young Joon Rho, Woo Jin Choe
© 2022 Meta ULC. All rights reserved