Watanabe K, Hasegawa K, Takano K
Department of Orthopaedic Surgery, Niigata University School of Medicine, Niigata City, Japan.
J Neurosurg. 2001 Jul;95(1 Suppl):146-9. doi: 10.3171/spi.2001.95.1.0146.
The authors describe a very rare case of cervical cord compression caused by anomalous bilateral vertebral arteries (VAs). A 65-year-old woman had been suffering from intractable nape pain and torticollis. Magnetic resonance imaging revealed a signal void region in which spinal cord compression was present. Angiography demonstrated anomalous bilateral VAs compressing the spinal cord. Microvascular decompressive surgery was successfully performed. Neuroradiological and intraoperative findings are presented.
作者描述了一例极为罕见的由双侧椎动脉异常导致颈髓受压的病例。一名65岁女性长期遭受顽固性颈背疼痛和斜颈之苦。磁共振成像显示存在脊髓受压的信号缺失区域。血管造影显示双侧椎动脉异常压迫脊髓。成功实施了微血管减压手术。本文展示了神经放射学和术中的发现。