Takahashi Toshiyuki, Tominaga Teiji, Hassan Tamer, Yoshimoto Takashi
Department of Neurosurgery, Kohnan Hospital, Sendai, Japan.
Neurosurgery. 2003 Jul;53(1):234-7; discussion 237. doi: 10.1227/01.neu.0000069537.22198.50.
Cervical myelopathy induced by vascular compression is rare. We report a case caused by bilateral persistence of the first intersegmental arteries (a vertebral artery anomaly). Myelopathy was successfully treated with vascular decompression.
A 66-year-old woman presented with gradually worsening paroxysmal neck and arm pain. Magnetic resonance imaging and angiography demonstrated anomalous intradural courses of both vertebral arteries, compressing the dorsal aspect of the cervical spinal cord.
Microvascular decompression was performed with transposition of the arteries, followed by anchoring of the arteries to the dorsolateral dura mater with Gore-Tex bands (W.L. Gore & Associates, Inc., Flagstaff, AZ).
The pain disappeared promptly after surgery. Surgical decompression, with anchoring of an anomalous vertebral artery to the dura, can relieve pain and other symptoms resulting from vascular cord compression.
血管压迫所致的脊髓型颈椎病较为罕见。我们报告一例由双侧第一节段间动脉持续存在（一种椎动脉异常）引起的病例。通过血管减压成功治疗了脊髓病。
一名66岁女性出现阵发性颈部和手臂疼痛逐渐加重。磁共振成像和血管造影显示双侧椎动脉硬膜内走行异常，压迫颈脊髓背侧。
进行微血管减压并将动脉移位，随后用戈尔特斯带（W.L.戈尔公司，亚利桑那州弗拉格斯塔夫）将动脉固定于硬脑膜背外侧。
术后疼痛立即消失。手术减压并将异常椎动脉固定于硬膜可缓解血管性脊髓压迫引起的疼痛和其他症状。
