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Vascular reconstruction of a vertebral artery loop causing cervical radiculopathy and vertebrobasilar insufficiency. Case report.导致颈神经根病和椎基底动脉供血不足的椎动脉袢血管重建术。病例报告。
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9
Vascular decompression of a vertebral artery loop producing cervical radiculopathy. Case report.椎动脉袢血管减压术治疗颈神经根病。病例报告。
J Neurosurg. 1998 Sep;89(3):485-8. doi: 10.3171/jns.1998.89.3.0485.
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Vertebral artery loop causing cervical compression.椎动脉袢导致颈椎受压。
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椎动脉襻形成所致的神经根型颈椎病：1例病例报告及文献复习

Cervical radiculopathy caused by vertebral artery loop formation : a case report and review of the literature.

作者信息

Kim Hoon Soo, Lee June Ho, Cheh Gene, Lee Sang-Ho

机构信息

Department of Neurosurgery, Busan Wooridul Spine Hospital, Busan, Korea.

出版信息

J Korean Neurosurg Soc. 2010 Nov;48(5):465-8. doi: 10.3340/jkns.2010.48.5.465. Epub 2010 Nov 30.

DOI:10.3340/jkns.2010.48.5.465
PMID:21286489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3030092/
Abstract

Vertebral artery loop formation causing encroachment on cervical neural foramen and canal is a rare cause of cervical radiculopathy. We report a case of 61-year-old woman with vertebral artery loop formation who presented with right shoulder pain radiating to her arm for 2 years. Plain radiograph and computed tomography scan revealed widening of the right intervertebral foramen at the C5-6 level. Magnetic resonance imaging and angiogram confirmed the vertebral artery loop formation compressing the right C6 nerve root. We had considered microdecompressive surgery, but the patient's symptoms resolved after conservative management. Clinician should keep in mind that vertebral artery loop formation is one of important causes of cervical radiculopathy. Vertebral artery should be visualized using magnetic resonance angiography in suspected case.

摘要

椎动脉袢形成导致颈椎神经孔和椎管受压是颈椎病性神经根病的罕见原因。我们报告一例61岁女性，有椎动脉袢形成，出现右肩部疼痛并放射至手臂2年。X线平片和计算机断层扫描显示C5-6水平右侧椎间孔增宽。磁共振成像和血管造影证实椎动脉袢形成压迫右侧C6神经根。我们曾考虑行显微减压手术，但患者经保守治疗后症状缓解。临床医生应牢记椎动脉袢形成是颈椎病性神经根病的重要原因之一。对于疑似病例，应使用磁共振血管造影观察椎动脉。