颈外动脉-桡动脉-椎动脉旁路术治疗颅外椎动脉动脉瘤所致神经根病：1例报告并文献复习
External carotid artery-radial artery-vertebral artery bypass for surgical treatment of radiculopathy caused by an extracranial vertebral artery aneurysm: A case report and review of the literature.
作者信息
Kulubya Edwin Samuel, Yu Nina, Castillo Jose Antonio, Duong Huy
机构信息
Department of Neurosurgery, University of California Davis, Sacramento, California, United States.
Department of Neurosurgery, Kaiser Permanente Medical Center, Sacramento, California, United States.
出版信息
Surg Neurol Int. 2023 Jan 27;14:29. doi: 10.25259/SNI_1099_2022. eCollection 2023.
BACKGROUND
Vertebral artery (VA) aneurysm is a rare etiology of cervical radiculopathy and there is a paucity of case reports described in the literature.
CASE DESCRIPTION
We describe a case of a patient with no history of trauma presenting with a large right VA aneurysm at the C5-C6 level compressing the C6 nerve root and causing a painful radiculopathy. The patient underwent successful external carotid artery-radial artery-VA bypass followed by trapping of the aneurysm and decompression of the C6 nerve root.
CONCLUSION
VA bypass is an effective tool for treatment of symptomatic large extracranial VA aneurysms and a rare cause of radiculopathy.
背景
椎动脉（VA）动脉瘤是颈神经根病的一种罕见病因，文献中描述的病例报告较少。
病例描述
我们描述了一例无外伤史的患者，其在C5 - C6水平出现一个巨大的右侧VA动脉瘤，压迫C6神经根并导致疼痛性神经根病。该患者成功接受了颈外动脉 - 桡动脉 - VA搭桥手术，随后对动脉瘤进行了夹闭，并对C6神经根进行了减压。
结论
VA搭桥是治疗有症状的大型颅外VA动脉瘤及一种罕见神经根病病因的有效手段。
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