Hasegawa T, Kubota T, Ito H, Yamamoto S
Surg Neurol. 1983 Sep;20(3):244-8. doi: 10.1016/0090-3019(83)90061-7.
A case is presented of extracranial duplication of the vertebral artery in a patient who had spinal cord symptoms for 26 years. Vertebral angiograms and computed tomography with metrizamide enhancement demonstrated a bypass artery of the duplication compresing the upper cervical spinal cord intradurally at the level of the atlas; this finding was verified at operation. The symptomatology and clinical significance of this rare case are discussed.
本文报道了一例椎动脉颅外重复畸形患者,该患者有26年脊髓症状。椎动脉血管造影和甲泛葡胺增强计算机断层扫描显示,重复畸形的旁路动脉在寰椎水平硬膜内压迫上颈段脊髓;这一发现已在手术中得到证实。本文讨论了这一罕见病例的症状学和临床意义。