Vertebrobasilar insufficiency related to cervical spondylosis. A case report and review of the literature.
A 64-year-old man suffered from symptoms of vertebrobasilar insufficiency (VBI) while turning his head to the left. Roentgenograms of the cervical spines showed severe spondylosis. Cerebral angiography demonstrated compression of the left vertebral artery by osteophytes of the cervical spine when the patient turned his head to the left. He was treated surgically by fixation of the vertebral bodies with good relief of symptoms during one year of follow-up. VBI induced by spondylotic compression of the vertebral artery is uncommon. We therefore reviewed the literature and suggested a more simple method of operation.
Yang
Y J
YJ
Department of Neurology, Chang Gung Memorial Hospital, Keelung, Taiwan, R.O.C.
Chien
Y Y
YY
Cheng
W C
WC
D002574:Cervical Vertebrae; D006801:Humans; D008297:Male; D008875:Middle Aged; D013128:Spinal Osteophytosis / Q000150:complications*; D014715:Vertebrobasilar Insufficiency / Q000209:etiology* / Q000628:therapy