Minimally invasive decompression of a suboccipital osseous prominence causing rotational vertebral artery occlusion. Case report.
Surgical decompression of the vertebral artery (VA) between the suboccipital area and C-1 is typically performed via a large midline incision or a far-lateral approach. Such traditional open approaches are often associated with significant muscle dissection and blood loss. In this case, a 12-year-old boy suffered a stroke related to a VA rotational occlusion (bow hunter syndrome) and dissection due to a prominent suboccipital bone mass. Successful decompression of the VA was performed via a minimally invasive 22-mm tubular retractor. This is the first reported case report of a minimally invasive decompression of the VA between the skull base and C-1.
Lu
Daniel C
DC
Departments of Neurological Surgery, University of California, San Francisco, California 94143-0112, USA.
Gupta
Nalin
N
Mummaneni
Praveen V
PV
D001270:Cervical Atlas; D002648:Child; D019299:Decompression, Surgical / Q000379:methods*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D038361:Neuronavigation; D009777:Occipital Bone; D054850:Osteophyte / Q000150:complications / Q000473:pathology / Q000601:surgery*; D019291:Skull Base; D020521:Stroke / Q000209:etiology; D014715:Vertebrobasilar Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*