title: Bilateral vasculopexy of anomalous vertebral arteries causing cervicomedullary compression: case report and technical note.
abstract: BACKGROUND
  The authors report an extremely rare cause of cervicomedullary cord compression by anomalous ectatic vertebral arteries.
  
  
  METHODS
  A 50-year-old male patient presented with a 9 month history of progressive quadriparesis. Investigations revealed that the vertebral arteries on both sides had a mirror-like course and caused a deep indentation into the high cervical cord. Bilateral vasculopexy was done using Teflon slings. The treatment resulted in rapid recovery from symptoms.
  
  
  CONCLUSIONS
  Anomalous course of the vertebral artery can result in symptoms of high cervical cord compression. Vasculopexy can result in lasting cure from symptoms.
authors.affiliation: Department of Neurosurgery, Seth G.S. Medical College and King Edward VII Memorial Hospital, Parel, Mumbai, 400012, India.
authors.forename: Abhidha
authors.initials: A
authors.lastname: Shah
authors.forename: Amit
authors.initials: A
authors.lastname: Mahore
authors.forename: Atul
authors.initials: A
authors.lastname: Goel
mesh_terms: D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery