Surgical management of cervical radiculopathy caused by redundant vertebral artery loop.
In this article, the authors describe the case of a 27-year-old female presenting with a 2-year history of neck pain and radiculopathy attributable to compression of the right C-7 nerve root by tortuosity of the vertebral artery at the level of the C6-7 cervical foramina. An anterolateral approach to the transverse foramen was used to perform a vascular decompression to decompress the nerve root. The procedure was uneventful, and the patient woke up with almost all of her symptoms resolved. The authors also include a literature review of techniques performed in this setting, showing that multiple surgical approaches can be used and should be tailored to the patient symptoms and lesion characteristics.
Department of Neurosurgery, University of Illinois at Chicago, Chicago, Illinois 60612, USA.
Ziad A
ZA
Hage
Sepideh
S
Amin-Hanjani
Dennis
D
Wen
Fady T
FT
Charbel
D000328:Adult; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D019547:Neck Pain / Q000473:pathology / Q000601:surgery*; D011843:Radiculopathy / Q000209:etiology / Q000601:surgery*; D013126:Spinal Nerve Roots / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*