Spastic quadriparesis caused by anomalous vertebral artery compression of spinal cord at the cervico-medullary junction.
Vascular compression of medulla or spinal cord at the cervico-medullary junction has been commonly described in the literature and is often attributed to dolichoectasia of the vertebrobasilar arteries. We describe a case of anomalous course of the cervical segments of the bilateral vertebral arteries which were seen entering the spinal canal directly after exiting the transverse foramen of axis and causing significant cord compression at the cervico-medullary region leading to spastic quadriparesis.
Department of Interventional Radiology, Institute of Liver and Biliary Sciences; New Delhi, India somubetageri@gmail.com.
Somsharan Shankerappa
SS
Betgeri
Department of Interventional Radiology, Institute of Liver and Biliary Sciences; New Delhi, India.
S
S
Rajesh
Malabar Institute of Medical Sciences; Kerala India.
Vijayendra
V
Adkatalwar
Malabar Institute of Medical Sciences; Kerala India.
Meyyappan
M
Shiva
Department of Interventional Radiology, Institute of Liver and Biliary Sciences; New Delhi, India.
Nitesh
N
Agrawal
Malabar Institute of Medical Sciences; Kerala India.
K G
KG
Ramakrishnan
D000368:Aged; D002533:Cerebral Angiography; D002574:Cervical Vertebrae; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008526:Medulla Oblongata / Q000473:pathology*; D011782:Quadriplegia / Q000175:diagnosis* / Q000209:etiology; D013117:Spinal Cord Compression / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000473:pathology
cervico-medullary junction; spastic quadriparesis; vertebral artery