title: Aberrant cervical vasculature anastomosis as cause of neck pain and successful treatment with embolization technique.
abstract: We report a patient with non-dermatomal radiating neck pain without focal neurologic deficit. Traditional workup could not identify an anatomic or biomechanical cause. Imaging showed a deep cervical vessel centered in the region of pain. Angiography later identified an aberrant anastomosis of this vessel with the occipital artery. Subsequent endovascular embolization of this arterial trunk resulted in complete pain relief.
authors.affiliation: Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA.
authors.forename: Lucy
authors.initials: L
authors.lastname: He
authors.affiliation: Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA.
authors.forename: Travis R
authors.initials: TR
authors.lastname: Ladner
authors.affiliation: Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Cobb
authors.affiliation: Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA.
authors.forename: J
authors.initials: J
authors.lastname: Mocco
mesh_terms: D000368:Aged; D001863:Bone Screws / Q000009:adverse effects; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male; D019547:Neck Pain / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D062707:Return to Work; D016896:Treatment Outcome
keywords: Blood Flow; Embolic; Inflammation; Spine