• Eur Spine J · Jun 2012

    Case Reports

    Bilateral vasculopexy of anomalous vertebral arteries causing cervicomedullary compression: case report and technical note.

    • Abhidha Shah, Amit Mahore, and Atul Goel.
    • Department of Neurosurgery, Seth G.S. Medical College and King Edward VII Memorial Hospital, Parel, Mumbai, 400012, India.
    • Eur Spine J. 2012 Jun 1;21 Suppl 4:S505-8.

    IntroductionThe authors report an extremely rare cause of cervicomedullary cord compression by anomalous ectatic vertebral arteries.MaterialA 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.ConclusionsAnomalous course of the vertebral artery can result in symptoms of high cervical cord compression. Vasculopexy can result in lasting cure from symptoms.

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