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- Toshiyuki Takahashi, Teiji Tominaga, Tamer Hassan, and Takashi Yoshimoto.
- Department of Neurosurgery, Kohnan Hospital, Sendai, Japan. toshi@nsg.med.tohoku.ac.jp
- Neurosurgery. 2003 Jul 1; 53 (1): 234-7; discussion 237.
Objective And ImportanceCervical myelopathy induced by vascular compression is rare. We report a case caused by bilateral persistence of the first intersegmental arteries (a vertebral artery anomaly). Myelopathy was successfully treated with vascular decompression.Clinical PresentationA 66-year-old woman presented with gradually worsening paroxysmal neck and arm pain. Magnetic resonance imaging and angiography demonstrated anomalous intradural courses of both vertebral arteries, compressing the dorsal aspect of the cervical spinal cord.InterventionMicrovascular decompression was performed with transposition of the arteries, followed by anchoring of the arteries to the dorsolateral dura mater with Gore-Tex bands (W.L. Gore & Associates, Inc., Flagstaff, AZ).ConclusionThe pain disappeared promptly after surgery. Surgical decompression, with anchoring of an anomalous vertebral artery to the dura, can relieve pain and other symptoms resulting from vascular cord compression.
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