• Journal of neurosurgery · Apr 1993

    Case Reports

    Compression of the C-2 root by a rare anomalous ectatic vertebral artery. Case report.

    • R R Sharma, H C Parekh, S Prabhu, N T Gurusinghe, and G Bertolis.
    • Department of Neurosurgery, Royal Preston Hospital, England.
    • J. Neurosurg. 1993 Apr 1;78(4):669-72.

    AbstractThe authors report a symptomatic congenitally anomalous ectatic vertebral artery not passing through the transverse foramen of the atlas (C-1), but instead piercing the dura mater below the posterior arch of the C-1 in the atlantoaxial (C1-2) interlaminar space. This occurrence is exceptionally rare, but in this case it was uniquely associated with occipital neuralgia due to vascular compression of the C-2 root. Microvascular decompression was curative. Neuroradiological and surgical findings are presented and their implications discussed.

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