Cervical cord compression by the anomalous vertebral artery presenting with neuralgic pain

Case report

Restricted access

✓ The authors report the case of a 59-year-old woman with progressive neck and arm pain that initially appeared in the neck and later extended to the shoulder and upper extremity. This pain was caused by compression of the cervical cord between the atlas and axis by the vertebral artery, and disappeared promptly following microvascular decompression.

Article Information

Contributor Notes

Address reprint requests to: Shuji Satoh, M.D., 315 To-kumoto-machi, Nonoichi-machi, Ishikama-gun, 921 Japan.

© AANS, except where prohibited by US copyright law.

Headings
References
  • 1.

    Fein JMFrishman W: Neurogenic hypertension related to vascular compression of the lateral medulla. Neurosurgery 6:6156221980Fein JM Frishman W: Neurogenic hypertension related to vascular compression of the lateral medulla. Neurosurgery 6:615–622 1980

    • Search Google Scholar
    • Export Citation
  • 2.

    Fukushima T: [Posterior fossa microvascular decompression in the management of hemifacial spasm and trigeminal neuralgia.] No Shinkei Geka 10:125712611982 (Jpn)Fukushima T: [Posterior fossa microvascular decompression in the management of hemifacial spasm and trigeminal neuralgia.] No Shinkei Geka 10:1257–1261 1982 (Jpn)

    • Search Google Scholar
    • Export Citation
  • 3.

    Hasegawa TKubota TIto Het al: Symptomatic duplication of the vertebral artery. Surg Neurol 20:2442481983Hasegawa T Kubota T Ito H et al: Symptomatic duplication of the vertebral artery. Surg Neurol 20:244–248 1983

    • Search Google Scholar
    • Export Citation
  • 4.

    Jannetta PJ: Microsurgery of cranial nerve cross-compression. Clin Neurosurg 26:6076151979Jannetta PJ: Microsurgery of cranial nerve cross-compression. Clin Neurosurg 26:607–615 1979

    • Search Google Scholar
    • Export Citation
  • 5.

    Jannetta PJ: Microsurgical approach to the trigeminal nerve for tic douloureux. Prog Neurol Surg 7:1602001976Jannetta PJ: Microsurgical approach to the trigeminal nerve for tic douloureux. Prog Neurol Surg 7:160–200 1976

    • Search Google Scholar
    • Export Citation
  • 6.

    Jannetta PJAbbasy MMaroon JCet al: Etiology and definitive microsurgical treatment of hemifacial spasm. Operative techniques and results in 47 patients. J Neurosurg 47:3213281977Jannetta PJ Abbasy M Maroon JC et al: Etiology and definitive microsurgical treatment of hemifacial spasm. Operative techniques and results in 47 patients. J Neurosurg 47:321–328 1977

    • Search Google Scholar
    • Export Citation
  • 7.

    Kim PIshijima BTakahashi Het al: Hemiparesis caused by vertebral artery compression of the medulla oblongata. Case report. J Neurosurg 62:4254291985Kim P Ishijima B Takahashi H et al: Hemiparesis caused by vertebral artery compression of the medulla oblongata. Case report. J Neurosurg 62:425–429 1985

    • Search Google Scholar
    • Export Citation
  • 8.

    Laha RKJannetta PJ: Glossopharyngeal neuralgia. J Neurosurg 47:3163201977Laha RK Jannetta PJ: Glossopharyngeal neuralgia. J Neurosurg 47:316–320 1977

    • Search Google Scholar
    • Export Citation
  • 9.

    Maruyama KTanaka MIkeda Set al: [A case report of quadriparesis due to compression of the medulla oblongata by the elongated left vertebral arterv.] Rinsho Shinkeigaku 29:1081111989 (Jpn)Maruyama K Tanaka M Ikeda S et al: [A case report of quadriparesis due to compression of the medulla oblongata by the elongated left vertebral arterv.] Rinsho Shinkeigaku 29:108–111 1989 (Jpn)

    • Search Google Scholar
    • Export Citation
  • 10.

    Nagahiro STakada AMatsukado Tet al: Microvascular decompression for hemifacial spasm. Patterns of vascular compression in unsuccessfully operated patients. J Neurosurg 75:3883921991Nagahiro S Takada A Matsukado T et al: Microvascular decompression for hemifacial spasm. Patterns of vascular compression in unsuccessfully operated patients. J Neurosurg 75:388–392 1991

    • Search Google Scholar
    • Export Citation
  • 11.

    Niwa JFujishige MNakagawa Tet al: [Use of a fenestrated aneurysm clip for transposition of the tortuous vertebral artery.] No Shinkei Geka 16:6216241988 (Jpn)Niwa J Fujishige M Nakagawa T et al: [Use of a fenestrated aneurysm clip for transposition of the tortuous vertebral artery.] No Shinkei Geka 16:621–624 1988 (Jpn)

    • Search Google Scholar
    • Export Citation
  • 12.

    Sakaki TMorimoto TMiyamoto Set al: Microsurgical treatment of patients with vestibular and cochlear symptoms. Surg Neurol 27:1411461987Sakaki T Morimoto T Miyamoto S et al: Microsurgical treatment of patients with vestibular and cochlear symptoms. Surg Neurol 27:141–146 1987

    • Search Google Scholar
    • Export Citation
  • 13.

    Shima FFukui MKitamura Ket al: Diagnosis and surgical treatment of spasmodic torticollis of 11th nerve origin. Neurosurgery 22:3583631988Shima F Fukui M Kitamura K et al: Diagnosis and surgical treatment of spasmodic torticollis of 11th nerve origin. Neurosurgery 22:358–363 1988

    • Search Google Scholar
    • Export Citation
  • 14.

    Suzuki S: Angiographic aspects of anomalies of vertebral artery. Rinsho Hoshasen 24:3141979Suzuki S: Angiographic aspects of anomalies of vertebral artery. Rinsho Hoshasen 24:3–14 1979

    • Search Google Scholar
    • Export Citation
  • 15.

    Takamiya YToya SKawase Tet al: Trigeminal neuralgia and hemifacial spasm caused by a tortuous vertebrobasilar system. Surg Neurol 24:5595621985Takamiya Y Toya S Kawase T et al: Trigeminal neuralgia and hemifacial spasm caused by a tortuous vertebrobasilar system. Surg Neurol 24:559–562 1985

    • Search Google Scholar
    • Export Citation
  • 16.

    Tokuda KMiyasaka KAbe Het al: Anomalous atlantoaxial portions of vertebral and posterior inferior cerebellar arteries. Neuroradiology 27:4104131985Tokuda K Miyasaka K Abe H et al: Anomalous atlantoaxial portions of vertebral and posterior inferior cerebellar arteries. Neuroradiology 27:410–413 1985

    • Search Google Scholar
    • Export Citation
  • 17.

    Vincentelli FCaruso GRebehanta PBet al: Surgical treatment of a rare congenital anomaly of the vertebral artery: case report and review of the literature. Neurosurgery 28:4164201991Vincentelli F Caruso G Rebehanta PB et al: Surgical treatment of a rare congenital anomaly of the vertebral artery: case report and review of the literature. Neurosurgery 28:416–420 1991

    • Search Google Scholar
    • Export Citation
TrendMD
Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 98 98 4
Full Text Views 155 119 1
PDF Downloads 57 36 1
EPUB Downloads 0 0 0
PubMed
Google Scholar