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Microvascular decompression of a vertebral artery loop causing cervical radiculopathy: illustrative case

Alexa Semonche, Lorenzo Rinaldo, Young Lee, Todd Dubnicoff, Harlan Matles, Dean Chou, Adib Abla, and Edward F Chang

adapted techniques specific to MVD for trigeminal neuralgia, including Teflon felt and sling transposition. 15–17 Rare cases of vertebral artery transection with end-to-end anastomosis or sacrifice have also been described. 18 , 19 Illustrative Case A 49-year-old man presented with a decades-long history of left-sided neck pain and migraines, which had acutely worsened over the past few years. The pain was exacerbated by neck extension and head turn to the contralateral side. On physical examination, the patient had full strength in all extremities with a