Article ; Online: Anomalous vertebral artery compression of the spinal cord at the cervicomedullary junction.
Surgical neurology international
2011 Volume 2, Page(s) 103
Abstract: Background: Myelopathy from ectatic vertebral artery compression of the spinal cord at the cervicomedullary junction is a rare condition.: Case description: A 63-year-old female was originally diagnosed with occult hydrocephalus syndrome after ... ...
Abstract | Background: Myelopathy from ectatic vertebral artery compression of the spinal cord at the cervicomedullary junction is a rare condition. Case description: A 63-year-old female was originally diagnosed with occult hydrocephalus syndrome after presenting with symptoms of ataxia and urinary incontinence. Ventriculoperitoneal shunting induced an acute worsening of the patient's symptoms as she immediately developed a sensory myelopathy. An MR scan demonstrated multiple congenital abnormalities including cervicomedullary stenosis with anomalous vertebral artery compression of the dorsal spinal cord at the cervicomedullary junction. The patient was taken to surgery for a suboccipital craniectomy, C1-2 laminectomy, vertebral artery decompression, duraplasty, and shunt ligation. Intraoperative findings confirmed preoperative radiography with ectactic vertebral arteries deforming the dorsal aspect of the spinal cord. There were no procedural complications and at a 6-month follow-up appointment, the patient had experienced a marked improvement in her preoperative signs and symptoms. Conclusion: Myelopathy from ectatic vertebral artery compression at the cervicomedullary junction is a rare disorder amenable to operative neurovascular decompression. |
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Language | English |
Publishing date | 2011-07-28 |
Publishing country | United States |
Document type | Case Reports |
ZDB-ID | 2567759-7 |
ISSN | 2152-7806 ; 2152-7806 |
ISSN (online) | 2152-7806 |
ISSN | 2152-7806 |
DOI | 10.4103/2152-7806.83232 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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