Document Detail

Hemorrhagic infarction originating from vertebral artery stenosis caused by an osteophyte at the C5 superior articular process.
MedLine Citation:
PMID:  19318736     Owner:  NLM     Status:  MEDLINE    
A 62-year-old man presented with right upper homonymous quadrihemianopsia. Magnetic resonance imaging showed hemorrhagic infarctions in the bilateral occipital lobes and infarction in the left cerebellar hemisphere. Digital subtraction angiography and three-dimensional computed tomography angiography revealed right vertebral artery (VA) stenosis caused by an osteophyte at the C5 superior articular process. The VA stenosis was aggravated by neck extension. The brain infarctions were attributed to embolism from the right VA stenosis. Unroofing of the anterior root of the right C4 transverse foramen, removal of the osteophyte at the superior articular process of C5, and anterior fusion at C4-5 were performed. His postoperative course was uneventful.
Satoru Takeuchi; Tsutomu Kawaguchi; Mitsuru Nakatani; Toyohiko Isu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  49     ISSN:  1349-8029     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-25     Completed Date:  2009-06-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  114-6     Citation Subset:  IM    
Department of Neurosurgery, Hakodate Red Cross Hospital, Hakodate, Hokkaido, Japan.
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MeSH Terms
Brain Infarction / etiology*,  pathology,  radiography
Cerebellum / blood supply,  pathology
Cerebral Angiography
Cervical Vertebrae / pathology,  radiography
Decompression, Surgical
Intracranial Hemorrhages / etiology*,  pathology,  radiography
Magnetic Resonance Imaging
Middle Aged
Neurosurgical Procedures
Occipital Lobe / blood supply,  pathology
Spinal Osteophytosis / complications*,  pathology,  radiography
Tomography, X-Ray Computed
Treatment Outcome
Vertebrobasilar Insufficiency / etiology*,  pathology,  radiography
Vision, Low / etiology,  pathology,  physiopathology
Zygapophyseal Joint / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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