Document Detail

Teaching NeuroImages: Intermittent symptomatic occlusion of the vertebral artery caused by a cervical osteophyte.
MedLine Citation:
PMID:  23359379     Owner:  NLM     Status:  In-Data-Review    
A 77-year-old man presented with 2 episodes of waking up with symptoms of vertebrobasilar ischemia (figure, A and B) within 6 months. A CT angiogram showed narrowing of the right vertebral artery due to extrinsic compression by an osteophyte of the superior articular process of the fourth cervical vertebra, compromising the foramen transversarium (figure, C and D). Dynamic angiography demonstrated intermittent vascular occlusion associated with head turning (figure, E-G). After recurrence, surgical decompression of the vertebral artery was performed. Extrinsic compressions of the vertebral artery is rare.(1) The most frequent signs are those of vertebrobasilar insufficiency. Surgical treatment has been proposed when conservative management fails.(1).
Isabelle Mourand; Souhayla Azakri; Guillaume Boniface; Alain Bonafé; Igor Lima Maldonado
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology     Volume:  80     ISSN:  1526-632X     ISO Abbreviation:  Neurology     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e54     Citation Subset:  AIM; IM    
From the Departments of Neurology (I.M., S.A.), Neurosurgery (G.B.), and Neuroradiology (A.B., I.L.M.), Montpellier University Hospital, Montpellier, France.
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