Widening of intervertebral foramen by tortuous vertebral artery

Ono, Sergio Eiji; Kawasaki, Christiane Sayuri; Coelho, Luiz Otávio de Mattos; Lucaski, Fabiano Ferrari; Neto, Arnolfo de Carvalho

doi:10.1590/s0004-282x2009000100028

Cited by 3 publications

(4 citation statements)

References 3 publications

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“…Cervical radiculopathy may occur frequently due to disc disease. Also, neoplasms, cystic lesions, metabolic and vascular diseases, and congenital conditions should be considered when researching differential diagnoses [1]. VALF is one of the rare conditions that can cause radiculopathy [2].…”

Section: Discussionmentioning

confidence: 99%

“…However, because our patient was young, had no history of trauma, and lacked possible etiologic pathologies described in the literature, we assumed congenital causes may also contribute to the etiology of VALF. Ono et al reported that VALF is most commonly seen at the C4-C5 level, followed by C3-C4, and most frequently occurs on the left side [1]. In cervical radiographs, erosion of the adjacent bone structure due to arterial pulsation as well as vertebral foramen and neural foramen expansion can be seen [2].…”

Section: Discussionmentioning

confidence: 99%

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Tortuous vertebral artery triggering vertebral foramen expansion and radiculopathy in a 19-year-old patient: a case report

2020

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Background Arterial tortuosity is a widespread condition commonly occurring in cerebral arteries and often associated with the elderly. Moderate arterial tortuosity is often not symptomatic, but if there is severe tortuosity, various symptoms may occur, depending on the localization. In the literature, many factors have been reported as causing tortuosity in the vertebral arteries. In this case report, considering the age of our patient, we propose that, in addition to these previously reported reasons, congenital factors may also contribute to this situation. Case presentation We present a case of a 19-year-old Turkish patient with a tortuous vertebral artery causing pain and tingling in the right shoulder and neck. Magnetic resonance imaging revealed vertebral foramen enlargement thought to be secondary to a loop formation in the vertebral artery. The diagnosis was confirmed by magnetic resonance angiography. Conclusions There are many causes of cervical radiculopathy. Arterial tortuosity, a rare cause of radiculopathy, should be considered as a differential diagnosis. Consideration of the existence of this variation is of great importance in preventing possible dangerous complications during surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Tortuous vertebral artery triggering vertebral foramen expansion and radiculopathy in a 19-year-old patient: a case report

2020

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“…If the anomalies are at higher levels of the VA, the clinical presentation will be of dysphagia, glossopharyngeal neuralgia, Horner's syndrome, occipital neuralgia and spasmodic torticolis [33]. The anomalies at the lower levels can cause symptoms of cervicobrachial neuralgia [27,28,29,30,33]. Cervicobrachial neuralgia produced by vascular compression presents with paraesthesia and dysaesthesia of the fingers without a triggering factor, the lack of nocturnal symptoms, and the rarity of neurologic deficits [33].…”

Section: Tortuositymentioning

confidence: 99%

Anatomical Features and Clinical Importance of the Vertebral Artery

Dodevski

Tosovska-Lazarova

2012

Maced J Med Sci

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The vertebral artery and its branches are target of arteriographic investigations, ultrasound and Doppler visualization, MRI and CT imaging in many contemporary diagnostic procedures. The big horizon of procedures in the interventional and diagnostic radiology, orthopedic and surgery opens new avenues for the study of anatomy and especially variations of the vertebral artery and its branches. The aim of the present report is to give a summary of the vertebral artery anatomy as well as its variations, and to emphasize there clinical importance.

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“…Cases in which a VA intervertebral loop causes radicular compression and widens the intertransverse foramen, consequently requiring decompressive surgery, are rare. 52 Cervical spine arthrosis may, like rheumatoid arthritis, cause vertebral atlantoaxial and subaxial subluxation with spinal cord compression, VA loop formation, and vascular compression. 53 A tortuous course of the intertransverse V2 segment of the VA may be observed in such cases, accompanied by an increase in the resistive indices and changes in blood flow velocities (Figure 2, D and E).…”

Section: Tortuous Va Course and Cervical Intertransverse Segment Compmentioning

confidence: 99%

Extracranial and Intracranial Sonographic Findings in Vertebral Artery Diseases

Vicenzini

Ricciardi

Gaia

et al. 2010

Journal of Ultrasound in Medicine

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Posterior circulation vascular imaging can be performed by means of various neuroimaging techniques. Intra-arterial angiography remains the reference standard. The use of this technique has become even more widespread since it has become possible to perform endovascular procedures; it is, however, an invasive procedure that is associated with a not irrelevant level of risk. Computed tomographic angiography and magnetic resonance angiography with and without contrast agents have been proposed as less invasive alternatives, although these techniques can only be performed in the radiology unit and may not be readily available in daily clinical management. Sonography, which combines an extracranial and intracranial evaluation, is highly suited to the assessment of the vertebrobasilar system on account of its widespread availability and its unique capacity to study real-time hemodynamics. Furthermore, new sonographic applications and sonographic contrast agents have improved the sensitivity and specificity of this technique with regard to diagnostic accuracy for the posterior circulation.

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Widening of intervertebral foramen by tortuous vertebral artery

Cited by 3 publications

References 3 publications

Tortuous vertebral artery triggering vertebral foramen expansion and radiculopathy in a 19-year-old patient: a case report

Tortuous vertebral artery triggering vertebral foramen expansion and radiculopathy in a 19-year-old patient: a case report

Anatomical Features and Clinical Importance of the Vertebral Artery

Extracranial and Intracranial Sonographic Findings in Vertebral Artery Diseases

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