Vertebral Artery Stenosis Caused by Cervical Osteophyte: A Rare and Reversible Cause of Vertebrobasilar Insufficiency. Case Report
| Autor: | Pedro Nogarotto Cembraneli, Julia Brasileiro de Faria Cavalcante, Renata Brasileiro de Faria Cavalcante, Italo Nogarotto Cembraneli, Leonardo Taveira Lopes, José Edison da Silva Cavalcante, Alessandro Fonseca Cardoso, Chrystiano Fonseca Cardoso, Marco Antônio Zanini |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Brazilian Neurosurgery, Vol 43, Iss 04, Pp e365-e368 (2024) |
| Druh dokumentu: | article |
| ISSN: | 0103-5355 2359-5922 |
| DOI: | 10.1055/s-0044-1795135 |
| Popis: | Bow Hunter syndrome manifests when the vertebral artery is compressed following head rotation. Symptomatic compression with vertebral artery stenosis due to cervical osteophytes is a rare cause and occurs due to a progressive degenerative process. In most cases, compression originates anteromedially from the uncinate process and is asymptomatic due to the competence of the contralateral vertebral artery. In the described patient, compression presented superomedially due to osteophytes in the superior articular facet of the C5 vertebra, and the contralateral vertebral artery was obstructed. Careful evaluation with imaging, mainly preoperative 3D angiotomography, is necessary to determine the most beneficial approach for decompression. The treatment of choice for symptomatic compression induced by cervical spondylosis is decompression surgery. |
| Databáze: | Directory of Open Access Journals |
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