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Bilateral vasculopexy of anomalous vertebral arteries causing cervicomedullary compression: case report and technical
Abhidha Shah1, Amit Mahore, Atul Goel
1Department of Neurosurgery, Seth G.S. Medical College and King Edward VII Memorial Hospital, Parel, Mumbai, 400012, India.
Introduction:
The authors report an extremely rare cause of cervicomedullary cord compression by anomalous ectatic vertebral arteries.
Material:
A 50-year-old male patient presented with a 9 month history of progressive quadriparesis. Investigations revealed that the vertebral arteries on both sides had a mirror-like course and caused a deep indentation into the high cervical cord. Bilateral vasculopexy was done using Teflon slings. The treatment resulted in rapid recovery from symptoms.
Conclusions:
Anomalous course of the vertebral artery can result in symptoms of high cervical cord compression. Vasculopexy can result in lasting cure from symptoms.
