Cervical Radiculopathy and Vertebrobasilar Insufficiency Secondary to Intraneural Foramen Vertebral Artery Loop: A Case Report.

神经根性颈椎病和椎动脉内孔椎动脉环继发椎基底动脉功能不全 ： 一例。

• 发表时间: 2024 Jul
• 来源期刊: Cureus
• DOI: 10.7759/cureus.64478
• PMID: 39135843
• 文章类型: Case Reports
• 作者列表: Aljohani RZ,Alshanqiti M,Murshid WR

关键词: cervical radiculopathy; tortuous vertebral artery; vascular loop; vertebral artery; vertebrobasilar insufficiency

Abstract

This case report describes a 40-year-old male who presented with chronic neck pain radiating to the left upper limb, associated with weakness and numbness. He also had symptoms of vertebrobasilar insufficiency. Imaging revealed an intraneural foramen vertebral artery (VA) loop compressing the C3 nerve root. Conservative management was ineffective, prompting surgical decompression via a left C2-C3 facetectomy and foraminotomy. The patient experienced immediate pain relief and gradual improvement in weakness, with complete resolution of symptoms at the six-month follow-up. This case highlights the potential for VA loops to cause radiculopathy and the successful use of surgical decompression for treatment.

摘要

该病例报告描述了一名40岁的男性，他表现为慢性颈部疼痛，放射到左上肢，与虚弱和麻木有关。他也有椎基底动脉供血不足的症状。影像学显示神经内孔椎动脉（VA）环压迫C3神经根。保守管理无效，提示通过左C2-C3小关节切除术和椎间孔切开术进行手术减压。患者疼痛立即缓解，弱点逐渐改善，在六个月的随访中症状完全缓解。此病例强调了VA环引起神经根病的可能性以及手术减压治疗的成功使用。