%0 Journal Article %T Intrinsic stenosing and occlusive pathologies of the vertebral artery: A narrative review. %A Correia PN %A Meyer IA %A Odier C %J Neurochirurgie %V 70 %N 3 %D 2024 May 30 %M 38295574 %F 1.725 %R 10.1016/j.neuchi.2023.101527 %X Intrinsic pathologies of the vertebral arteries, such as atherosclerosis, dissection, fibromuscular dysplasia, radionecrosis and vasculitis, are important causes of vertebrobasilar insufficiency and cerebrovascular events. This review focuses on non-aneurysmal intrinsic stenosing and occlusive pathologies, covering their epidemiology, diagnosis, and treatment options. It also provides a detailed summary of key clinical presentations and syndromes, including an in-depth examination of lateral medullary syndrome, historically known as Wallenberg's syndrome, which is arguably the most emblematic condition resulting from vertebral artery involvement and is depicted in an illustrative cartoon.