A new sling technique in cervical radiculopathy due to vertebral artery loop compression : Case Report.

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A new sling technique in cervical radiculopathy due to vertebral artery loop compression : Case Report.

World Neurosurg. 2017 May 24;:

Authors: Ju CI, Kim JM, Kim JG, Kim SW, Lee SM

Abstract
A 52-year-old woman had a 20-month history of progressive left arm's radiating pain and numbness on C7 dermatome. In physical examination, left head rotation aggravated the radiculopathic pain. To identify anatomical diagnosis of vertebral artery and nerve root, MRA was performed ( CT angiography was not possible due to her dye allergy history). It showed a left vertebral artery loop entering at the C6-7 intervertebral foramen. Surgical microvascular decompression was performed by anterior cervical approach with fixing the loop of artery using a sling technique. Postoperative CTA revealed left vertebral artery was retracted anteriorly and C7 nerve root decompressed in the intervertebral foramen on left C6-7 level. Her radiculopathic symptoms were improved and especially the aggravated pain by left head rotation was dramatically subsided.

PMID: 28552697 [PubMed - as supplied by publisher]

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