Minimally Invasive Surgical Treatment for Vertebral Artery Compression in a Patient with One-Sided Ponticulus Posticus and Ponticulus Lateralis

Lukyanchikov, V. A.; Lvov, Ivan; Грин, А. А.; Kordonskiy, Anton; Polunina, N A; Krylov, V. V.

doi:10.1016/j.wneu.2018.06.002

Cited by 14 publications

(14 citation statements)

References 7 publications

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“…Although the arcuate foramen has been intensively investigated, the mechanism of variation in the pathology is not clearly understood 2, 5–7 . Previous studies have examined the arcuate foramen as a rare variation, but the prevalence has increased in recent years as clinicians and radiologists have placed a large focus on this anomaly.…”

Section: Discussionmentioning

confidence: 99%

“…The mechanism of the variation is not clearly understood. Based on the literature, ossification of the connective tissue surrounding the vertebral artery or the lower edge of the atlanto‐occipital membrane might be one of the possible reasons for the variation 2, 5 . Some researchers believe that the arcuate foramen seems to be produced by the persistence of a vestigial structure lost during hominoid evolution.…”

Section: Discussionmentioning

confidence: 99%

“…We had reviewed the reports on the clinical features and treatment methods of AF (Table 2). Some patients show symptoms including dizziness, headache, migraine, cervico‐genic headache, neck pain, shoulder–arm pain, vertebrobasilar insufficiency, neurosensory‐type hearing loss, bow hunter's syndrome, Barre–Lieou syndrome, eye pain, and photophobia 2, 4, 12, 20, 21 . When serious symptoms occur, surgical treatment to resect the bony ridges has been deemed a solution to the problem 2, 20, 21 .…”

Section: Discussionmentioning

confidence: 99%

“…CTA revealed the formation of ponticulus posticus and ponticulus lateralis with acute‐angled С‐shaped kinking of the vertebral artery. After minimally invasive surgery to resect these bony ridges, the patient's symptoms resolved 2 .…”

Section: Discussionmentioning

confidence: 99%

“…The overall pooled prevalence of a complete AF was 9.1% and that of an incomplete AF was 13.6% 1 . Some patients show symptoms, including dizziness, headache, migraine, neck pain, shoulder–arm pain, vertebrobasilar insufficiency, neurosensory‐type hearing loss, and bow hunter's syndrome 2–4 . When serious symptoms occur, surgical treatment to resect the bony ridges has been deemed an acceptable solution to the problem.…”

Section: Introductionmentioning

confidence: 99%

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Multiple Fractures of Cervical Vertebrae Combined with Arcuate Foramen and Vertebral Artery Occlusion: A Case Report and Literature Review

Wang

Liu

Guo

et al. 2020

Orthopaedic Surgery

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Background The arcuate foramen is a complete or partial bony bridge over the vertebral artery groove of atlas. The mechanism of the arcuate foramen is not clearly understood. Omission of the arcuate foramen sometimes causes lethal iatrogenic injury during spinal surgery. Case Presentation We describe a patient who was diagnosed with multiple fractures of the cervical vertebrae, arcuate foramen, and right vertebral artery occlusion based on clinical and radiological exams. After conservative treatment, he resumed a normal and productive life. Conclusions Arcuate foramen is a common variation that causes symptoms such as dizziness, headache, and migraine. If the patient does not develop severe symptoms, conservative treatment can achieve very good results without the necessity to remove the bone bridge. When serious symptoms occur, surgical treatment to resect the bony ridges can relieve the symptoms dramatically.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%