Multiple symptomatic vertebral artery loops treated with posterior cervical fusion

Dahdaleh, Nader S.; Albert, Gregory W.; Hasan, David

doi:10.1016/j.jocn.2009.10.004

Cited by 7 publications

(6 citation statements)

References 16 publications

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“…One obstacle is the differentiation between PM and adenoma, for their clinical presentations and radiology characteristics are indistinguishable. Some investigators suggested that bony erosion without sellar enlargement indicated metastases ( 19 ). Bony erosion was also observed in our case.…”

Section: Discussionmentioning

confidence: 99%

A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review

Cheng

Feng

2023

Front. Oncol.

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Presence of pituitary metastases (PMs) is a relatively rare clinical situation, especially when originating from hepatocellular carcinoma (HCC). A 73-year-old man presented with headaches, diplopia, and soon impaired vision, as well as gastrointestinal symptoms. Computed tomography (CT) and magnetic resonance imaging (MRI) of the brain revealed a space-occupying mass in the sellar region. The patient had a history of hepatocellular carcinoma and recent abdominal ultrasound and positron emission tomography (PET) indicated recurrence and metastases. Endoscopic transnasal transsphenoidal tumor excision was performed, and postoperative pathological report confirmed the diagnosis of HCC PM. In the literature review, 17 published cases of HCC PMs were summarized. Both the diagnosis and management of HCC PMs are difficult. Patients who had HCC-related history and new-onset headaches or diplopia should be inspected with a suspicion of metastatic lesions. Surgical intervention with transnasal endoscope is only recommended to ameliorate the symptoms and improve the life quality.

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Section: Discussionmentioning

confidence: 99%

A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review

Cheng

Feng

2023

Front. Oncol.

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“…The VA originates from the first portion of the subclavian artery, penetrates the C6 transverse foramen, passing through the transverse foramina of the rest of the cervical vertebrae until passing through the foramen magnum, where it joins the opposite to form the basilar artery (Wladron & Antoine, 2002;Latarjet & Ruiz). The clinical implications to be considered with this alteration are mainly radiculopathy and vertebrobasilar insufficiency (Dahdaleh et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Diffuse Idiopathic Skeletal Hyperostosis of Cervical Column: a Clinical Anatomy and Functional Approach

Perlaza

2012

Int. J. Morphol.

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“…Initial reports have primarily utilized posterolateral approaches [2,9,[21][22][23]. However, removal of posterior structures to expose the artery, particularly the facet joint, increases the risk of iatrogenic instability.…”

Section: Posterior Neurovascular Decompression Via Hemilaminectomy and Facetectomymentioning

confidence: 99%

“…However, removal of posterior structures to expose the artery, particularly the facet joint, increases the risk of iatrogenic instability. Some authors have thus added fusion with lateral mass screws [2,21]. Moreover, the higher risk of surgical site infections accompanied with the posterior approach must be considered [24].…”

Section: Posterior Neurovascular Decompression Via Hemilaminectomy and Facetectomymentioning

confidence: 99%

Anterior artery release, distraction and fusion (ARDF) for radiculopathy caused by a vertebral artery loop

2021

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Background Anomalous vertebral artery (VA) with loop formation is a rare cause of cervical nerve root compression. Various techniques with anterior and posterior approaches have been described for surgical treatment once conservative treatments fail. We herein present a case treated with the new technique of anterior release, distraction and fusion (ARDF) and further provide an updated review of surgically managed VA loops in the subaxial spine. Case description A 76-year-old female complained of a 6-year history of pulsating, shooting pain in her right arm to the thumb. After obtaining repeated MRI, the VA loop compressing the right-sided C6-nerve root was detected. A neurovascular decompression through ARDF which led to an indirect loop straightening was performed. The patient immediately improved after surgery and remained pain-free 1 year postoperative. Conclusion Neural irritation due to VA loop formation is a rare cause of cervical radiculopathy. While various surgical strategies have been described, we believe that anterior and anterolateral approaches are the safest to yield neurovascular decompression. We described and documented ARDF (anterior VA release, intervertebral distraction and fusion) on a patient case. Level of evidence II (Diagnostic: individual cross-sectional studies with consistently applied reference standard and blinding).

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Multiple symptomatic vertebral artery loops treated with posterior cervical fusion

Cited by 7 publications

References 16 publications

A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review

A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review

Diffuse Idiopathic Skeletal Hyperostosis of Cervical Column: a Clinical Anatomy and Functional Approach

Anterior artery release, distraction and fusion (ARDF) for radiculopathy caused by a vertebral artery loop

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