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Bow Hunter's Syndrome Caused by Bilateral Dynamic Occlusion of the Subaxial Vertebral Arteries during Neck Extension

Yi J, Han HS

Bow hunter's syndrome is a rare disease that shows the symptoms of vertebrobasilar insufficiency resulting from a dynamic obstruction or stenosis of the vertebral arteries during neck movement. This paper...
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Rotational vertebral artery syndrome treated via an anterior approach and selective decompression only

Kang JH, Im SB, Jeong JH, Shin DS

We present the case of a 38-year-old male who complained of repeated dizziness and syncope. Rotational vertebral artery syndrome (RVAS) was diagnosed via videonystagmoraphy (VNG), computed tomography angiography (CTA) and...
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Spontaneous Intracranial Vertebral Artery Dissection in a 2-Year-Old Child Diagnosed with High-Resolution MRI: a Case Report

Heo S, Han M, Kim SH, Choi JW

Although many imaging modalities can play some roles in the diagnosis of vertebral artery dissection (VAD), digital subtraction angiography (DSA) remains the gold standard method, with the highest detection rate...
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Congenital Osseous Anomalies of the Cervical Spine: Occurrence, Morphological Characteristics, Embryological Basis and Clinical Significance: A Computed Tomography Based Study

Ankith N, Avinash M, Srivijayanand K, Shetty AP, Kanna RM, Rajasekaran S

STUDY DESIGN: Observational retrospective computed tomography (CT) based study. PURPOSE: To analyze the congenital anomalies of the cervical spine, their morphological variations and their clinical significance. OVERVIEW OF LITERATURE: Studies published to...
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Biomechanical and Anatomical Validity of the Short Posterior Arch Screw

Mizutani J, Inoue N, Otsuka Y, Furuya A, Espinoza Orias AA, Otsuka T

OBJECTIVE: This study was conducted to clarify the validity of the short posterior arch screw (S-PAS). The S-PAS is inserted only in the pedicle-analogue portion of the posterior arch. The...
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The Transspinal Canal Screwing Technique for Atlantoaxial Anomalies: A Technical Note and 2 Case Reports

Takebayashi K, Kubota M, Yuzurihara M, Tachibana , Kawamata T

It is difficult to treat atlantoaxial instability in patients with a high-riding vertebral artery or anomalies of the craniocervical junction. We report 2 successful cases in which the transspinal canal...
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Basilar Invagination and Atlantoaxial Dislocation: Reduction, Deformity Correction and Realignment Using the DCER (Distraction, Compression, Extension, and Reduction) Technique With Customized Instrumentation and Implants

Sarat Chandra P, Bajaj J, Singh PK, Garg K, Agarwal D

OBJECTIVE: The technique of distraction, compression, extension, and reduction (DCER) is effective to reduce, realign, and relieve cranio-spinal compression through posterior only approach. METHODS: Study included all patients with atlantoaxial dislocation...
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The C2 Pedicle Width, Pars Length, and Laminar Thickness in Concurrent Ipsilateral Ponticulus Posticus and High-Riding Vertebral Artery: A Radiological Computed Tomography Scan-Based Study

Kothari MK, Dalvie SS, Gupta S, Tikoo A, Singh DK

STUDY DESIGN: Retrospective radiological study. PURPOSE: We aimed to determine the prevalence of ponticulus posticus (PP) and high-riding vertebral artery (HRVA) occurring simultaneously on the same side (PP+HRVA) and in cases...
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Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy

Oh SW, Singh R, Adsul NM, Noh JH, Park JH, Kim HS, Jang IT, Oh SH

OBJECTIVE: Vertebral artery injuries during posterior cervical foraminotomy are rare, but can be fatal. Therefore, we investigated the anatomical correlation between the lateral recess and the vertebral artery. METHODS: On axial...
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Vertebral Artery Dissection Presenting with Acute Infarction in Cervical Spinal Cord and Cerebellum

Rhee HY, Kim JS, Shin YY

We describe a case of vertebral artery dissection (VAD) presenting with acute infarctions in cervical spinal cord and cerebellum in a 78-year-old man. Diffusion-weighted magnetic resonance (MR) imaging of the...
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Anatomic Considerations of Anterior Transarticular Screw Fixation for Atlantoaxial Instability

Sonone S, Dahapute A, Waghchoure C, Marathe N, Keny SA, Singh K, Gala R

STUDY DESIGN: Cadaveric, observational study. PURPOSE: Atlantoaxial instability (AAI) is characterized by excessive movement at the C1–C2 junction between the atlas and axis. An anterior surgical approach to expose the upper...
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Characteristics of Acute Cerebral Infarction in Patients with Familial Hypercholesterolemia

Kim J, Park SH, Kim JM, Lee SH, Park KY

BACKGROUND: The patients with familial hypercholesterolemia (FH) suffer from early onset atherosclerotic vascular disease due to high level of cholesterol and subsequent vascular inflammation, especially in the form of coronary...
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Posterior Inferior Cerebellar Artery Infarction Originating at C1-2 after C1-2 Fusion

Won D, Lee JM, Park IS, Lee CH, Lee K, Kim JY, Lee YS

Vertebral artery injuries associated with C1 lateral mass screw insertion rarely occur during C1-2 fusion. The posterior inferior cerebellar artery (PICA) is uncommonly located at the C1 lateral mass insertion...
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Cerebrovascular Drug-Eluting Stent versus Bare-Metal Stent in the Treatment of Vertebral Artery Stenosis: A Non-Inferiority Randomized Clinical Trial

He Y, Li T, Bai W, Zhu L, Wang M, Zhang Y

No abstract available.
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Unplanned 30-Day Hospital Readmissions of Symptomatic Carotid and Vertebral Artery Dissection

Mehta T, Patel S, Male S, Parikh R, Mehta K, Lakshminarayan K, Tummala R, Ezzeddine

No abstract available.
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Correlation of Adventitial Vasa Vasorum with Intracranial Atherosclerosis: A Postmortem Study

Zheng L, Yang WJ, Niu CB, Zhao HL, Wong KS, Leung TW, Chen XY

BACKGROUND AND PURPOSE: Vasa vasorum (VV) have been believed to be rare or non-existent in small-caliber intracranial arteries. In a series of human cerebral artery specimens, we identified and examined...
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Isolated Tuberculoma Mimicking Foramen Magnum Meningioma in the Absence of Primary Tuberculosis: A Case Report

Kolakshyapati M, Takeda M, Mitsuhara , Yamaguchi , Abiko M, Matsuda S, Kurisu K

Central nervous system tuberculosis is a devastating complication of systemic tuberculosis. Intradural extramedullary (IDEM) tuberculoma at the foramen magnum is rare, and mimics en plaque meningioma. We report the case...
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First Human Evaluation of Endothelial Healing after a Pipeline Flex Embolization Device with Shield Technology Implanted in Posterior Circulation Using Optical Coherence Tomography

Guerrero B, Pacheco CD, Saied A, Joshi K, Rodríguez C, Martínez-Galdámez M, Lopes DK

A 64-year-old female presented with an incidentally-discovered right posterior inferior cerebral artery (PICA) aneurysm, initially treated in 2015 by simple coiling. Follow-up demonstrated significant coil compaction that required retreatment. Retreatment...
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Diagnosis of C2 Spondylotic Radiculopathy by Physical Examination and Imaging Studies and Treatment by Microscopic Posterior Foraminotomy: A Case Report

Jung YH, Lee YS, Eun DC, Lee JH

STUDY DESIGN: Case report. OBJECTIVES: We report the case of a patient with C2 spondylotic radiculopathy who was treated by microscopic posterior foraminotomy. SUMMARY OF LITERATURE REVIEW: C2 spondylotic radiculopathy is rare,...
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Minimally Invasive Microscope-Assisted Stand-Alone Transarticular Screw Fixation without Gallie Supplementation in the Management of Mobile Atlantoaxial Instability

Dusad T, Kundnani V, Dutta S, Patel A, Mehta G, Singh M

STUDY DESIGN: Retrospective study. PURPOSE: To evaluate the clinico-radiological efficacy of stand-alone minimally invasive transarticular screw (MIS-TAS) fixation without supplemental Gallie fixation in the management of mobile C1–C2 instability. OVERVIEW OF LITERATURE:...
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