Hemorrhagic Infarction Originating From Vertebral Artery Stenosis Caused by an Osteophyte at the C5 Superior Articular Process -Case Report

被引：7

作者：

Takeuchi, Satoru ^{[1
]}

Kawaguchi, Tsutomu ^{[1
]}

Nakatani, Mitsuru ^{[1
]}

Isu, Toyohiko ^{[2
]}

机构：

[1] Hakodate Red Cross Hosp, Dept Neurosurg, Hakodate, Hokkaido, Japan

[2] Kushiro Rosai Hosp, Dept Neurosurg, Kushiro, Hokkaido, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 2009年 / 49卷 / 03期

关键词：

vertebral artery stenosis; osteophyte; hemorrhagic infarction; CERVICAL SPONDYLOSIS; SURGICAL-TREATMENT; INSUFFICIENCY;

D O I：

10.2176/nmc.49.114

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

A 62-year-old man presented with right upper homonymous quadrihemianopsia. Magnetic resonance imaging showed hemorrhagic infarctions in the bilateral occipital lobes and infarction in the left cerebellar hemisphere. Digital subtraction angiography and three-dimensional computed tomography angiography revealed right vertebral artery (VA) stenosis caused by an osteophyte at the C5 superior articular process. The VA stenosis was aggravated by neck extension. The brain infarctions were attributed to embolism from the right VA stenosis. Unroofing of the anterior root of the right C4 transverse foramen, removal of the osteophyte at the superior articular process of C5, and anterior fusion at C4-5 were performed. His postoperative course was uneventful.

引用

页码：114 / 116

页数：3

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