Abstract：
:Rare anomalous courses of vertebral arteries in the craniovertebral junction may compress the spinal cord causing myelopathy. We report here the severest form of this pathologic condition successfully treated with transposition of bilateral vertebral artery using Gore-Tex tapes. A 73-year-old man presented with progressive tetraparesis and gait disturbance. Imaging studies showed bilateral atresia of the C1 transverse foramina and the both vertebral arteries penetrating the dura below the C1 lamina. Pinched by the vertebral artery loops on both sides, the spinal cord was severely deformed. Through the standard midline approach, we carefully transposed both vertebral arteries off the spinal cord, placing them at the optimal position using Tanaka et al's Gore-Tex tape technique originally reported for microvascular decompression. The Gore-Tex tape transposition technique proved to be versatile and useful for safe transposition of the vertebral artery in this challenging case.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Baba T,Chang HS,Matsumae Mdoi
10.1016/j.wneu.2019.10.050subject
Has Abstractpub_date
2020-01-01 00:00:00pages
253-255eissn
1878-8750issn
1878-8769pii
S1878-8750(19)32668-3journal_volume
133pub_type
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章
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pub_type： 杂志文章
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更新日期：2020-07-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.wneu.2017.09.006
更新日期：2017-12-01 00:00:00
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更新日期：2020-02-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-11-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.wneu.2018.12.174
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pub_type： 杂志文章
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更新日期：2020-05-01 00:00:00
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