Bilateral persistent 'second' intersegmental vertebral arteries: illustrated with a case.

Abstract:

:Congenital craniovertebral junction deformities can be associated with an anomalous vertebral artery (VA). At times, the artery crosses the joint posteriorly (i.e., persistent first intersegmental artery) and is at risk during posterior approach. We report a new variant, wherein the bilateral VA coursed medially after exiting the C3 transverse foramina to lie beneath C2 pars interarticularis and enter the foramen magnum (without passing through C2 transverse foramen anywhere along its course). This is possibly a result of bilateral persistent second intersegmental arteries. It is pertinent to recognize this unusual variant to avoid VA injury, especially while inserting C2 pars/transarticular screw.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Karthigeyan M,Salunke P,Kataria MS

doi

10.1007/s00701-018-3601-1

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

1621-1623

issue

8

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-018-3601-1

journal_volume

160

pub_type

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