Vascular Compression of Medulla Oblongata by Non-Dolichoectatic Vertebral Artery

IF 0.3 Q4 SURGERY Indian Journal of Neurosurgery Pub Date : 2023-06-01 DOI:10.1055/s-0043-1769899
V. Nitheesha Reddy, K. Nagarajan, V. Midhusha Reddy, A. Ramesh
{"title":"Vascular Compression of Medulla Oblongata by Non-Dolichoectatic Vertebral Artery","authors":"V. Nitheesha Reddy, K. Nagarajan, V. Midhusha Reddy, A. Ramesh","doi":"10.1055/s-0043-1769899","DOIUrl":null,"url":null,"abstract":"Abstract Neurovascular conflicts are common in the posterior fossa and basal cisterns due to coexistence of important neural and vascular structures. Neurovascular conflict arising from compression of the cranial nerves by pulsatile flow in the adjacent atherosclerotic arteries is well known and is associated with conditions like trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia. The medulla is known to be affected by dilated tortuous (dolichoectatic) vertebrobasilar arteries in the elderly or hypertensive. The vertebral artery causing the compression can be dolichoectatic or normal dominant vertebral artery or an elongated tortuous artery. Very few cases of medullary compression by non-dolichoectatic elongated tortuous or dominant vertebral artery were reported in the literature. In this article, we report three cases of medullary compression by the dominant and angulated vertebral artery. Magnetic resonance (MR) imaging with MR angiography showed indentation of the anterolateral aspect of the inferior medulla by the vertebral artery. The patients are managed conservatively and on regular follow-up.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Neurosurgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0043-1769899","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Abstract Neurovascular conflicts are common in the posterior fossa and basal cisterns due to coexistence of important neural and vascular structures. Neurovascular conflict arising from compression of the cranial nerves by pulsatile flow in the adjacent atherosclerotic arteries is well known and is associated with conditions like trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia. The medulla is known to be affected by dilated tortuous (dolichoectatic) vertebrobasilar arteries in the elderly or hypertensive. The vertebral artery causing the compression can be dolichoectatic or normal dominant vertebral artery or an elongated tortuous artery. Very few cases of medullary compression by non-dolichoectatic elongated tortuous or dominant vertebral artery were reported in the literature. In this article, we report three cases of medullary compression by the dominant and angulated vertebral artery. Magnetic resonance (MR) imaging with MR angiography showed indentation of the anterolateral aspect of the inferior medulla by the vertebral artery. The patients are managed conservatively and on regular follow-up.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
非膨大性椎动脉对延髓的血管压迫
由于重要的神经和血管结构共存,神经血管冲突在后窝和基底池中很常见。神经血管冲突是由相邻动脉粥样硬化动脉的搏动血流压迫脑神经引起的,并与三叉神经痛、面肌痉挛和舌咽神经痛等疾病有关。已知髓质受老年人或高血压患者椎基底动脉扩张弯曲(过度扩张)的影响。造成压迫的椎动脉可以是过度扩张或正常的优势椎动脉,也可以是延长的弯曲动脉。文献中很少报道非膨大性椎动脉延长、扭曲或显性椎动脉压迫髓质。在这篇文章中,我们报告了三例主要椎动脉和成角椎动脉压迫髓质。磁共振血管造影显示下髓质前外侧被椎动脉压痕。患者接受保守治疗并定期随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
0.40
自引率
0.00%
发文量
52
审稿时长
12 weeks
期刊最新文献
The Silent Threat: Unraveling the Rare Catastrophic Complication after Elective Cranioplasty Venous Hemorrhagic Infarct Leading to Delayed Brain Abscess Formation: A Case Report Trans-Disc Aspiration of Anterior Cervical Cysts Identification of Population-Specific Novel Protein Biomarkers and Possible Therapeutic Targets in Gliomas by Proteomics Approach First Thousand Cases of Intracranial Radiosurgery Treated with Gamma Knife at a Tertiary Care Hospital in India
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1