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Rare anastomosis between the ascending pharyngeal and vertebral arteries via the hypoglossal canal: A cadaveric case report

Bordes SJ, Zarrintan S, Iwanaga J, Loukas M, Dumont AS, Tubbs RS

We present a rare case of external carotid artery-vertebral artery anastomosis via the ascending pharyngeal artery, diagnosed upon cadaveric dissection. The ascending pharyngeal artery gave rise to a branch to...
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Self-expanding covered stent placement to treat a pseudoaneurysm caused by iatrogenic vertebral artery injury

Gigliotti MJ, Savaliya S, Schlauderaff A, Kelleher JP, Cockroft KM

Vertebral artery injuries account for approximately 19% of cerebral vascular injuries and are typically managed conservatively. However, some patients require operative intervention to gain control of an active hemorrhage, either...
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Delayed Diagnosis of Intracranial Vertebral Artery Dissection Mimics Primary Thunderclap Headache

Kim J, Jung DS

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Vertebral Artery Dissecting Aneurysm Causing Central Tapia’s Syndrome: A Case Report

Shim YW, Park JH, Kim ST, Baek JW, Lee HG, Ko JH, Paeng SH, Pyo SY, Jin SC, Jeong HW, Jeong YG

The central type of Tapia’s syndrome is an extremely rare presentation, characterized by unilateral paralysis of the vagal and hypoglossal nerves, contralateral hemiparesis, or hemihypesthesia. This report describes a case...
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Subaxial Vertebral Artery Rotational Occlusion Syndrome: An Overview of Clinical Aspects, Diagnostic Work-Up, and Surgical Management

Luzzi S, Gragnaniello C, Marasco S, Lucifero AG, Del Maestro M, Bellantoni G, Galzio R

Extrinsic compression of the subaxial vertebral artery (VA) may cause rotational occlusion syndrome (ROS) and contribute to vertebrobasilar insufficiency potentially leading to symptoms and in severe cases, to posterior circulation...
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Anomalous Origins of the Bilateral Vertebral Arteries Arising from the Aortic Arch: A Case Report

Park C, Lee BH

Various anomalous origins of the vertebral arteries (VAs) have been reported. However, anomalous origins of the bilateral VAs arising directly from the aortic arch are extremely rare. We encountered a...
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Endovascular Management of Iatrogenic Vertebral Artery Transection During Anterior Cervical Spine Surgery: A Case Report

Padhi R, Kandasamy S, Kumaran B, Bheemarao PM, Kumaran S

Anterior surgical approaches to the cervical spinal pathology have become a frequently used technique. Anterior cervical spine surgeries are generally considered to be safe with low incidence of neurological complications....
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Nystagmus in Intracranial Vertebral Artery Dissection Caused by Golf Swing

Choi JW, Moon Y, Shin JE, Kim CH

Vertebral artery dissection (VAD) during a golf swing is extremely rare. Golfrelated VAD has been reported to occur more commonly at extracranial segments on the right side. In the present...
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Flow Diverter Devices for the Treatment of Unruptured Vertebral Artery Dissecting Aneurysm

Kim CH, Lee CH, Kim YH, Sung SK, Son DW, Lee SW, Song GS

Objective : Vertebral artery dissecting aneurysm (VADA) is a very rare subtype of intracranial aneurysms; when ruptured, it is associated with significantly high rates of morbidity and mortality. Despite several...
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Stent-Jack Technique for Ruptured Vertebral Artery Dissecting Aneurysm Involving the Origin of Posterior Inferior Cerebellar Artery

Terakado T, Nakai Y, Ikeda G, Tsukada K, Hanai S, Akutagawa K, Igarashi H, Konishi T, Shiigai M, Uemura K

We herein report a case of a ruptured vertebral artery dissecting aneurysm involving the origin of the posterior inferior cerebellar artery that was treated using the stent-jack technique. After parent...
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Computed Tomography-Based Feasibility Study of C1 Posterior Arch Crisscrossing Screw Fixation

Sangondimath G, Mallepally AR, Salimath S

Study Design: Retrospective radiographic analysis. Purpose: Posterior fixation of C1 using screws is the most popular technique among the various methods for C1 stabilization, but it places the surrounding neurovascular structures...
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Bilateral Vertebral Artery Dissection Associated with an Electric Neck Massage Pillow

Kim JS, Lee EJ, Paik HS, Kim H, Lee YS

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A Case of Rotational Vertebral Artery Syndrome after Vertebral Artery Dissection

Lee SJ, Byun HY, Lee SH, Chung JH

Rotational vertebral artery syndrome (RVAS), also called Bow-Hunter syndrome, is characterized by position-aggravated reversible vertebra-basillarischemia. By rotating the head to one side, the mechanical compression of a dominant vertebral artery...
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Inconspicuous longitudinal tears of the intracranial vertebral artery in traumatic basal subarachnoid hemorrhage

Kim S

Blunt force trauma to the head or neck region can cause traumatic basal subarachnoid hemorrhage (TBSAH), which can result in rapid loss of consciousness and death; however, detecting such a...
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Subaxial Cervical Spine Injuries: WFNS Spine Committee Recommendations

Sharif S, Ali MYJ, Sih IMY, Parthiban J, Alves

To formulate specific guidelines for the recommendation of subaxial cervical spine injuries concerning classification, management, posttraumatic locked facets and vertebral artery injury. Computerized literature was searched on PubMed and google...
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A Case of Coincidental Free Floating Thrombus in the Vertebral Artery in a Patient Presenting with an Anterior Circulation Stroke and Literature Review

Al-Jehani H, Alhamid MA, Alkhalaf Y, Alabbas F

Free-floating thrombus (FFT) is a rare condition with unknown etiology as described by many case reports presented in previous literature. The patients usually present symptomatically while the other few patients...
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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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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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Anterior Retropharyngeal Cage Distraction and Fixation for Basilar Invagination: “The Wedge Technique”

Patkar S

OBJECTIVE: Surgery is indicated for basilar invagination (BI) in symptomatic patients. In many patients, symptoms and signs occur due to an upward-migrated and malaligned odontoid with fixed or mobile atlantoaxial...
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