Med Bull Sisli Etfal Hosp. 2018; 52(4): 307-309 | DOI: 10.5350/SEMB.20170517045234

Kývrýmlý Vertebral Arter Ýndentasyonunun Neden Olduðu Servikal Sinir Kökü Basýsý: Olgu Sunumu

Devrim Ulaþ Urut
Biruni Üniversite Hastanesi, Ýstanbul - Türkiye

Amaç: Servikal diskopatilere ve spondiloza baðlý geliþen servikal sinir tutulumu semptomlarý neticesinde aðrý, uyuþma ve kas gücü kaybý gibi þikâyetler ortaya çýkabilir. Kývrýmlý vertebral arter nadir görülen bir vasküler patoloji olmakla beraber neden olduðu sinir basýsý sonucu, benzer özellikte klinik semptomlara yol açar. Tedavi stratejisi, tanýyý takiben tamamen farklýlýk gösterebilir.
Olgu sunumu: Sað kolda uyuþma þikayeti nedeniyle hastanemize baþvuran hastanýn yapýlan MR (manyetik rezonans) incelemesinde, nöral foraminal alanda daralmaya ve C3 sinir kökünde basýya neden olan VA (vertebral arter) kývrýmý tespit edildi. Ýncelemeyi takiben VA’e yönelik yapýlan RDUS (renkli doppler ultrasonografi) tetkikinde anlamlý patoloji saptanmadý.
Sonuç: Servikal disk patolojileri, servikal bölge aðrýsý ile kollarda uyuþma ve güç kaybý þikayeti olan hastalarýn büyük bir çoðunluðunda ana patolojidir. Nadiren de olsa nöral forameni daraltan diðer patolojilerin akýlda tutulmasý ayýrýcý taný açýsýndan faydalýdýr.

Anahtar Kelimeler: Kývrýmlý vertebral arter, radikülopati, servikal omur, vasküler kompresyon

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Cervical Nerve Root Compression Due to Vertebral Artery Loop Indentation: Case Report

Devrim Ulaþ Urut
Biruni University Hospital, Istanbul, Turkey

Symptoms such as pain, numbness, and loss of muscle strength may occur as a result of cervical discopathies and spondylosis-associated cervical nerve palsy symptoms. Vertebral artery loop formation is a rare vascular pathology associated with nerve root compression resulting in similar clinical symptoms. The treatment strategy may be completely different following the diagnosis. Magnetic resonance imaging of the patient who admitted to our hospital due to complaints of right-sided numbness detected vertebral artery loop causing narrowing of the neural foraminal area and C3 nerve compression. No significant pathology was found in the Doppler ultrasound (US) examination performed for the vertebral artery vasculature following the examination. Cervical disc pathologies are the main pathology in the vast majority of patients suffering from cervical region pain and numbness and loss of strength. In rare cases, keeping in mind the other pathologies that constrain neural foraminal area is useful for differential diagnosis.

Keywords: Cervical spine, radiculopathy; vascular compression; vertebral artery loop.

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