Bilateral and Multilevel Vertebral Artery Loop Formation Causing Cervical Radiculopathy: A Case Report and Literature Review
Xiaoping Wang, Qifei Duan, Youhui Wu
TL;DR
A 60-year-old man with unusual vertebral artery loops causing neck and arm pain was successfully treated without surgery.
Contribution
This case report adds to the understanding of multilevel vertebral artery loop formation and its management.
Findings
Bilateral and multilevel vertebral artery loops were identified at C4-5 and left V1 segments.
Conservative management resolved the patient's symptoms over six months.
Literature review shows both conservative and surgical approaches can be effective.
Abstract
We present a case of a 60-year-old man with bilateral and multilevel vertebral artery loop formation (VALF) presenting with chronic cervicobrachialgia and dizziness. Magnetic resonance imaging (MRI) revealed bilateral vertebral artery loops at C4-5 compressing the right C5 nerve root, with computed tomography angiography (CTA) identifying an additional loop at the left V1 segment. The patient's symptoms resolved completely with conservative management over a six-month follow-up period. A literature review comparing similar cases over the past two decades reveals successful conservative and surgical management approaches.
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Taxonomy
TopicsCervical and Thoracic Myelopathy · Spinal Fractures and Fixation Techniques · Intracranial Aneurysms: Treatment and Complications