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Neurosurg Focus. 2013 Sep;35(3):E2. doi: 10.3171/2013.6.FOCUS1339.

A novel sling technique for microvascular decompression of a rare anomalous vertebral artery causing cervical radiculopathy.

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  • 1Department of Neurosurgery, Albert Einstein College of Medicine, Bronx, New York 10467, USA.


Cervical radiculopathy secondary to compression from congenital anomalous vertebral arteries (VAs) is a known entity. Patients present with a variety of symptoms ranging from upper-extremity numbness to true occipital neuralgia. Treatment options for extracranial tortuous VAs include conservative management or some form of surgical microvascular decompression (MVD). The authors report on a patient with a congenital anomalous VA loop causing cervical nerve root compression. Successful MVD was conducted with relief of the patient's symptoms. A novel sling technique was used for mobilization of the VA. To the authors' knowledge, this is the first MVD described utilizing this technique.

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