Cargando…
C2 Segmental-Type Vertebral Artery Diagnosed Using Computed Tomographic Angiography
OBJECTIVE: Sometimes a vertebral artery (VA) enters the spinal canal via the C1–2 intervertebral space, a variation regarded as a C2 segmental-type VA. This paper describes the anatomy of the C2 segmental-type VA and reviews its clinical importance. METHODS: Between March 2014 and November 2015, 338...
Autor principal: | |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Neurosurgical Society
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853196/ https://www.ncbi.nlm.nih.gov/pubmed/29526062 http://dx.doi.org/10.3340/jkns.2017.0303.010 |
_version_ | 1783306721699037184 |
---|---|
author | Kim, Myoung Soo |
author_facet | Kim, Myoung Soo |
author_sort | Kim, Myoung Soo |
collection | PubMed |
description | OBJECTIVE: Sometimes a vertebral artery (VA) enters the spinal canal via the C1–2 intervertebral space, a variation regarded as a C2 segmental-type VA. This paper describes the anatomy of the C2 segmental-type VA and reviews its clinical importance. METHODS: Between March 2014 and November 2015, 3386 patients underwent computed tomographic angiography. I identified C2 segmental-type VAs, associated vascular variation, the origin of ipsilateral posterior inferior cerebellar arteries (PICAs), and the clinical symptoms associated with C2 segmental-type VAs. The origin of an ipsilateral PICA is divided into 5 types. A type 1 PICA originates from ipsilateral VAs coursing suboccipitally (IVASO), a type 2 originates from ipsilateral proximal C2 segmental-type VAs, a type 3 originates from ipsilateral distal C2 segmental-type VAs. For type 4, the PICA does not originate from an ipsilateral VA. For type 5, the PICA is the terminal end of an ipsilateral C2 segmental-type VA. RESULTS: One hundred thirteen patients had 121 C2 segmental-type VAs; 47 were associated with an IVASO, and 74 were not. Four type 1, 13 type 2, 60 type 3, 42 type 4, and two type 5 PICAs were identified. Only one patient showed symptoms associated with a C2 segmental-type VA, being a 71-year-old man presenting with a C2 segmental-type VA infarction. CONCLUSION: For C2 segmental-type VAs, the ipsilateral IVASO and origin of the PICA are important for predicting the outcome of this type of VA infarction. |
format | Online Article Text |
id | pubmed-5853196 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-58531962018-03-21 C2 Segmental-Type Vertebral Artery Diagnosed Using Computed Tomographic Angiography Kim, Myoung Soo J Korean Neurosurg Soc Clinical Article OBJECTIVE: Sometimes a vertebral artery (VA) enters the spinal canal via the C1–2 intervertebral space, a variation regarded as a C2 segmental-type VA. This paper describes the anatomy of the C2 segmental-type VA and reviews its clinical importance. METHODS: Between March 2014 and November 2015, 3386 patients underwent computed tomographic angiography. I identified C2 segmental-type VAs, associated vascular variation, the origin of ipsilateral posterior inferior cerebellar arteries (PICAs), and the clinical symptoms associated with C2 segmental-type VAs. The origin of an ipsilateral PICA is divided into 5 types. A type 1 PICA originates from ipsilateral VAs coursing suboccipitally (IVASO), a type 2 originates from ipsilateral proximal C2 segmental-type VAs, a type 3 originates from ipsilateral distal C2 segmental-type VAs. For type 4, the PICA does not originate from an ipsilateral VA. For type 5, the PICA is the terminal end of an ipsilateral C2 segmental-type VA. RESULTS: One hundred thirteen patients had 121 C2 segmental-type VAs; 47 were associated with an IVASO, and 74 were not. Four type 1, 13 type 2, 60 type 3, 42 type 4, and two type 5 PICAs were identified. Only one patient showed symptoms associated with a C2 segmental-type VA, being a 71-year-old man presenting with a C2 segmental-type VA infarction. CONCLUSION: For C2 segmental-type VAs, the ipsilateral IVASO and origin of the PICA are important for predicting the outcome of this type of VA infarction. Korean Neurosurgical Society 2018-03 2018-02-28 /pmc/articles/PMC5853196/ /pubmed/29526062 http://dx.doi.org/10.3340/jkns.2017.0303.010 Text en Copyright © 2018 The Korean Neurosurgical Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Article Kim, Myoung Soo C2 Segmental-Type Vertebral Artery Diagnosed Using Computed Tomographic Angiography |
title | C2 Segmental-Type Vertebral Artery Diagnosed Using Computed Tomographic Angiography |
title_full | C2 Segmental-Type Vertebral Artery Diagnosed Using Computed Tomographic Angiography |
title_fullStr | C2 Segmental-Type Vertebral Artery Diagnosed Using Computed Tomographic Angiography |
title_full_unstemmed | C2 Segmental-Type Vertebral Artery Diagnosed Using Computed Tomographic Angiography |
title_short | C2 Segmental-Type Vertebral Artery Diagnosed Using Computed Tomographic Angiography |
title_sort | c2 segmental-type vertebral artery diagnosed using computed tomographic angiography |
topic | Clinical Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853196/ https://www.ncbi.nlm.nih.gov/pubmed/29526062 http://dx.doi.org/10.3340/jkns.2017.0303.010 |
work_keys_str_mv | AT kimmyoungsoo c2segmentaltypevertebralarterydiagnosedusingcomputedtomographicangiography |