![]() ![]() We prospectively included patients that fulfill our proposed definition of VACS seen from March 2013 to November 2017 in our hospital. We aim to investigate the clinical and radiological characteristics of patients with VACS and compare the basilar artery diameter with age- and sex- matched controls. This syndrome is unfamiliar to many clinicians and is under-recognized in clinical practice. We propose the term “vertebral artery compression syndrome” (VACS) for this condition. For these reasons, it is worthwhile to propose a new name for this interesting but uncommon disorder. The clinical features are non-specific and difficult to diagnose. The clinical presentations of these patients make up a wide spectrum of symptoms including dizziness, vertigo, ataxia, dysarthria, dysphagia, progressive or acute paralysis, hemisensory loss, and cervical myelopathy. Recently, we have observed a variety of neurological symptoms that share a common vascular pathology-compression of the medulla or spinal cord by a vertebral artery. Since many patients with vertebrobasilar dolichoectasia remains asymptomatic and the term “vertebrobasilar dolichoectasia” is more likely a description of anatomical abnormality or variation rather than a clinically significant syndrome. In previous studies, dolichoectasic basilar artery compression of the pons and trigeminal nerve entry zone have been widely recognized ( 3, 8, 9), and medullary compression has been described ( 10). This well-established vascular anomaly has been associated with subsequent strokes, microembolization, brainstem, and cranial nerve compression ( 3– 7). Vertebrobasilar dolichoectasia, or intracranial arterial dolichoectasia, is an uncommon neurovascular disorder characterized by elongation and enlargement of the vertebrobasilar arteries ( 1– 3). Future studies are needed to further clarify the prevalence, natural history and treatment of this condition. 3.81 ± 0.43 mm).Ĭonclusions: Vertebral artery compression of medulla and spinal cord may cause various clinical symptoms. The mean basilar artery diameter was similar between patients and controls (3.95 ± 0.41 vs. ![]() Cervical spinal cord compression was observed in one patient who presented with neck pain and left leg weakness. The most common clinical presentation is dizziness, vertigo, imbalance, or ataxia followed by limb weakness. Results: Medullary compression was observed in 10 of 11 patients. The basilar artery diameter was measured at the midpons level on T2 weighted MR images and compared between both groups. Clinical presentation and radiological findings of patients with vertebral artery compression syndrome were assessed and recorded. Eleven patients who fulfilled the diagnostic criteria of vertebral artery compression syndrome and 22 age- and sex- matched controls were recruited. Methods: We conducted the prospective case study in a university teaching hospital. Objective: We aim to propose the term “vertebral artery compression syndrome” to describe a group of patients with a variety of clinical symptoms caused by vertebral artery compression of the medulla or spinal cord. 3Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.2Department of Neurology, The Royal Melbourne Hospital, Melbourne, VIC, Australia.1Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.The right mattress should help you to get a better night’s sleep and ease some of your neck and/or back pain.Qi Li 1 * Peng Xie 1 * Wen-Song Yang 1 Bernard Yan 2 Stephen Davis 2 Louis R. Changing your mattress can help ease some of your spine pain. Look for a mattress that is not too firm or too soft. Any activity that keeps you busy and thinking about things besides pain can help. You may not be able to avoid pain, but you will at least feel like you have some control over your life. Find ways to distract yourself from the pain so you can enjoy life more. Alcohol contributes to sleep problems, and lack of sleep makes pain worse. Smoking makes pain worse by causing circulation problems that lead to more pain. ![]() Moving is important to managing pain effectively. Talk to your healthcare provider about what exercises are safe to do while living with spinal cord compression. Stress can intensify inflammation and pain. Both activities can help your body to relax, which may ease pain.
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