{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T09:35:27Z","timestamp":1793957727410,"version":"4.8.0"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,5,7]],"date-time":"2020-05-07T00:00:00Z","timestamp":1588809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We describe a case of a patient suffering with cervical radiculopathy due to vertebral artery loop with nerve root compression, treated with an epidural steroid injection. A 37\u2010year\u2010old man presented with a 2\u2010year history of right\u2010sided radicular pain along the C7 dermatome. Imaging showed a right\u2010sided loop of the vertebral artery at the V1\u2013V2 transition with contact on the C7 nerve root. The pain was resistant to conservative treatment, and the decision was made to perform a focused fluoroscopy\u2010guided translaminar epidural steroid injection near the C7 nerve root. The procedure was uneventful, and the symptoms resolved completely after the procedure. Targeted epidural steroid injection might be a useful and safe diagnostic and therapeutic approach in patients affected by cervical radiculopathy due to a VA loop. To our knowledge, this is the first case of a VA loop associated with cervical radiculopathy treated with this technique.<\/jats:p>","DOI":"10.1111\/papr.12903","type":"journal-article","created":{"date-parts":[[2020,4,19]],"date-time":"2020-04-19T18:12:45Z","timestamp":1587319965000},"page":"787-791","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cervical Radiculopathy Caused by a Vertebral Artery Loop: Is a Focused Fluoroscopic\u2010Guided Cervical Epidural Steroid Injection a Possible Treatment Modality?"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7436-4267","authenticated-orcid":false,"given":"Davide Marco","family":"Croci","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Neurocenter of Southern Switzerland Regional Hospital of Lugano Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Koetsier","sequence":"additional","affiliation":[{"name":"Pain Management Center Neurocenter of Southern Switzerland Regional Hospital of Lugano Lugano Switzerland"},{"name":"Division of Anaesthesiology Department of Acute Medicine Regional Hospital of Lugano Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Maino","sequence":"additional","affiliation":[{"name":"Pain Management Center Neurocenter of Southern Switzerland Regional Hospital of Lugano Lugano Switzerland"},{"name":"Division of Anaesthesiology Department of Acute Medicine Regional Hospital of Lugano Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Reinert","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Neurocenter of Southern Switzerland Regional Hospital of Lugano Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Robert","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Neurocenter of Southern Switzerland Regional Hospital of Lugano Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Scarone","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Neurocenter of Southern Switzerland Regional Hospital of Lugano Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000067275.08517.58"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4691-1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001241"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2012.52.6.513"},{"key":"e_1_2_6_6_1","first-page":"306","article-title":"Tortuosity and deflection of the vertebral artery","volume":"80","author":"Hadley LA","year":"1958","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"issue":"1","key":"e_1_2_6_7_1","first-page":"ONS\u201020","article-title":"Anatomical variations of the V2 segment of the vertebral artery","volume":"59","author":"Bruneau M","year":"2006","journal-title":"Neurosurgery"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200011150-00004"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3171\/2012.7.SPINE123"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.10.068"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.05.090"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199605010-00019"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2010.48.5.465"},{"key":"e_1_2_6_14_1","first-page":"145","article-title":"Vascular reconstruction of a vertebral artery loop causing cervical radiculopathy and vertebrobasilar insufficiency. Case report","volume":"94","author":"Sakaida H","year":"2001","journal-title":"J Neurosurg"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1148\/116.3.671"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.108.4.767"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199407000-00022"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1993.78.4.0669"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.11.164"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1998.89.3.0485"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1998.89.3.0489"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surneu.2006.03.047"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.01.129"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4580-7"},{"key":"e_1_2_6_25_1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.3941\/jrcr.v8i5.1407","article-title":"Symptomatic vertebral artery loop: a case report and review of literature","volume":"8","author":"Doweidar A","year":"2014","journal-title":"J Radiol Case Rep"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.159.3.1503036"}],"container-title":["Pain Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpapr.12903","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papr.12903","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/papr.12903","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papr.12903","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T06:54:35Z","timestamp":1693896875000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/papr.12903"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,7]]},"references-count":25,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1111\/papr.12903"],"URL":"https:\/\/doi.org\/10.1111\/papr.12903","archive":["Portico"],"relation":{},"ISSN":["1530-7085","1533-2500"],"issn-type":[{"value":"1530-7085","type":"print"},{"value":"1533-2500","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,7]]},"assertion":[{"value":"2020-03-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}