{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T09:36:38Z","timestamp":1780392998188,"version":"3.54.1"},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Vertebral artery (VA) kinking is an uncommon cause of cervical radiculopathy. Here, a 57-year-old patient with unilateral C6 radiculopathy due to an aberrant VA loop documented on both magnetic resonance (MR)\/computed tomography angiography (CTA) studies, successfully underwent left-sided C56\/C67 foraminotomies resulting in symptom resolution.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 57-year-old presented with progressive left C6 and C7 radiculopathy and C6 weakness. Imaging revealed kinking of the VA at the C5\u20136 level, with the VA arterial loop compressing the left C6 nerve root within the foramen. In addition, degenerative C6\u20137 foraminal stenosis was noted. Through a C5\u20136 foraminotomy, meticulous dissection of adhesions between the VA artery and the C6 root was accomplished along with interposition of a Teflon<jats:sup>\u2122<\/jats:sup> patch. At C6\u20137, a routine foraminotomy was performed to address C6\u20137 spondylosis. Postoperatively, the patient experienced complete resolution of his C6 and C7 radiculopathy and C6 motor deficit.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Cervical nerve root compression may rarely be attributed to abnormal foraminal VA loops. Obtaining the appropriate preoperative MR imaging\/CTA is critical to diagnose VA compromise, and plan for unilateral foraminal decompressions.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_397_2025","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T06:02:39Z","timestamp":1758261759000},"page":"398","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cervical radiculopathy due to intraforaminal vertebral artery loop \u2013 posterior microvascular decompression with graft interposition technique"],"prefix":"10.25259","volume":"16","author":[{"given":"Alberto","family":"Benato","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donato","family":"Creatura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9dric Yves","family":"Barrey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"10.25259\/SNI_397_2025\/ref-1","doi-asserted-by":"crossref","first-page":"375.e11","DOI":"10.1016\/j.wneu.2011.12.002","article-title":"Vertebral artery loop-a cause of cervical radiculopathy","volume":"78","author":"Chibbaro","year":"2012","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_397_2025\/ref-2","doi-asserted-by":"crossref","first-page":"e115","DOI":"10.1016\/j.jstrokecerebrovasdis.2015.01.002","article-title":"Compressive cervical radiculopathy due to vertebral artery dissection","volume":"24","author":"Eberhardt","year":"2015","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"10.25259\/SNI_397_2025\/ref-3","doi-asserted-by":"crossref","first-page":"4171","DOI":"10.1007\/s00586-016-4691-1","article-title":"Vertebral artery loops in surgical perspective","volume":"25","author":"Ek\u015fi","year":"2016","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_397_2025\/ref-4","doi-asserted-by":"crossref","first-page":"CASE23254","DOI":"10.3171\/CASE23254","article-title":"Microvascular decompression of a vertebral artery loop causing cervical radiculopathy: Illustrative case","volume":"7","author":"Semonche","year":"2024","journal-title":"J Neurosurg Case Lessons"},{"key":"10.25259\/SNI_397_2025\/ref-5","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.wneu.2017.01.129","article-title":"Anterior transposition of anomalous tortuous vertebral artery causing cervical radiculopathy: A report of 2 cases and review of literature","volume":"101","author":"Wang","year":"2017","journal-title":"World Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/cervical-radiculopathy-due-to-intraforaminal-vertebral-artery-loop-posterior-microvascular-decompression-with-graft-interposition-technique\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cervical-radiculopathy-due-to-intraforaminal-vertebral-artery-loop-posterior-microvascular-decompression-with-graft-interposition-technique\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T06:02:41Z","timestamp":1758261761000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cervical-radiculopathy-due-to-intraforaminal-vertebral-artery-loop-posterior-microvascular-decompression-with-graft-interposition-technique\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,19]]},"references-count":5,"alternative-id":["10.25259\/SNI_397_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_397_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9,19]]},"article-number":"398"}}