{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T15:24:06Z","timestamp":1794324246614,"version":"4.9.0"},"reference-count":17,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:p>Wake-up stroke is most likely to be caused by small-vessel disease, and is related to snoring. The authors present a rare case of far-lateral cervical disc herniation with neck rotation, resulting in wake-up stroke in a young woman. The patient, a 31-year-old woman, was admitted to the hospital because of dysarthria and confusion when she awoke in the morning. Brain MRI showed acute infarction in the posterior fossa. Cerebral angiography showed thrombus in the distal top of the basilar artery and the bilateral posterior cerebral arteries. During angiography, the thrombus size decreased with heparinization. There was severe stenosis of the right vertebral artery (VA) at C5\u20136, and head rotation to the right resulted in complete occlusion of the right VA. Neck MRI showed far-lateral intervertebral disc herniation. Surgical decompression of the VA was performed via the anterior cervical approach. Histological examination showed a degenerative intervertebral disc. Postoperative angiography confirmed successful decompression of the VA.<\/jats:p>","DOI":"10.3171\/2014.11.spine14393","type":"journal-article","created":{"date-parts":[[2015,5,1]],"date-time":"2015-05-01T10:01:26Z","timestamp":1430474486000},"page":"166-169","source":"Crossref","is-referenced-by-count":13,"title":["Wake-up stroke in a young woman with rotational vertebral artery occlusion due to far-lateral cervical disc herniation"],"prefix":"10.3171","volume":"23","author":[{"given":"Masakazu","family":"Okawa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Fukuoka University; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takaaki","family":"Amamoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Fukuoka University; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Fukuoka University; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohei","family":"Yoshimura","sequence":"additional","affiliation":[{"name":"Department of Neurology, Fukuoka Red Cross Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshio","family":"Higashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Fukuoka University; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tooru","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Fukuoka University; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-spine14393","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1227\/00006123-198804000-00005","article-title":"Surgical management of extreme lateral lumbar disc herniations: review of 138 cases","volume":"22","author":"Abdullah","year":"1988"},{"key":"b2-spine14393","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"596","DOI":"10.3171\/jns.1965.23.6.0596","article-title":"Surgical treatment of vertebral artery insufficiency caused by cervical spondylosis","volume":"23","author":"Bakay","year":"1965"},{"key":"b3-spine14393","series-title":"Neurosurgery","first-page":"745","article-title":"Cervical disc rupture causing vertebrobasilar insufficiency","volume":"33","author":"Budway","year":"1993"},{"key":"b4-spine14393","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1097\/00006123-199708000-00019","article-title":"Rotational vertebral artery occlusion: a mechanism of vertebrobasilar insufficiency","volume":"41","author":"Kuether","year":"1997"},{"issue":"1 Suppl","key":"b5-spine14393","series-title":"J Neurosurg","first-page":"80","article-title":"Transient rotational compression of the vertebral artery caused by herniated cervical disc. 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