{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T20:08:23Z","timestamp":1784837303792,"version":"3.55.0"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2001,1]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The authors present the case of a 62-year-old man with a 4-month history of progressive left-sided C-5 radiculopathy and dizziness. Neuroimaging studies revealed a looped vertebral artery (VA) that had migrated into the widened left C4\u20135 intervertebral foramen. The patient underwent vascular reconstruction of the VA loop, in which there was minimal manipulation of the C-5 nerve root, via a left-sided anterolateral approach after a balloon occlusion test. Postoperatively the patient's symptoms improved immediately, and there were no signs of recurrence within the 2-year follow-up period. This excellent outcome supports the belief that a proper surgical reconstruction of the compressive, tortuous VA should be the therapeutic option of choice, which carries a lower risk of the nerve root injury and improves the hemodynamics in the posterior circulation.<\/jats:p>","DOI":"10.3171\/spi.2001.94.1.0145","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T15:55:30Z","timestamp":1241711730000},"page":"145-149","source":"Crossref","is-referenced-by-count":12,"title":["Vascular reconstruction of a vertebral artery loop causing cervical radiculopathy and vertebrobasilar insufficiency"],"prefix":"10.3171","volume":"94","author":[{"given":"Hiroshi","family":"Sakaida","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiko","family":"Okada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akitaka","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1148\/96.3.537","article-title":"Cervical pedicle erosion and rootlet compression caused by a tortuous vertebral artery.","volume":"96","author":"Anderson","year":"1970"},{"key":"b2","series-title":"Australas Radiol","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1111\/j.1440-1673.1974.tb03122.x","article-title":"Enlargement of cervical intervertebral foramina by coiling of the vertebral artery.","volume":"18","author":"Barratt","year":"1974"},{"key":"b3","series-title":"Skeletal Radiol","first-page":"51","article-title":"Case report 132. 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