{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T21:55:51Z","timestamp":1785275751649,"version":"3.55.0"},"reference-count":32,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T00:00:00Z","timestamp":1659398400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of Minnesota Department of Neurology","award":["POIR.04.04.00-00-4379\/17-00"],"award-info":[{"award-number":["POIR.04.04.00-00-4379\/17-00"]}]},{"name":"IDUB Aurum grant from the Gdansk University of Technology (G.U.T.)","award":["POIR.04.04.00-00-4379\/17-00"],"award-info":[{"award-number":["POIR.04.04.00-00-4379\/17-00"]}]},{"name":"European Union under the European Regional Development Fund","award":["POIR.04.04.00-00-4379\/17-00"],"award-info":[{"award-number":["POIR.04.04.00-00-4379\/17-00"]}]},{"name":"University of Minnesota","award":["POIR.04.04.00-00-4379\/17-00"],"award-info":[{"award-number":["POIR.04.04.00-00-4379\/17-00"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Medulla compression from vertebral artery abnormality is a very rare occurrence with few cases present in the literature. It has been documented to present with a very wide spectrum of clinical symptomatology ranging from asymptomatic to full hemiplegia. There is currently no treatment algorithm in place to guide clinicians encountering such patients but treatments have historically involved major posterior compartment surgical interventions. This case outlined a patient evaluated for dizziness without any other neurological symptoms or signs, found to have abnormal dilatation, elongation, and tortuosity of the vertebral artery with resultant compression of the medulla oblongata. The patient was managed conservatively after discussion of surgical options. This report outlined an important consideration for management of medullar compression by vertebral artery based on symptom severity with the possibility of postponing surgical or endovascular interventions and opting for conservative management with an anti-platelet regimen, particularly in the short term.<\/jats:p>","DOI":"10.3390\/life12081179","type":"journal-article","created":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T00:15:26Z","timestamp":1659485726000},"page":"1179","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Symptomatic Vascular Compression of Brainstem May Be Managed Conservatively"],"prefix":"10.3390","volume":"12","author":[{"given":"Malik","family":"Ghannam","sequence":"first","affiliation":[{"name":"Department of Neurology, University of Iowa Hospitals & Clinics, 200 Hawkins Dr, Iowa City, IA 52242, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meaghen","family":"Berns","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Minnesota, Minneapolis, MN 55455, USA"},{"name":"VA Medical Center, Minneapolis, MN 55417, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apameh","family":"Salari","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Minnesota, Minneapolis, MN 55455, USA"},{"name":"VA Medical Center, Minneapolis, MN 55417, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Minnesota, Minneapolis, MN 55455, USA"},{"name":"VA Medical Center, Minneapolis, MN 55417, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Brown","sequence":"additional","affiliation":[{"name":"VA Medical Center, Minneapolis, MN 55417, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1007\/s10143-008-0182-0","article-title":"Symptomatic vertebral artery conflicts to the medulla oblongata and microsurgical treatment options: Review of the literature","volume":"32","author":"Steiger","year":"2009","journal-title":"Neurosurg. 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