Abstract
Background: Cervical spine instrumentation carries a risk of vertebral artery injury which can cause devastating neurological events. Flow diversion using the Pipeline embolization device (PED) is a commonly used endovascular modality that can treat various vessel wall abnormalities including aneurysms and arterial dissections. Case Description: We report the case of a 69-year-old female who presented with multiple cryptogenic strokes secondary to a vertebral artery irregularity from a misplaced pedicle screw. She continued having ischemic infarcts despite maximal medical therapy. The patient was successfully treated with the PED and has not had any further ischemic events at 1-year follow-up. Conclusions: To our knowledge, this is the first published case of a chronic vertebral artery abnormality secondary to a misplaced pedicle screw that was treated with flow diversion. This is likely a safe and effective treatment for this rare complication of pedicle screw placement.
Original language | English (US) |
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Pages (from-to) | 1555-1558 |
Number of pages | 4 |
Journal | Neurological Sciences |
Volume | 42 |
Issue number | 4 |
DOIs | |
State | Published - Apr 2021 |
Keywords
- Dissection
- Pedicle screw
- Pipeline embolization
- Stroke
- Vertebral artery
ASJC Scopus subject areas
- Dermatology
- Clinical Neurology
- Psychiatry and Mental health