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Vertebral arteries bilaterally passing through stellate (cervicothoracic) ganglion
, 2, 2
Affiliations- All India Institute of Medical Science, Patna, India
- All India Institute of Medical Science, Bhubaneswar, India
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Abstract
Vertebral artery is a branch of the first part of subclavian artery. Vertebral artery arising from the aortic arch most commonly presents on the left side. The cervical part of sympathetic trunk is closely related to the vertebral artery in the cervical region. Though lots of variations regarding anomalous origin, course of vertebral artery is reported in the literature, here we present a rare anomaly in which vertebral artery after originating from aortic arch is passing through stellate ganglia and it enters into the transverse foramina of higher cervical vertebra (C5). Such variation should be kept in mind by anaesthetist during stellate ganglion block in order to relieve intractable pain in central nervous system lesion. Surgeons should keep this anomaly in mind during cervical spine surgery otherwise vertebral artery may get injured leading to haemorrhage.
Abstract
Vertebral artery is a branch of the first part of subclavian artery. Vertebral artery arising from the aortic arch most commonly presents on the left side. The cervical part of sympathetic trunk is closely related to the vertebral artery in the cervical region. Though lots of variations regarding anomalous origin, course of vertebral artery is reported in the literature, here we present a rare anomaly in which vertebral artery after originating from aortic arch is passing through stellate ganglia and it enters into the transverse foramina of higher cervical vertebra (C5). Such variation should be kept in mind by anaesthetist during stellate ganglion block in order to relieve intractable pain in central nervous system lesion. Surgeons should keep this anomaly in mind during cervical spine surgery otherwise vertebral artery may get injured leading to haemorrhage.
Keywords
aortic arch; haemodynamic; Horner syndrome; sympathetic ganglia; vertebral artery
About this articleTitle
Vertebral arteries bilaterally passing through stellate (cervicothoracic) ganglion
Journal
Issue
Article type
Case report
Pages
621-626
Published online
2019-10-29
Page views
1112
Article views/downloads
845
DOI
Pubmed
Bibliographic record
Folia Morphol 2020;79(3):621-626.
Keywords
aortic arch
haemodynamic
Horner syndrome
sympathetic ganglia
vertebral artery
Authors
B. Chaudhary
P. R. Tripathy
M. R. Gaikwad
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