We describe a case of a patient suffering with cervical radiculopathy due to vertebral artery loop with nerve root compression, treated with an epidural steroid injection. A 37‐year‐old man presented with a 2‐year history of right‐sided radicular pain along the C7 dermatome. Imaging showed a right‐sided loop of the vertebral artery at the V1–V2 transition with contact on the C7 nerve root. The pain was resistant to conservative treatment, and the decision was made to perform a focused fluoroscopy‐guided translaminar epidural steroid injection near the C7 nerve root. The procedure was uneventful, and the symptoms resolved completely after the procedure. Targeted epidural steroid injection might be a useful and safe diagnostic and therapeutic approach in patients affected by cervical radiculopathy due to a VA loop. To our knowledge, this is the first case of a VA loop associated with cervical radiculopathy treated with this technique.

中文翻译：

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椎动脉Loop引起的颈神经根病：聚焦荧光镜引导颈硬膜外类固醇注射可能是一种治疗方式吗？

我们描述了一例因硬膜外激素注射治疗的神经根受压的椎动脉环而患有颈神经根病的患者。一名37岁的男性患者，沿C7皮肤刀出现了2年的右神经根疼痛史。影像学检查显示，在V1-V2过渡处椎动脉的右侧环路与C7神经根接触。疼痛对保守治疗有抵抗力，因此决定在C7神经根附近进行荧光透视引导下经皮穿刺硬膜外类固醇的聚焦注射。程序顺利，并且在程序后症状完全消失。有针对性的硬膜外注射类固醇可能是对因VA环而受颈神经根病影响的患者的一种有用且安全的诊断和治疗方法。据我们所知，