We report a patient with non-dermatomal radiating neck pain without focal neurologic deficit. Traditional workup could not identify an anatomic or biomechanical cause. Imaging showed a deep cervical vessel centered in the region of pain. Angiography later identified an aberrant anastomosis of this vessel with the occipital artery. Subsequent endovascular embolization of this arterial trunk resulted in complete pain relief.
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Republished with permission from BMJ Case Reports Published 27 January 2016; doi:10.1136/bcr-2015-012105
Contributors LH conceived the project, gathered the data, prepared the figures, wrote and edited the manuscript, and is the guarantor. TRL critically revised the manuscript and approved the final manuscript. MC conceived the project, edited the manuscript, and approved the final manuscript. JM conceived the project, edited the manuscript, and approved the final manuscript.
Competing interests None declared.
Patient consent Not obtained.
Provenance and peer review Not commissioned; externally peer reviewed.