Presentation
Routine MRI for suspected disc disease.
Patient Data
Age: 40 years
Gender: Female
From the case:
Bilateral tortuous vertebral arteries
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Bilateral coiling of the VAs at the same level (C4 in this case) with enlarged transverse foramina.
Case Discussion
This is a known vascular anomaly and not ectasia or elongation due to increased flow or hypertension. It rarely causes any problems1.