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An ectatic vertebral artery is one that has become so long and tortuous that it compresses the brainstem and therefore effects the root entry and/or exit zones of cranial nerves. This compression then can cause all sorts of problems: gait disturbances, voice disorders, swallowing difficulties, facial spasms, facial pain, hypertension, obstructive hydrocephalus. Surgery is the answer: microvascular decompression. Cut a hole behind the ear, go into the brainstem, gently move the offending artery away from the brain |
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