Vertebral artery tortuosity causing neural foraminal widening is a wel
l described abnormality that should not be confused with other causes
of neural foraminal enlargement, particularly on conventional roentgen
ograms. We, hereby, describe CT features of another cervical osseous c
hange due to the vertebral artery tortuosity, the so called ''tubular
shaped vertebral artery canal'', which is embedded in the vertebral bo
dy instead of causing neural foramen enlargement. Catheter and MR angi
ographic studies have also been performed to confirm the vertebral art
ery tortuosity causing the osseous changes.