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- Title
Rotational vertebral artery syndrome treated via an anterior approach and selective decompression only.
- Authors
Jung Hoon Kang; Soo Bin Im; Je Hoon Jeong; Dong-Seong Shin
- Abstract
We present the case of a 38-year-old male who complained of repeated dizziness and syncope. Rotational vertebral artery syndrome (RVAS) was diagnosed via videonystagmoraphy (VNG), computed tomography angiography (CTA) and three-position digital subtraction angiography (DSA). In the neutral position, CTA and DSA revealed left vertebral artery (VA) stenosis at the C2 transverse foramen and right VA hypoplasia. When the head was turned to the right, the blood flow stopped at the C2 level. The bony structure around the VA at the C2 transverse foramen was decompressed via an anterior surgical approach, and the symptoms resolved. This case present the precise stenotic point evaluation by three-position DSA is crucial for the planning of surgical treatment.
- Subjects
VERTEBRAL artery; DIGITAL subtraction angiography; BLOOD flow; SYNDROMES
- Publication
Journal of Cerebrovascular & Endovascular Neurosurgery, 2019, Vol 21, Issue 3, p158
- ISSN
2234-8565
- Publication type
Article
- DOI
10.7461/jcen.2019.21.3.158