Korean J Otorhinolaryngol-Head Neck Surg.  2012 Feb;55(2):107-110. 10.3342/kjorl-hns.2012.55.2.107.

A Case of Rotational Vertebral Artery Syndrome Treated by Posterior Cervical Decompression

Affiliations
  • 1Department of Otolaryngology, School of Medicine, Gyeongsang National University, Jinju, Korea. skahn@gnu.ac.kr
  • 2Institute of Health Sciences, School of Medicine, Gyeongsang National University, Jinju, Korea.
  • 3Department of Neurosurgery, School of Medicine, Gyeongsang National University, Jinju, Korea.

Abstract

Rotational vertebral artery syndrome (RVAS) is a rare disease entity. RVAS is characterized by recurrent attacks of vertigo, nystagmus, ataxia, and tinnitus, which is elicited by head-rotation when the contralateral dominant vertebral artery is compressed, leading to an acute reduction of blood flow in the vertebrobasilar territory. A 50-year-old female presented with a whirling type vertigo which, when turning her head to the left, compressed the dominant right vertebral artery, as documented by the dynamic neck angiography. The patient underwent posterior cervical decompression of the foramina transversaria and the surrounding soft tissues at the level of C1-C2. The patients's symptom disappeared after the surgery and she has been followed up for the last four months without the recurrence of vertigo.

Keyword

Vertigo; Rotational vertebral artery syndrome

MeSH Terms

Angiography
Ataxia
Decompression
Female
Head
Humans
Lateral Medullary Syndrome
Middle Aged
Neck
Rare Diseases
Recurrence
Tinnitus
Vertebral Artery
Vertigo
Lateral Medullary Syndrome
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