추골 동맥 박리 후 발생한 회전성 추골 동맥 증후군 1예open accessA Case of Rotational Vertebral Artery Syndrome after Vertebral Artery Dissection
- Other Titles
- A Case of Rotational Vertebral Artery Syndrome after Vertebral Artery Dissection
- Authors
- Lee, Song Jae; Byun, Ha Young; Lee, Seung Hwan; Chung, Jae Ho
- Issue Date
- Jan-2020
- Publisher
- Korean Society of Otolaryngology
- Keywords
- Vertebral artery; Vertebral artery dissection; Vertigo
- Citation
- Korean Journal of Otorhinolaryngology-Head and Neck Surgery, v.63, no.5, pp.228 - 232
- Indexed
- SCOPUS
KCI
- Journal Title
- Korean Journal of Otorhinolaryngology-Head and Neck Surgery
- Volume
- 63
- Number
- 5
- Start Page
- 228
- End Page
- 232
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/146317
- DOI
- 10.3342/kjorl-hns.2019.00633
- ISSN
- 2092-5859
- Abstract
- Rotational vertebral artery syndrome (RVAS), also called Bow-Hunter syndrome, is characterized by position-aggravated reversible vertebra-basillarischemia. By rotating the head to one side, the mechanical compression of a dominant vertebral artery (VA) in the setting of a hypoplastic contralateral VA might cause tinnitus, vertigo and syncope. A 60-year-old male experienced recurrent tinnitus and vertigo while rotating the head to the right side. Neck CT images showed no abnormal structures near the course of both VAs. In 3-phase dynamic neck CT angiography, a focal vertebral artery dissection was identified at the right C6 transverse foramen. Close observation and anticoagulation therapy were started to prevent thrombo-embolic complications. Herein, we report a case of RVAS with vertebral artery dissection with a review of the literatures.
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