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Rotational vertebral artery syndrome treated via an anterior approach and selective decompression onlyRotational vertebral artery syndrome treated via an anterior approach and selective decompression only
- Other Titles
- Rotational vertebral artery syndrome treated via an anterior approach and selective decompression only
- Authors
- Jung Hoon Kang; 임수빈; 정제훈; 신동성
- Issue Date
- 2019
- Publisher
- 대한뇌혈관외과학회
- Keywords
- Anterior decompression; Nystagmus; Posterior circulation infarction; Rotational vertebral artery syndrome; Videonystagmography
- Citation
- Journal of Cerebrovascular and Endovascular Neurosurgery, v.21, no.3, pp.158 - 162
- Volume
- 21
- Number
- 3
- Start Page
- 158
- End Page
- 162
- ISSN
- 2234-8565
- 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.
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Collections - College of Medicine > Department of Neurosurgery > 1. Journal Articles
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Related Researcher
- Jeong, Je hoon
- College of Medicine (Department of Neurosurgery)