Simultaneous Bilateral Stenosis of the Vertebral Arteries Treated by Unilateral Decompression: A Case Report
| Autor: | Seung Hoon You, In Seok Hwang, Sung Woo Roh, Jin Hoon Park, Sang-Youl Lee |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Decompression Vertebral artery Case Report Head rotation Diagnostic angiography medicine.artery Vertebrobasilar Insufficiency Humans Medicine angiography vertebral artery compression head rotation dizziness medicine.diagnostic_test business.industry Osteophyte Syndrome Middle Aged Decompression Surgical medicine.disease Cerebral Angiography Surgery Neutral position Stenosis Treatment Outcome Head Movements bow hunter’s syndrome Angiography Cervical Vertebrae Neurology (clinical) Radiology Tomography X-Ray Computed business Stenotic lesion |
| Zdroj: | Neurologia medico-chirurgica |
| ISSN: | 1349-8029 0470-8105 |
| DOI: | 10.2176/nmc.cr.2013-0094 |
| Popis: | A 56-year-old man presented with a 3-month history of progressive dizziness. His dizziness was aggravated when his head was rotated to the right side. Diagnostic angiography showed that a normal right-sided vertebral artery in the neutral position became an abnormal vertebral artery with two stenotic lesions at the C3–4 and C5–6 levels when the patient’s head was turned to the right. A normal left-sided vertebral artery also showed a stenotic lesion at the C2 level when the patient’s head was turned right. The axial dimensions of the bilateral vertebral arteries were similar. The patient was successfully treated with decompression of only one level (C5–6). We conclude that if a bilateral stenosis is found upon one directional head rotation and the bilateral vertebral arteries are similarly sized, a one-sided treatment may suffice. |
| Databáze: | OpenAIRE |
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