Compression of the Vertebral Artery by the Thyroid Cartilage Causing Vertebrobasilar Insufficiency
Background This retrospective case report describes a rare presentation of VBI in a young male patient. Aims Share a rare cause of VBI in a young patient. Materials & Methods The patient presented with recurrent episodes of dizziness and a history of several cerebellar infarcts. Imaging revealed...
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| Veröffentlicht in: | The Laryngoscope 2023-05, Vol.133 (5), p.1214-1217 |
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| container_title | The Laryngoscope |
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| creator | Spence, Ryland N. Shumrick, Christopher Tarro, John |
| description | Background
This retrospective case report describes a rare presentation of VBI in a young male patient.
Aims
Share a rare cause of VBI in a young patient.
Materials & Methods
The patient presented with recurrent episodes of dizziness and a history of several cerebellar infarcts. Imaging revealed the right vertebral artery was being mechanically compressed by the right superior cornu of the thyroid cartilage during mouth opening. Surgical resection of the right superior cornu of the thyroid cartilage was performed.
Results
Intraoperative angiography revealed a right vertebral artery without compression during mouth opening.
Discussion
Clinicians should consider the thyroid cartilage as a potential source of recurrent VBI due to mechanical compression of the VA.
Conclusion
Resection of the causative portion of the thyroid cartilage resolved the compression in this case, and should be employed in similar cases. Laryngoscope, 133:1214–1217, 2023
Mechanical compression of the vertebral artery during mouth opening by the thyroid cartilage. Successfully resolved by resection of the thyroid cartilage. |
| doi_str_mv | 10.1002/lary.30582 |
| format | Article |
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This retrospective case report describes a rare presentation of VBI in a young male patient.
Aims
Share a rare cause of VBI in a young patient.
Materials & Methods
The patient presented with recurrent episodes of dizziness and a history of several cerebellar infarcts. Imaging revealed the right vertebral artery was being mechanically compressed by the right superior cornu of the thyroid cartilage during mouth opening. Surgical resection of the right superior cornu of the thyroid cartilage was performed.
Results
Intraoperative angiography revealed a right vertebral artery without compression during mouth opening.
Discussion
Clinicians should consider the thyroid cartilage as a potential source of recurrent VBI due to mechanical compression of the VA.
Conclusion
Resection of the causative portion of the thyroid cartilage resolved the compression in this case, and should be employed in similar cases. Laryngoscope, 133:1214–1217, 2023
Mechanical compression of the vertebral artery during mouth opening by the thyroid cartilage. Successfully resolved by resection of the thyroid cartilage.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.30582</identifier><identifier>PMID: 36692182</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Bow Hunter's syndrome ; Decompression, Surgical - methods ; Humans ; Male ; Retrospective Studies ; thyroid cartilage ; Thyroid Cartilage - diagnostic imaging ; Thyroid Cartilage - surgery ; Vertebral Artery - diagnostic imaging ; Vertebral Artery - surgery ; vertebral artery compression ; vertebrobasilar insufficiency ; Vertebrobasilar Insufficiency - complications ; Vertebrobasilar Insufficiency - diagnostic imaging</subject><ispartof>The Laryngoscope, 2023-05, Vol.133 (5), p.1214-1217</ispartof><rights>2023 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2962-dbcae03f5d91ab24d213b67d00fb28ff0fa9a98f095e0b3e14eff0e8e8a8f4293</citedby><cites>FETCH-LOGICAL-c2962-dbcae03f5d91ab24d213b67d00fb28ff0fa9a98f095e0b3e14eff0e8e8a8f4293</cites><orcidid>0000-0002-1282-8564 ; 0000-0001-5022-1467</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.30582$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.30582$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36692182$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spence, Ryland N.</creatorcontrib><creatorcontrib>Shumrick, Christopher</creatorcontrib><creatorcontrib>Tarro, John</creatorcontrib><title>Compression of the Vertebral Artery by the Thyroid Cartilage Causing Vertebrobasilar Insufficiency</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Background
This retrospective case report describes a rare presentation of VBI in a young male patient.
Aims
Share a rare cause of VBI in a young patient.
Materials & Methods
The patient presented with recurrent episodes of dizziness and a history of several cerebellar infarcts. Imaging revealed the right vertebral artery was being mechanically compressed by the right superior cornu of the thyroid cartilage during mouth opening. Surgical resection of the right superior cornu of the thyroid cartilage was performed.
Results
Intraoperative angiography revealed a right vertebral artery without compression during mouth opening.
Discussion
Clinicians should consider the thyroid cartilage as a potential source of recurrent VBI due to mechanical compression of the VA.
Conclusion
Resection of the causative portion of the thyroid cartilage resolved the compression in this case, and should be employed in similar cases. Laryngoscope, 133:1214–1217, 2023
Mechanical compression of the vertebral artery during mouth opening by the thyroid cartilage. Successfully resolved by resection of the thyroid cartilage.</description><subject>Bow Hunter's syndrome</subject><subject>Decompression, Surgical - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Retrospective Studies</subject><subject>thyroid cartilage</subject><subject>Thyroid Cartilage - diagnostic imaging</subject><subject>Thyroid Cartilage - surgery</subject><subject>Vertebral Artery - diagnostic imaging</subject><subject>Vertebral Artery - surgery</subject><subject>vertebral artery compression</subject><subject>vertebrobasilar insufficiency</subject><subject>Vertebrobasilar Insufficiency - complications</subject><subject>Vertebrobasilar Insufficiency - diagnostic imaging</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotlYv_gDJWdiaj802OZbFaqEgSBU9LcnupI1sd0vSIvvvTbvWo6cZ5n3mPTwI3VIypoSwh1r7bsyJkOwMDangNEmVEudoGEOeSME-BugqhC9C6IQLcokGPMsUo5INkcnbzdZDCK5tcGvxbg34HfwOjNc1nsbFd9h0x_ty3fnWVTjXfudqvYK47YNrVqeP1ugQA4_nTdhb60oHTdldowur6wA3v3OE3maPy_w5Wbw8zfPpIimZylhSmVID4VZUimrD0opRbrJJRYg1TFpLrFZaSUuUAGI40BTiESRILW3KFB-h-7639G0IHmyx9W4T3RSUFAdRxUFUcRQV4bse3u7NBqo_9GQmArQHvl0N3T9VxWL6-tmX_gBLgnYx</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Spence, Ryland N.</creator><creator>Shumrick, Christopher</creator><creator>Tarro, John</creator><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0002-1282-8564</orcidid><orcidid>https://orcid.org/0000-0001-5022-1467</orcidid></search><sort><creationdate>202305</creationdate><title>Compression of the Vertebral Artery by the Thyroid Cartilage Causing Vertebrobasilar Insufficiency</title><author>Spence, Ryland N. ; Shumrick, Christopher ; Tarro, John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2962-dbcae03f5d91ab24d213b67d00fb28ff0fa9a98f095e0b3e14eff0e8e8a8f4293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bow Hunter's syndrome</topic><topic>Decompression, Surgical - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Retrospective Studies</topic><topic>thyroid cartilage</topic><topic>Thyroid Cartilage - diagnostic imaging</topic><topic>Thyroid Cartilage - surgery</topic><topic>Vertebral Artery - diagnostic imaging</topic><topic>Vertebral Artery - surgery</topic><topic>vertebral artery compression</topic><topic>vertebrobasilar insufficiency</topic><topic>Vertebrobasilar Insufficiency - complications</topic><topic>Vertebrobasilar Insufficiency - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spence, Ryland N.</creatorcontrib><creatorcontrib>Shumrick, Christopher</creatorcontrib><creatorcontrib>Tarro, John</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spence, Ryland N.</au><au>Shumrick, Christopher</au><au>Tarro, John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Compression of the Vertebral Artery by the Thyroid Cartilage Causing Vertebrobasilar Insufficiency</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2023-05</date><risdate>2023</risdate><volume>133</volume><issue>5</issue><spage>1214</spage><epage>1217</epage><pages>1214-1217</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Background
This retrospective case report describes a rare presentation of VBI in a young male patient.
Aims
Share a rare cause of VBI in a young patient.
Materials & Methods
The patient presented with recurrent episodes of dizziness and a history of several cerebellar infarcts. Imaging revealed the right vertebral artery was being mechanically compressed by the right superior cornu of the thyroid cartilage during mouth opening. Surgical resection of the right superior cornu of the thyroid cartilage was performed.
Results
Intraoperative angiography revealed a right vertebral artery without compression during mouth opening.
Discussion
Clinicians should consider the thyroid cartilage as a potential source of recurrent VBI due to mechanical compression of the VA.
Conclusion
Resection of the causative portion of the thyroid cartilage resolved the compression in this case, and should be employed in similar cases. Laryngoscope, 133:1214–1217, 2023
Mechanical compression of the vertebral artery during mouth opening by the thyroid cartilage. Successfully resolved by resection of the thyroid cartilage.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>36692182</pmid><doi>10.1002/lary.30582</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-1282-8564</orcidid><orcidid>https://orcid.org/0000-0001-5022-1467</orcidid></addata></record> |
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| ispartof | The Laryngoscope, 2023-05, Vol.133 (5), p.1214-1217 |
| issn | 0023-852X 1531-4995 |
| language | eng |
| recordid | cdi_crossref_primary_10_1002_lary_30582 |
| source | MEDLINE; Access via Wiley Online Library |
| subjects | Bow Hunter's syndrome Decompression, Surgical - methods Humans Male Retrospective Studies thyroid cartilage Thyroid Cartilage - diagnostic imaging Thyroid Cartilage - surgery Vertebral Artery - diagnostic imaging Vertebral Artery - surgery vertebral artery compression vertebrobasilar insufficiency Vertebrobasilar Insufficiency - complications Vertebrobasilar Insufficiency - diagnostic imaging |
| title | Compression of the Vertebral Artery by the Thyroid Cartilage Causing Vertebrobasilar Insufficiency |
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