Rotatory Vertebral Artery Syndrome in Foramen Magnum Stenosis
10.21790/rvs.2018.17.4.167
- Author:
Ileok JUNG
1
;
Jin Man JUNG
;
Moon Ho PARK
Author Information
1. Department of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea. kmmse@naver.com
- Publication Type:Case Report
- Keywords:
Rotational vertebral artery compression;
Foramen magnum stenosis;
Central positional nystagmus
- MeSH:
Constriction, Pathologic;
Deception;
Fatigue;
Foramen Magnum;
Head;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Spine;
Syncope;
Vertebral Artery;
Vertigo
- From:Journal of the Korean Balance Society
2018;17(4):167-169
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Rotatory vertebral artery syndrome (RVAS) is characterized by recurrent attacks of vertigo, nystagmus, and syncope induced by compression of the vertebral artery during head rotation. A 60-year-old man with atlas vertebrae fracture presented recurrent attacks of positional vertigo. Left-beat, upbeat and count clock-wise torsional nystagmus occurred after lying down and bilateral head roll (HR) showing no latency or fatigue. Magnetic resonance imaging revealed foramen magnum stenosis (FMS) and dominancy of right vertebral artery (VA). The flow of the right VA on transcranial Doppler decreased significantly during left HR. The slower the velocity was, the more the nystagmus was aggravated. RVAS can be evoked by FMS causing compression of the VA. And the nystagmus might be aggravated according to the blood flow insufficiency.
