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Internal carotid artery dissection following canalith repositioning procedure

Published online by Cambridge University Press:  29 September 2009

M Bergin ,
P Bird  and
A Wright
M Bergin*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Christchurch Hospital, New Zealand
P Bird
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Christchurch Hospital, New Zealand
A Wright
Affiliation:
Department of Neurology, Dunedin Hospital, New Zealand
*
Address for correspondence: Dr Michael Bergin, Department of Otolaryngology Head and Neck Surgery, Christchurch Hospital, Private Bag 4710, Christchurch, New Zealand. Fax: +64 3 3640273 E-mail: mike.bergin@cdhb.govt.nz
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Abstract

Objective:

To highlight the possibility of internal carotid artery dissection following canalith repositioning procedures.

Case report:

A 52-year-old woman with right posterior canal benign paroxysmal positional vertigo sustained a right carotid artery dissection following a canalith repositioning procedure. The patient also had profound mixed hearing loss associated with otosclerosis, so underwent simultaneous cochlear implantation and occlusion of her posterior semicircular canal, following completion of anticoagulation therapy for her dissection.

Conclusion:

While internal carotid artery trauma is a rare adverse outcome following canalith repositioning procedures, clinicians should be aware of this possibility if patients report unusual symptoms following such procedures.

Keywords

Positional VertigoNeckPhysical TherapyInternal Carotid Artery Dissection
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 5 , May 2010 , pp. 575 - 576
Copyright
Copyright © JLO (1984) Limited 2009

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References

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