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Vertebral artery dissection after direct laryngoscopy: case report and literature review

Published online by Cambridge University Press:  28 October 2008

A J M Campbell-Lloyd ,
J Kanagalingam ,
H Bandi  and
S Coman
A J M Campbell-Lloyd*
Affiliation:
Department of Ear Nose and Throat Surgery, Princess Alexandra Hospital, Brisbane, Australia
J Kanagalingam
Affiliation:
Department of Ear Nose and Throat Surgery, Princess Alexandra Hospital, Brisbane, Australia
H Bandi
Affiliation:
Department of Ear Nose and Throat Surgery, Princess Alexandra Hospital, Brisbane, Australia
S Coman
Affiliation:
Department of Ear Nose and Throat Surgery, Princess Alexandra Hospital, Brisbane, Australia
*
Address for correspondence: Dr A J M Campbell-Lloyd, Department of Ear Nose and Throat Surgery, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, QAustralia4102. E-mail: andrewjmcl@gmail.com
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Abstract

Objective:

We report a case of vertebral artery dissection following direct laryngoscopy, and we provide an update on current knowledge regarding this condition and its relationship to movements of the neck.

Method:

A case report and review of the world literature are presented.

Results:

Vertebral artery dissection is an uncommon event leading to stroke. It has been associated with many risk factors, particularly extreme movement of the cervical spine. The pathogenesis of the condition and the true aetiological significance of neck movement are not known.

Conclusion:

To our knowledge, we present the first case of vertebral artery dissection following direct laryngoscopy. We highlight the need for caution when considering neck pain in patients after direct laryngoscopy.

Keywords

Vertebral ArteryLarynxEndoscopy
Type
Online Only Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 2 , February 2009 , e11
Copyright
Copyright © JLO (1984) Limited 2008

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References

1Biller, J, Hingtgen, WL, Adams, HP Jr, Smoker, WR, Godersky, JC, Toffol, GJ. Cervicocephalic arterial dissections. A ten year experience. Arch Neurol 1986;43:1234–8CrossRefGoogle ScholarPubMed
2Bogousslavsky, J, Regli, F. Ischemic stroke in adults younger than 30 years of age. Cause and prognosis. Arch Neurol 1987;44:479–82CrossRefGoogle ScholarPubMed
3Kristensen, B, Malm, J, Carlberg, B, Stegmayr, B, Backman, C, Fagerlund, M et al. Epidemiology and etiology of ischaemic stroke in young adults aged 18–44 years in northern Sweden. Stroke 1997;28:1702–9CrossRefGoogle Scholar
4McLeod, AD, Calder, I. Spinal cord injury and direct laryngoscopy – the legend lives on. Br J Anaesth 2000;84:705–9CrossRefGoogle Scholar
5Ringrose, T, Thompson, W. An unusual case of post-operative nausea, vomiting and neck pain. Crit Care Resus 1999;1:288–90Google ScholarPubMed
6Lee, VJ, Brown, RD, Mandrekar, JN, Mokri, B. Incidence and outcome of cervical artery dissection: a population based study. Neurology 2006;67:1809–12CrossRefGoogle ScholarPubMed
7Arnold, M, Bousser, M-G, Fahrni, G, Fischer, U, Georgadis, D, Gandjour, J et al. Vertebral artery dissection: presenting findings and predictors of outcome. Stroke 2006;37:2499–503CrossRefGoogle ScholarPubMed
8Dziewas, R, Konrad, C, Drager, B, Evers, S, Besselmann, M, Ludemann, P et al. Cervical artery dissection – clinical features, risk factors, therapy and outcome in 126 patients. J Neurol 2003;250:1179–84CrossRefGoogle ScholarPubMed
9Schievink, W, Mokri, B, O'Fallon, WM. Recurrent spontaneous cervical artery dissection. NEJM 1994;330:393–7CrossRefGoogle ScholarPubMed
10Brandt, T, Orberk, E, Weber, R, Werner, I, Busse, O, Muller, BT et al. Pathogenesis of cervical artery dissections: association with connective tissue abnormalities. Neurology 2001;57:24–30CrossRefGoogle ScholarPubMed
11Hausser, I, Muller, U, Engelter, S, Lyrer, P, Pezzini, A, Padovani, A et al. Different types of connective tissue alterations associated with cervical artery dissections. Acta Neuropath 2004;107:509–14CrossRefGoogle ScholarPubMed
12Dittrich, R, Heidbreder, A, Rohsbach, D, Schmalhorst, J, Nassenstein, I, Maintz, D et al. Connective tissue and vascular phenotype in patients with cervical artery dissection. Neurology 2007;68:2120–4CrossRefGoogle ScholarPubMed
13Tzourio, C, Cohen, A, Lamisse, N, Biousse, V, Bousser, M-G. Aortic root dilatation in patients with spontaneous cervical artery dissection. Circulation 1997;95:2351–3CrossRefGoogle ScholarPubMed
14Guillon, B, Tzourio, C, Biousse, V, Adrai, V, Bousser, M-G, Toubol, PJ. Arterial wall properties in carotid artery dissection. Neurology 2000;55:663–6CrossRefGoogle ScholarPubMed
15Calvet, D, Boutouyrie, P, Touze, E, Laloux, B, Mas, J-L, Laurent, S. Increased stiffness of the carotid wall material in patients with spontaneous cervical artery dissection. Stroke 2004;35:2078–82CrossRefGoogle ScholarPubMed
16Rubinstein, SM, Peerdeman, SM, van Tulder, MW, Riphagen, I, Haldeman, S. A systematic review of the risk factors for cervical artery dissection. Stroke 2005;36:1575–80CrossRefGoogle ScholarPubMed
17Haldeman, S, Kohlbeck, FJ, McGregor, M. Risk factors and precipitating neck movements causing vertebrobasilar artery dissection after cervical trauma and spinal manipulation. Spine 1999;24:785–94CrossRefGoogle ScholarPubMed
18Haldeman, S, Kohlbeck, FJ, McGregor, M. Unpredictability of cerebrovascular ischemia associated with cervical spine manipulation therapy: a review of 64 cases after cervical spine manipulation. Spine 2002;27:49–55CrossRefGoogle ScholarPubMed
19Haldeman, S, Kohlbeck, FJ, McGregor, M. Stroke, cerebral artery dissection and cervical spine manipulation therapy. J Neurol 2002;249:1098–104CrossRefGoogle ScholarPubMed
20Smith, WS, Johnston, SC, Skalabrin, EJ, Weaver, M, Azari, P, Albers, GW et al. Spinal manipulative therapy is an independent risk factor for vertebral artery dissection. Neurology 2003;60:1424–8CrossRefGoogle ScholarPubMed
21Howell, SJL, Molyneux, AJ. Vertebrobasilar insufficiency in rheumatoid atlanto-axial subluxation: a case report with angiographic demonstration of left vertebral artery occlusion. J Neurol 1988;235:189–90CrossRefGoogle ScholarPubMed
22Gaikwad, SB, Suri, A, Garg, A, Kanodia, A, Gupta, V, Mishralf, N. Positional occlusion/stasis of vertebral arteries in a case of cervical rheumatoid arthritis presenting with multiple posterior circulation infarcts. Spine 2004;29:E321–5CrossRefGoogle Scholar
23Mas, J-L, Bousser, M-G, Hasboun, D, Laplane, D. Extracranial vertebral artery dissections: a review of 13 cases. Stroke 1987;18:1037–47CrossRefGoogle ScholarPubMed
24Weintraub, MI. Beauty parlor stroke syndrome: report of 2 cases. Neurology 1992;42(suppl 3):340Google Scholar
25Biousse, V, D'Anglejan-Chatillon, J, Touboul, P-J, Amarenco, P, Bousser, M-G. Time course of symptoms in extracranial carotid artery dissections: a series of 80 patients. Stroke 1995;26:235–9CrossRefGoogle ScholarPubMed
26Maroon, JC, Gardner, P, Abla, AA, El-Kadi, H, Bost, J. “Golfer's stroke”: golf-induced stroke from vertebral artery dissection. Surg Neurol 2007;67:163–8CrossRefGoogle ScholarPubMed
27Mizutani, T, Kojima, H, Asamoto, S, Miki, Y. Pathological mechanism and three-dimensional structure of cerebral dissecting aneurysms. J Neurosurg 2001;94:712–17CrossRefGoogle ScholarPubMed
28Engelter, ST, Brandt, T, Debette, S, Caso, V, Lichy, C, Pezzini, A et al. Antiplatelets versus anticoagulation in cervical artery dissection. Stroke 2007;38:2605–11CrossRefGoogle ScholarPubMed
29Sturzenegger, M. Headache and neck pain: the warning symptoms of vertebral artery dissection. Headache 1994;34:187–93CrossRefGoogle ScholarPubMed
30Blunt, SB, Galton, C. Cervical carotid or vertebral artery dissection. BMJ 1997;314:243CrossRefGoogle ScholarPubMed
31Nazir, F, Muir, K. Prolonged interval between vertebral artery dissection and ischemic stroke. Neurology 2004;62:1646–7CrossRefGoogle ScholarPubMed