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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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