가쪽머리기울임에 의해 발생한 척추뇌바닥혈류부전

J Korean Neurol Assoc > Volume 27(4); 2009 > Article

Journal of the Korean Neurological Association 2009;27(4): 388-392.

Vertebrobasilar Insufficiency Caused by Lateral Head Tilting

황재춘, 송파멜라 류수경 윤혜원 서대원

성균관대학교 의과대학 삼성서울병원 신경과

가쪽머리기울임에 의해 발생한 척추뇌바닥혈류부전

Jaechun Hwang

Department of Neurology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Neuroscience Center, Seoul, Korea

Abstract

Vertebrobasilar insufficiency (VBI) in rotatory vertebral artery occlusion syndrome can be caused by voluntary head turning in the yaw plane. We report a case of VBI for head tilting in the roll plane. Transcranial Doppler on left head tilting resulted in decreased blood flow in both vertebral arteries. A CT angiogram revealed that the stenotic left vertebral artery was very close to an enlarged thyroid gland, suggesting mechanical compression of the vertebral artery during head tilt. Key Words: Vertigo, Lateral tilting, Vertebrobasilar insufficiency