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Thyroid cartilage compression causing stroke
Author(s) -
Karle William E.,
Buniel Maria C.,
Lutsep Helmi L.,
Hamilton Bronwyn E.,
Nesbit Gary M.,
Schindler Joshua S.
Publication year - 2019
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27837
Subject(s) - medicine , thyroid cartilage , thyroid , cartilage , superior thyroid artery , radiology , head and neck , stroke (engine) , surgery , compression (physics) , anatomy , larynx , mechanical engineering , materials science , engineering , composite material
We describe the diagnostic workup and surgical treatment of a patient presenting with the unique case of vertebral artery (VA) occlusion subsequent to head flexion leading to compression of an aberrant VA by the ipsilateral superior cornu of the thyroid cartilage. Imaging revealed ischemic infarcts as well as the presence of an aberrant right VA, which was compressed by the ipsilateral superior cornu of the thyroid cartilage upon neck flexion. The patient was managed with laryngoplasty involving removal of the right superior cornu of the thyroid cartilage. Laryngoscope , 129:E445–E448, 2019