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Recurrent Nerve Palsy due to a Giant Vertebral Artery Aneurysm
Pushpa Raj Puri1, Michael Anders Petersen1
1Department of Neurosurgery, Odense Universitetshospital, Odense C, Denmark.
Abstract:
Vertebral artery aneurysms are rare and challenging as they are usually asymptomatic and, therefore, often overlooked. We report the case of a 73-year-old man with a history of progressive dysphagia for 1 year. Computed tomography (CT) and computed tomography with angiography (CTA) of the cerebrum revealed a giant vertebral artery aneurysm compressing the medulla. Fiberoptic endoscopic evaluation of swallowing (FEES) revealed recurrent nerve paralysis. The patient was managed conservatively since the aneurysm was completely thrombosed.
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