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Vertebral Artery Dissecting Aneurysm Causing Central Tapia's Syndrome: A Case Report
Yong Woo Shim1, Jung Hyun Park2, Sung-Tae Kim1
1Department of Neurosurgery, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Neurointervention
|June 24, 2021
Summary
Central Tapia's syndrome, a rare neurological condition, was successfully treated in a patient with a vertebral artery dissecting aneurysm (VADA). Endovascular flow diversion resolved most symptoms, showcasing its efficacy for this rare VADA complication.
Area of Science:
- Neurology
- Vascular Surgery
Background:
- Central Tapia's syndrome is a rare neurological disorder.
- It involves unilateral vagal and hypoglossal nerve paralysis with contralateral hemiparesis or hemihypesthesia.
Observation:
- A middle-aged patient presented with dysphagia and odynophagia.
- Neurologic examination revealed right vocal cord paralysis, tongue deviation, left hypesthesia, and left hemiparesis.
Findings:
- Magnetic resonance imaging diagnosed a right vertebral artery dissecting aneurysm (VADA) compressing the medulla oblongata.
- Endovascular flow diversion was performed to treat the VADA.
Implications:
- This case highlights VADA as a cause of central Tapia's syndrome.
- Endovascular flow diversion is a viable treatment option for VADA-induced central Tapia's syndrome.
