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Case Reports
. 2019 Dec;129(12):E445-E448.
doi: 10.1002/lary.27837. Epub 2019 Mar 1.

Thyroid cartilage compression causing stroke

William E Karle  1 , Maria C Buniel  1 , Helmi L Lutsep  2 , Bronwyn E Hamilton  3 , Gary M Nesbit  3 , Joshua S Schindler  1
Affiliations
Case Reports

Thyroid cartilage compression causing stroke

William E Karle et al. Laryngoscope. 2019 Dec.

Abstract

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.

Keywords: Bow Hunter syndrome; Vertebrobasilar stroke; laryngoplasty; vertebral artery compression.

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References

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