Swallowing rehabilitation in a patient with traumatic right vertebral artery dissection
A Case Report
Abstract
Introduction: Vertebral Artery Dissection (VAD), spontaneous or traumatic, is a tear in the inner layer of the
arterial wall. This allows blood to enter into the wall layers and causes luminal narrowing. In the United States, VAD occurs at an annual incidence of 1-1.5 per 100,000 and can be life-threatening. The evidence found about the physiotherapeutic management of patients with VAD is scarce; therefore, we aim to describe, based on clinical conditions and available literature, the assessment and swallowing treatment of a patient with VAD in a general acute care hospital.
Case presentation: A 41-year-old male presented to the hospital with dizziness, nausea, and unsteady gait
after neck rotation and extension movements. He evolved with facial paresis, difficulty in swallowing his oropharyngeal secretions, and febrile state. He was diagnosed with cerebellar infarction secondary to VAD. After being admitted to the inpatient ward, he presented severe dysphagia and required swallowing treatment. After 5 months of physiotherapy, he was discharged from hospital.
Conclusion: We described the assessment and swallowing treatment of a patient with VAD.
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