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Papers of the Week


2020 May


Ann Otol Rhinol Laryngol


129


5

Vagus Associated Neurogenic Cough Occurring Due to Unilateral Vascular Encroachment of Its Root: A Case Report and Proof of Concept of VANCOUVER Syndrome.

Authors

Honey CR, Krüger MT, Morrison MD, Dhaliwal BS, Hu A
Ann Otol Rhinol Laryngol. 2020 May; 129(5):523-527.
PMID: 31786948.

Abstract

A patient is presented with neurogenic cough due to a unilateral vascular compression of a vagus nerve rootlet at the brainstem with complete resolution of cough following microvascular decompression of that nerve. This etiology of a neurogenic cough has not been previously reported to our knowledge. The proportion of patients with neurogenic cough refractory to all current therapies and suffering with this treatable condition remains to be defined. We introduce the concept of Vagus Associated Neurogenic Cough Occurring due to Unilateral Vascular Encroachment of its Root (VANCOUVER syndrome) and present the salient features of this condition.