%0 Journal Article %T Recurrent Nerve Palsy due to a Giant Vertebral Artery Aneurysm %A Michael Anders Petersen %A Pushpa Raj Puri %J Archive of "Case Reports in Neurology". %D 2018 %R 10.1159/000492487 %X 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 %K Vertebrobasilar artery %K Dysphagia %K Computed tomography angiography %K Fiberoptic endoscopic evaluation of swallowing %K Recurrent nerve palsy %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6180257/