ABSTRACT

With the increasing use of imaging technics, many patients have been found to have twisted vessels. Treating these vessels by many surgical procedures, the symptomatology regresses. However, the patient must be well evaluated and the etiology must be clear before the surgery, A 50-year-old female patient was consulted. In her history, she was complaining from vertigo, imbalance, and syncope like episodes once or twice a week with a discomfort increasing from her stomach. Bilateral advanced degree of carotid tortuosity was demonstrated in her imagings. Her neurological and auditory examinations were normal. Routine electroencephalography was in normal limits. Three hour sleep deprivation electroencephalography revealed sharp wave activities on temporal region of the left hemisphere. After initiation of 400 mg/day Carbamazepine, she had no complaint in her 1st and 3rd month visits. As a conclusion, although advancing technology and imaging technics help us to diagnose, anamnesis and semiology are more essential.