vertebral artery syndrome
vertebral artery syndrome - a violation of the blood flow in one or both of the vertebral artery, which is depleted as a result of the blood supply to the brain.For the first time the syndrome described by Dr. Leu and Barre in 1925.For a more clear understanding of what will be discussed, it is necessary to know a little bit about the blood supply to the head
blood supply head
head brain is supplied with blood from two pools: the carotid and vertebrobasilar.For carotid include carotid arteries, or to be more precise, the internal carotid arteries, providing 70 to 85% of blood flow and responsible for virtually all of the major cerebrovascular accident (stroke in the first place).Therefore, the examination they are always given special attention, and their atherosclerotic lesions and subsequent to these complications are the object of attention of vascular surgeons, neurologists and cardiologists.
By vertebrobasilar basin are right and left vertebral arteries th
affected vertebral artery manifests itself in the form of visual and hearing impairment, loss of coordination, loss of consciousness, headaches and dizziness expressed
vertebral artery syndrome causes
reasons for the defeat of the vertebral arteries are divided into two groups: nevertebrogennye and vertebral.
Nevertebrogennye defeat (not associated with the spine) due to congenital anomalies of the course and the size of the arteries, or that occurs much less frequently - atherosclerosis.These anomalies in most cases, have no independent value, but due to other reasons for joining squeezing arteries occurs quite unfavorable background.
Vertebrogenic destruction caused by various diseases of the spine.Initially, these lesions can be observed even in adolescence (children) at the age of post-traumatic and dysplastic cervical spine instability.However, the most pronounced changes occur in adults as a result of development of osteochondrosis and
vertebral artery syndrome symptoms and signs
The most characteristic symptom of this disease is a constant, sometimes quite painful paroxysmal increasing pulsating headache that observed in the occipital region.Pain during a seizure can spread to other areas of the head, most often irradiiruya in the nose and eye socket (cervical migraine), to the ear, forehead and parietal - temporal area.Pain may be permanent or paroxysmal in nature and is most often localized to one side.Often there is soreness of the skin of the head, which is manifested even when brushing or light touch.The pan and tilt head is often heard the characteristic "crunch" and sometimes a burning sensation may be felt.In some cases, patients with vertebral artery syndrome observed dizziness with nausea or vomiting, ringing or noise in the ears, hearing loss, and various visual disturbances (diplopia, mist, reduced visual acuity, blurred, etc.).In rare cases, there are: a sense of presence of a foreign body in the throat (pharyngeal migraine) and swallowing disorders.There may be vegetative disorders such as thirst, momentary sensation of hunger, a feeling of chills or fever.
If a major defeat was sympathetic plexus vertebral artery, observed syndrome Bernard - Horner in which paresthesia and pain is most often unilateral, spectacular tongue, teeth, hard palate, face, throat (feeling the presence of a foreign body, burning, tingling).In addition, there are vestibular disorders in the form of falling through, staggering and dizziness, which are accompanied by noise / ringing in the ear and nausea.During headaches occur chills, sweating, decreased performance, increased fatigue, deteriorating eyesight, a so-called "flashing before my eyes."Any change in position of the head leads to a considerable enhancement of the headache, but sometimes the patient may still find the optimal position at which the headache is reduced or completely disappears.
main method of diagnosis of vertebral artery syndrome today is Doppler ultrasound (Doppler ultrasound).It is also in the process of diagnosis, it is necessary to differentiate the vertebral artery syndrome migraine (-this considerable similarity of symptoms)
vertebral artery syndrome treatment
For the treatment of vertebral artery syndrome an integrated approach, depending on the age of the patient, the severity of the current situation and onthe individual characteristics of the organism.Because suffering from the disease are at risk for stroke - treatment is primarily aimed at addressing the causes spasm of blood vessels and circulatory disorders, as well as normalization of blood circulation.
The complex treatment includes vacuum therapy, reflexology, pharmacopuncture and vascular therapy.Besides medical treatment appointed anti-inflammatory drugs and mild antidepressant.Also usually prescribe vasodilators such as the Cinnarizine, Aminophylline, Cavinton;for dizziness - Betahistine.
If during the inspection it was revealed acute circulatory disorders spinal cord or brain - hospitalization of the patient for treatment in hospital.
If hospitalization is not urgent need, your doctor may prescribe a temporary wear special orthopedic corset (Schantz collar), which is used to reduce the load on the cervical spine.
syndrome vertebral artery often appointed by holding sessions of manual therapy, acupuncture and physiotherapy (magnetotherapy, diadynamic currents, phonophoresis with hydrocortisone, electrophoresis with analgesics).