A possible correlation between vertebral artery insufficiency and degenerative changes in the cervical spine
Autor: | Reroń E, Szybist N, Paweł Stręk, Paweł Maga, Maciej Modrzejewski |
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Rok vydání: | 1998 |
Předmět: |
Adult
Male medicine.medical_specialty Vertebral artery Hemodynamics Duplex scanning Central nervous system disease Vertigo medicine.artery Vertebrobasilar Insufficiency medicine Humans Ultrasonography Doppler Color Vertebrobasilar insufficiency Vertebral Artery Aged Aged 80 and over biology business.industry Vascular disease General Medicine Middle Aged biology.organism_classification medicine.disease Surgery Otorhinolaryngology Regional Blood Flow Basilar Artery Cervical Vertebrae Female Spinal Diseases sense organs Radiology medicine.symptom business Tinnitus |
Zdroj: | European Archives of Oto-Rhino-Laryngology. 255:437-440 |
ISSN: | 1434-4726 0937-4477 |
DOI: | 10.1007/s004050050094 |
Popis: | We studied 130 patients, aged 20 to 81 years, with symptoms of tinnitus, vertigo or dizziness. Radiological examinations revealed degenerative changes in the cervical spines of all patients such as discopathy or osteophytes. Head and neck and neurological examinations ruled out other symptoms apart from vertebrobasilar artery flow insufficiency. The vertebrobasilar arteries were examined by means of a color Doppler ultrasonograph using duplex scanning. The correlation coefficient (CC) defining the relationship between the number of patients with abnormal blood flow and the total number of patients with radiologically confirmed changes in the cervical spine was 41.5%. When patients were separated by age, the value of the CC coefficient increased proportionally according to age, changing from 0 to 79.1%. Use of the Doppler ultrasonograph was found to be a safe and non-invasive diagnostic method that enabled us to assess the influence of degenerative changes in the cervical spine on hemodynamic disturbances in the inner ear and brain stem. Our findings demonstrated a pathological decrease of vertebral artery flow velocity in relationship to degenerative changes in the cervical spine. |
Databáze: | OpenAIRE |
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