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Degenerative, dystrophic processes of the cervical spine and hemodynamic failure in the vertebrobasilar system

Degenerativ-dystrophische Prozesse an der Halswirbelsäule und hämodynamisch bedingte vertebrobasiläre Insuffizienz

Abstract

This study concerns the influence of spondylogenic factors on hemodynamics in the vertebrobasilar system. Two groups of patients with spondylogenic vertebrobasilar insufficiency and discirculatory encephalopathy (n=57) were included. Complex diagnostics were performed in all participants (ultrasound of the cervical intervertebral disks, MRI, X-ray, duplex scanning of the brachycephalic arteries and veins, МR angiography). It was determined whether the degree of degenerative, dystrophic changes in the cervical spine directly effects extra-vessel compression of the vertebral arteries.

Zusammenfassung

Die Studie befasst sich mit dem Einfluss spondylogener Faktoren auf die Hämodynamik im Vertebrobasilarsystem. Zwei Patientengruppen mit spondylogener vertebrobasilärer Insuffizienz und minderperfusionsbedingter Enzephalopathie (n=57) wurden aufwendig diagnostiziert: Sonographie der zervikalen Zwischenwirbelscheiben, Magnetresonanz (MR)-Tomographie, Röntgenaufnahmen, Duplexuntersuchungen der Aa. et Vv. brachiocephalicae und MR-Angiographie. Überprüft wurde, ob der Grad der Ausprägung von degenerativ-dystrophischen Veränderungen an der Halswirbelsäule die extravasale Kompression der Vertebralarterien direkt beeinflusst.

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Correspondence to A.B. Sitel MD, PhD, DSc.

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Sitel, A., Kuzminov, K. & Bakhtadze, M. Degenerative, dystrophic processes of the cervical spine and hemodynamic failure in the vertebrobasilar system. Manuelle Medizin 49, 91–98 (2011). https://doi.org/10.1007/s00337-010-0785-8

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