Abstract
Cervical spondylosis is a common disease that results from degenerative changes of the cervical spine and vertigo may occur in this process. The aim of the present study was to assess the blood flow measurements of the vertebral artery (VA) using color Doppler ultrasonography (CDUS) in patients who have cervical spondylosis with and without vertigo. The study population included 101 patients with vertigo and spondylosis, 66 patients with spondylosis without vertigo, and 62 healthy controls. A bilateral decrease in the VA blood flow velocities were measured in patients with cervical spondylosis. A negative correlation was found between the stage of cervical degenerative changes and the flow velocities in patients with vertigo, while this relationship was not found in patients without vertigo. The CDUS evaluation of the pretransverse and transverse segments of VAs demonstrated significantly reduced flow velocities in patients with spondylosis. The degenerative changes in the cervical spine seem to be related to these velocity changes in the subgroup of patients who are also affected with vertigo. The pretransverse segment of the VA provides valuable measurements as well as transverse segment of the VA, and it can be used as an appropriate segment for CDUS examination in cervical spondylosis and associated vertigo.
References
Strek P, Reron E, Maga P, Modrzejewski M, Szybist N (1998) A possible correlation between vertebral artery insufficiency and degenerative changes in the cervical spine. Eur Arch Otorhinolaryngol 255:437–440
Jongkees LBW (1969) Cervical vertigo. Larygoscope 79:1473–1484
Miyagami M (1975) Vertigo and dizzines caused by circulatory disturbancess of the vertical artery. Otolaryngology (Tokyo) 47:891–899
Nagashima C (1970) Surgical treatment of vertebral artery insuffficiency caused by cervical spondylosis. J Nuerosurg 32:512–521
Özdemir H, Berilgen MS, Serhatlıoğlu S, Polat H, Uçman E, Barışçı N, Hardalaç F (2005) Examination of the effects of degeneration on vertebral artery by using neural network in cases with cervical spondylosis. J Med Syst 29(2):91–101
Olszewski J, Majak J, Pietkiewicz P, Luszcz C, Repetowski M (2006) The association between positional vertebral and basilar artery flow lesion and prevalence of vertigo in patients with cervical spondylosis. Otolaryngol Head Neck Surg 134:680–684
Haynes MJ, Milne N (2001) Color duplex sonographic findings in human vertebral arteries during cervical rotation. J Clin Ultrasound 29:14–24
Scheel P, Ruge C, Schoning M (2000) Flow velocity and flow volume measurements in the extracranial carotid and vertebral arteries in healthy adults: reference data and the effects of age. Ultrasound Med Biol 26:1261–1266
Bayrak IK, Durmuş D, Bayrak AO, Diren B, Cantürk F (2009) Effect of cervical spondylosis on vertebral arterial flow and its association with vertigo. Clin Rheumatol 28(1):59–64
Kelgren JH, Jeffrey MR, Ball J (1963) Atlas of standard radiographs. The epidemiology of chronic rheumatism, vol II. Blackwell, Oxford, pp 14–19
Ho SS, Chan YL, Yeung DK, Metreweli C (2002) Blood flow volume quantification of cerebral ischemia: comparison of three noninvasive imaging techniques of carotid and vertebral arteries. AJR 173:551–556
Landwehr P, Schulte O, Voshage G (2001) Ultrasound examination of carotid and vertebral arteries. Eur Radiol 11:1521–1534
Cloud GC, Markus HS (2003) Diagnosis and management of vertebral artery stenosis. Q J Med 96:27–34
Binder AI (2007) Cervical spondylosis and neck pain. BMJ 334:527–531
Hedera P, Bujdakova J, Traubner P (1993) Blood flow velocities in basilar artery during rotation of the head. Acta Neurol Scand 88:229–233
Rossiti S, Volkmann R (1995) Changes of blood flow velocity indicating mechanical compression of the vertebral arteries during rotation of the head in normal human measured with transcranial Doppler sonography. Arq Neuropsiquiatr 53:26–33
Jargeillo T, Pietura R, Rakowski P, Szczerbo-Trojanowska M, Szajner M, Janczarek M (1998) Power Doppler imaging in evaluation of extracranial vertebral artery compression in patients with vertebrobasilar insufficiency. Eur J Ultrasound 8:149–155
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Cevik, R., Bilici, A., Nas, K. et al. Non-invasive evaluation of vertebral artery blood flow in cervical spondylosis with and without vertigo and association with degenerative changes. Clin Rheumatol 29, 541–546 (2010). https://doi.org/10.1007/s10067-010-1385-7
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DOI: https://doi.org/10.1007/s10067-010-1385-7