ABSTRACT
Roentgenographic and angiographic examinations of 140 patients with vascular optic neuropathies have revealed atherosclerotic changes of internal carotid artery in 66.4% and 94.6%, respectively. Stenosis of internal carotid artery was recorded in 85.7%, thrombosis--in 8.9% of cases. In 55.9%, ostium stenosis of internal carotid artery is associated with its pathologic winding and is one of causes of acute disturbances in blood circulation in the optic nerve. Atherosclerotic changes of internal carotid artery are recorded in its extracranial segment in 69.6% of cases.
Subject(s)
Carotid Artery Diseases/physiopathology , Optic Nerve Diseases/physiopathology , Optic Nerve/blood supply , Adult , Aged , Aged, 80 and over , Arteriosclerosis/complications , Arteriosclerosis/diagnosis , Arteriosclerosis/physiopathology , Carotid Artery Diseases/complications , Carotid Artery Diseases/diagnosis , Carotid Artery, Internal/diagnostic imaging , Carotid Artery, Internal/physiopathology , Chronic Disease , Female , Humans , Male , Middle Aged , Optic Nerve Diseases/diagnosis , Optic Nerve Diseases/etiology , RadiographySubject(s)
Arachnoid , Macular Edema/diagnosis , Meningitis/diagnosis , Optic Chiasm , Papilledema/diagnosis , Retinal Detachment/diagnosis , Adolescent , Adult , Child , Diagnosis, Differential , Fundus Oculi , Humans , Middle AgedSubject(s)
Craniotomy/methods , Orbital Neoplasms/surgery , Adult , Brain Neoplasms/secondary , Female , Humans , Middle AgedABSTRACT
Contusion of the brain at the site of the injury and by the contrecoup mechanism as well as vascular dysfunction in the vertebrobasilar basin may occur in craniocerebral injury with fracture of the occipital bone. In view of this, it is necessary to analyse the neurological manifestations of the brain injury carefully, carry out radiography of the occipital bone, and rule out the presence of hematoma at the site of the injury and one of a contrecoup mechanism. Procaine hydrochloride block of points of the vertebral arteries in indicated because of the dysfunction in the vertebrobasilar basin.