ABSTRACT
The paper is concerned with the development and specification of diagnostic approaches to patients with the title pathology. 168 patients with vascular syndromes of cervical osteochondrosis were under observation. According to the readings of ultrasound echocardiography and ultrasound double scanning, the patients were distributed into two groups: with occlusions and hemodynamically significant stenoses (from 50 to 99%) in the vertebral arteries, and without hemodynamically significant stenoses. On comparison of these two groups of patients with the disease clinical picture the first group patients demonstrated the signs of static or dynamic ataxia of varying gravity, thus allowing confirmation of the existence of the compression form of the vertebral artery syndrome--vertebrobasilar insufficiency. The authors have elaborated a complex of the treatment measures for patients with vascular syndromes of spinal osteochondrosis, including the use of medicamentous and nontraditional means (manual therapy, acupuncture), providing a possibility of carrying out successful conservative therapy. The role of vegetative formations located in the cervical part of the spine in regulation of the cerebral blood flow has been revealed.
Subject(s)
Cervical Vertebrae , Osteochondritis/diagnosis , Spondylitis/diagnosis , Vascular Diseases/diagnosis , Adolescent , Adult , Aged , Combined Modality Therapy/methods , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Muscle Contraction/physiology , Osteochondritis/complications , Osteochondritis/physiopathology , Osteochondritis/therapy , Spondylitis/complications , Spondylitis/physiopathology , Spondylitis/therapy , Syndrome , Vascular Diseases/etiology , Vascular Diseases/physiopathology , Vascular Diseases/therapyABSTRACT
In a series of 84 patients with various stages of atherosclerotic circulatory encephalopathy (ADE) the authors studied the possibility of detecting by ultrasound double scanning (UDS) of occlusive lesions of the brachiocephalic arteries and compared the results with the findings provided by cerebral angiography (AG). In a study of 35 healthy subjects normal parameters of the spectrograms of the extracranial arteries were established. In 84 patients with ADE, ultrasound double scanning revealed stenoses and occlusions of the brachiocephalic arteries in 47 cases. They were confirmed by AG and were classified into five categories. Comparison of the data demonstrated that the diagnostic reliability of UDS versus AG was 95.9%. UDS makes it possible to diagnose accurately occlusive lesions of the brachiocephalic arteries in patients with ADE and to determine indications for AG and thus may be used for screening purposes.