KaydedilenlerDerginizi ekleyin

Dergiler / ENT Updates / 2018 / Cilt: 8 - Sayı: 3

Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo

Turgut KÜLTÜR
Nuray BAYAR MULUK
Cihan IYEM
Mikail INAL
Veysel BURULDAY
Murat ALPUA
Umut Orkun ÇELEBİ
Sayfa
185–194
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

VBI) on the left side may play a role in the development of vertigo.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objective: In this study, we aimed to investigate the relationship between the size of the vertebral artery and that of the transverse foramina at the C1 to C6 vertebral level in patients suffering from vertigo thought to be related to vertebrobasilar insufficiency (VBI).
📊
Temel Bulgular & Veri:Materials and Methods: In this retrospective study, two groups were compared in terms of cervical computed tomography (CT): 22 adult patients with vertigo; and a control group consisting of 23 healthy adult indivıduals.
💡
Sonuç & Katkı:VBI) on the left side may play a role in the development of vertigo.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: In this study, we aimed to investigate the relationship between the size of the vertebral artery and that of the transverse foramina at the C1 to C6 vertebral level in patients suffering from vertigo thought to be related to vertebrobasilar insufficiency (VBI). Materials and Methods: In this retrospective study, two groups were compared in terms of cervical computed tomography (CT): 22 adult patients with vertigo; and a control group consisting of 23 healthy adult indivıduals. Measurement of the vertebral artery and transverse foramina (i.e. sagittal and transverse dimensions, plus area) were performed bilaterally at levels C (cervical vertebra) 1 to C6. Results: For the cases group, at C6 level the right vertebral artery area, sagittal and transverse diameter were larger than in the control group at the level of statistical significance. At C1 level, the area of the right transverse foramina in the cases group was significantly higher than in the control group. At levels C1 to C5, the values obtained for vertebral artery area were positively correlated with the values for the ipsilateral transverse foramina (transverse foramen sagittal and transverse dimensions plus areas). Where the sagittal or transverse dimensions of the transverse foramina, or the area of the transverse foramina were found to be decreased, vertebral artery areas were also observed to have decreased at C1 to C5 levels. Conclusion: We concluded that a decrease in diameter of the bony structures or transverse foramina may cause a decrease in the cross-sectional area of the vertebral artery on the ipsilateral side. Since it is only the left vertebral artery which is dominant for cerebral blood flow, any compensatory increase in right vertebral artery area cannot offset decreased cerebral blood flow. Decreased blood flow (i.e. VBI) on the left side may play a role in the development of vertigo.

🔖

Bu Makaleye Atıf Yap

KÜLTÜR, T., MULUK, N. B., IYEM, C., INAL, M., BURULDAY, V., ALPUA, M., ÇELEBİ, U. O. (2018). Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo. ENT Updates, Cilt: 8 - Sayı: 3, 185–194. https://ajindex.com/articles/153564

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (17)

  1. No authors listed. Special report from the National Institute of Neurological Disorders and Stroke. Classification of cerebrovascular diseases III. Stroke1990; 21:637–76
  2. Grad A, Baloh RW. Vertigo of vascular origin: Clinical and electro-nystagmographic features in 84 cases. Arch Neurol 1989; 46:281–4
  3. Savitz SI, Caplan LR. Vertebrobasilar disease. N Engl J Med 2005; 352:2618–26
  4. Doss A, Phatouros CC. Vertebrobasilar insufficiency. Curr Treat Options Cardiovasc Med.2006; 8:111-9
  5. Lima Neto AC, Bittar R, Gattas GS, et al. Pathophysiology and Diagnosis of Vertebrobasilar Insufficiency: A Review of the Literature. Int Arch Otorhinolaryngol. 2017; 21:302-7. doi: 10.1055/s-0036-1593448. Epub 2016 Oct 26
  6. Thiel H, Wallace K, Donat J, Yong-Hing K. Effect of various head neck positions on vertebral artery blood flow. Clin Biomech. 1994;9:105-10
  7. Troost BT. Dizziness and vertigo in vertebrobasilar disease. Part 1: peripheral and systemic causes dizziness. Stroke 1980;11:301-3
  8. Bergan JJ, Levy JS, Trippel OH, Jurayj M. Vascular implications of vertigo. Arch Otolaryngol 1967;85:292- 7
  9. Fisher CM. Vertigo in cerebrovascular disease. Arch Otolaryngol 1967;85:529-34
  10. Haldeman S, Kohlbeck FJ, McGregor M. Unpredictability of cerebrovascular ischemia associated with cervical spine manipulation therapy: a review of sixtyfour cases after cervical spine manipulation. Spine 2002;27:49-55
  11. Gomez CR, Cruz-Flores S, Malkoff MD, Sauer CM, Burch CM. Isolated vertigo as a manifestation of vertebrobasilar ischemia. Neurology. 1996;47:94-7
  12. Grad A, Baloh RW.Vertigo of vascular origin. Clinical and electronystagmographic features in 84 cases. Arch Neurol. 1989;46:281-4
  13. Asavasopon S, Jankoski J, Godges JJ. Clinical diagnosis of vertebrobasilar insufficiency: resident’s case problem. J Orthop Sports PhysTher. 2005;35:645-50
  14. Troost BT. Dizziness and vertigo in vertebrobasilar disease. Part II. Central causes and vertebrobasilar disease. Stroke 1980;11:413-5
  15. Rother J, Wentz KU, Rautenberg W, Schwartz A, Hennerici M. Magnetic resonance angiography in vertebrobasilarischemia. Stroke 1993; 24:1310-5
  16. Fox MW, Piepgras DG, Bartleson JD. Anterolateral decompression of the atlantoaxial vertebral artery for symptomaticpositional occlusion of the vertebral artery. Case report. J Neurosurg. 1995;83:737-40
  17. Vates GE, Wang KC, Bonovich D, Dowd CF, Lawton MT. Bow hunter stroke caused by cervical disc herniation. Case report. J Neurosurg. 20