Vertebral artery hypoplasia – symptoms, diagnosis and treatment

Since hypoplasia is usually a congenital disease, the main causes that cause it are associated with an improper pregnancy. Provoke the development of pathology can:

  • injuries and falls of the expectant mother;
  • the use of a number of drugs that affect the development of the embryo;
  • drinking and smoking by a pregnant woman;
  • infectious diseases;
  • poisoning;
  • hereditary factor.

kurenie pri beremennosti - Vertebral artery hypoplasia - symptoms, diagnosis and treatment

Smoking during pregnancy

Symptoms and treatment of hypoplasia of the left vertebral artery

Unfortunately, it is impossible to get rid of arterial hypoplasia 100%. In some cases, an operation is performed, but it also allows you to achieve only temporary compensation of blood flow. As a rule, conservative therapy is used first. Doctors recommend patients with hypoplasia:

  • take a number of drugs;
  • take courses of physiotherapeutic procedures (electric current therapy, magnetotherapy, etc.);
  • attend physical therapy >magnitoterapiya 1 - Vertebral artery hypoplasia - symptoms, diagnosis and treatment

As medical agents, the patient may be recommended drugs that are able to dilate blood vessels (Actovegin, Cavinton), nootropic drugs and neuroprotectors (Glycine, Mexidol) – they can significantly improve all metabolic processes that occur in the brain tissue. If the patient complains of dizziness, then he will be prescribed a drug such as Betagistin or the like.

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Surgical treatment of hypoplasia is carried out only if the lumen of the artery is extremely small and the brain lacks blood. The operation is performed endovascular or open. To restore blood flow, stenting, angioplasty are used, and a deformed section of the artery can also be removed and replaced with a prosthesis.

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Surgical treatment of hypoplasia

With this disease, patients exhibit different symptoms in determining the place of pain, its intensity and the general degree of underdevelopment of the left vertebral artery. And most often the patient is given this diagnosis during routine examinations.

Since there are no clear symptoms of hypoplasia of the left vertebral artery, the signs that are taken into account when establishing a diagnosis are as follows:

  • dizziness, headache, nervous breakdowns;
  • blurred spatial perception;
  • frequent causeless high blood pressure;
  • violation of fine motor skills of the hands;
  • very low sensitivity of the upper and lower extremities;
  • paralysis of limbs, paresis;
  • hallucinations;
  • sluggish gait with loss of coordination and orientation in space.

The patient constantly stumbles upon something, feeling like riding a fast carousel, which is also a sign of hypoplasia of the left vertebral artery. And with age, everything only gets worse.

About 12% of the studied population suffers from hypoplasia. At the same time, a significant part of them, even in childhood, quickly adapt to the problems of insufficient blood flow, which helps for a long time. Very often, the disease manifests itself only in old age, and some do not bother until the end of life.

Conservative therapy and surgical treatment are used to treat vertebral artery hypoplasia.

Conservative therapy for arterial hypoplasia is based on the use of drugs that dilate blood vessels, improve brain nutrition and alter blood properties.

But organic pathology with arterial hypoplasia cannot be eliminated only by conservative methods. Therapy aims to improve the patient’s quality of life, eliminate many symptoms, eliminate dizziness and headache.

Medicines used in the treatment of arterial hypoplasia: trental, cerebrolysin, vinpocetine, ceraxon, thiocetam, actovegin, cinnarizine, blood thinners.

If the pathological manifestations of arterial hypoplasia are not compensated by the effects of therapeutic agents, and pathological symptoms increase, surgical treatment is indicated.

Surgery is the only way out in the treatment of vertebral artery hypoplasia if the causes and consequences of the disease go into a severe stage.

There are two ways of surgical treatment of vertebral artery hypoplasia

Endovascular surgery, during which an expander, or: a stent, is inserted into the lumen of a pathologically narrowed vessel. Often this operation is performed in conjunction with a diagnostic procedure – angiography.

The operation consists in introducing a catheter with a balloon at the end into a pathologically narrowed vessel. By inflating this spray can increase the lumen of the artery, improving blood flow in it.

Very often, angioplasty is performed in conjunction with artery stenosis.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.