Vertebro-basilar insufficiency on the background of cervical osteochondrosis (VBI) causes and

The pathogenesis of both TIA and VBI is essentially similar to the pathology of ischemic (lacunar, hemorrhagic) stroke. The causes of vertebro-basilar insufficiency are atherosclerosis of large vessels (31%), diseases of small vessels (16%), intra-arterial embolism (17%), cardiac embolism (27%) and various rare factors (9%).

The disease can affect not only adult women, men, but also representatives of the pediatric population. VBI in children can develop as a result of congenital pathologies of the vertebral or basilar artery. Often, causes include injuries to the spine of a child during sports training, gymnastics. A relatively common cause is a birth injury to the spine.

The most common atherosclerotic vascular lesions located at the beginning of the vertebral arteries, intracranial part of the vertebral arteries, the proximal and middle part of the basilar artery, proximal part a. cerebri posterior. Smaller branches (for example, AICA, PICA) are more likely to be affected by the atherosclerotic process than large branches.

The involvement of perforating small arterioles (50-200 microns in diameter) is different from the process of atherosclerosis. The process is known as lipogialinosis, usually associated with arterial hypertension. Due to the anatomy of these small arterioles, the consequence of their occlusion is small single or multiple trigeminal infarction.

РЎС‚РµРЅРѕС‚РёС З РµСЃРєРёРµ РёР · менениЏв ввертеР± СЂРѕ-Р ± Р ° Р · РёР » RЅРµРЅРёР№, РІРѕР · РЅРёРєР ° СЋС ‰ РёС . путЂем гемодинР° РјРёРЗ З РµСЃРєРѕРіРѕ РјРµС . Р ° РЅРёР · РјР °. RS Р Rs є короткие, СЃС‚РµСЂРµРѕС‚РёРїРЅС ‹Рµ Рё, прежде всего, ортодоксР° Р» Рђ RЊ RЊРЊРЊ R¤R ° RєS,RoS RμSЃRєRoR№ RґRμS ‡ “† Roes Roes, SЃRoR” SЊRЅRѕ RІR ° SЂSЊRoSЂSѓRμS,SЃSЏ PI P P · ° RІRoSЃRoRјRѕSЃS,Ro RѕS, S,RѕRіRѕ, SЃRєRѕR “SЊRєRѕ RІSЂRμRјRμRЅRo RїRѕS,SЂRμR ± SѓRμS,SЃSЏ RґRѕ RIRSсстР° РЅРѕРІР »РµРЅРёСЏ РїРѕР» РЅРѕРіРѕ кровотокР°.

R ‘РґРѕРІРѕР »РЅРµРЅРёРё Рє этим РїСЂРёС ‡ РёРЅР ° Рј Р · Р ° Р ± РсР» евР° РЅРёРµ РјРѕР¶РµС ‚СРЕРСРСРСРСРСРСРСРСР . СЃРїРѕРЅРґРёР »РµР · Рµ, РјРµС . Р ° РЅРёС З РµСЃРєРѕРј сжР° тиРa. vertebralis, РѕСЃРѕР ± енно РІ пределР° С . РЎ1-2 РІ Р ± РѕРєРѕРІРѕРј РЅР ° РєР» РѕРЅРµ, РІСЂР ° С ‰ ениивоР. РќР ° РєР »РѕРЅ Рё РІСЂР ° С ‰ ение (РёР» Рё РІ РєРѕРјР ± РёРЅР ° С † РёРё) предстР° РІР » R ° СЂС € его РІРѕР · СЂР ° стР°, РІ реР· СѓР »СЊС‚Р ° те сжР° тия Р ° ртерии a.

RњРµРЅРµРµ СЂР ° спрострР° неннаР° СЏ РїСЂРёС З РёРЅР ° вертеР± СЂРѕ-Р ± Р ° Р · РёР »РСРРРРРРРРРРРРРРПРРРРРРРР Њ СЊ РїРѕРґРєР »СЋС ‡ РёС ‡ РЅС‹ Р№ СЃРёРЅРґСґРѕРј РѕР ± РєСЂР ° РґС ‹РІР ° РЅРёСЏ (steal syndrom). РћРЅ СЂР ° Р · РІРёРІР ° ется РІСЃР »РµРґСЃС‚РІРёРµ стеноР· Р ° РёР» Рё РсРєРєР »СЋР · РёРё РЅР ° С ‡ Р ° Р» Р ° a. subclavia (перед отступом a. vertebralis). RџSЂRo C “Röhr Roes ‡ · ° F RμSЃRєRѕR№ RєS,RoRІRЅRѕSЃS,Ro RІRμSЂS . RЅRμR№ RєRѕRЅRμS RЅRѕSЃS,Ro RЅR ‡ ° ° RїRѕSЂR R¶RμRЅRЅRѕR№ SЃS,RѕSЂRѕRЅRμ Röhr · · P ° -P Roes € RμRјRoRo RІRѕR · RЅRoRєR ° РµС ‚устР° Р» ость РєРѕРЅРµС ‡ ности, Р ± РѕР »СЊ.

Одновременно РїСЂРѕРёСЃС . РѕРґРёС ‚РѕР ± СЂР ° тны Р№ поток РєСЂРѕРІРё РІ a. vertebralis, СЃР »РµРґРѕРІР ° тел СЊРЅРѕ, Р ° ртериР° Р »СЊРЅР ° СЏ РєСЂРѕРІСЊ С„ Р ° РєС‚РёС ‡ еоЏР·Р ·РґРґРґРґРґРґРґРґРґРґРґРґРґРґРґРґРґРґРґРґРґ РєСЂР ° сть, РєСЂР ° жР°). RЎRѕS ‡ RμS,R RЅRoRμ ° F ± RѕR “Ryo PI RІRμSЂS . RЅRμR№ RєRѕRЅRμS ‡ RЅRѕSЃS,Ro SЃ RѕRґRЅRѕRІSЂRμRјRμRЅRЅS

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Tatyana Jakowenko

Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.

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