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№3' 2017

NEUROLOGY

International Medical Journal, Vol. 23., Iss. 3, 2017, P. 78−83.


THE FEATURES OF SPONDYLOGENIC VERTEBROBASILAR INSUFFICIENCY CLINICAL COURSE IN YOUNG PEOPLE


Nekrasova N. O.

Kharkiv National Medical University, Ukraine

According to the modern data, up to 80 % of the population experience chronic pain associated with the spine throughout their life; 15ЃE0 % of them suffer from pain syndromes at the cervical level, which in half of the cases is accompanied by dizziness and coordination disorder. The high prevalence of these symptoms is associated with violation of statics and biomechanics in the motor segments of the cervical spine. The basis of these disorders is a variety of changes in vertebras, intervertebral joints and musculoskeletal system, which are the most important extravascular cause of blood flow disorders in the vertebrobasilar system. To study the clinical course of spondylogenous vertebrobasilar insufficiency in young patients developing against the background of muscular−reflex, neurovascular and radicular syndromes of the osteochondrosis of the cervical spine all patients underwent functional radiography of the cervical spine with flexion and extension, MRI, as well as Doppler ultrasound examination of the vessels of the neck and main arteries of the head using functional rotational loads, as well as duplex scanning of the cervical vessels. As a result, it was revealed that subjective manifestations predominated at earlier stages of vertebrobasilar insufficiency: orthostatic dizziness, situational increase in arterial pressure, weight loss, visual disturbances; With the stage of the disease, systemic dizziness, palpitation, cardialgia, tinnitus feeling of lack of air, darkness in the eyes, wiggling while walking, conditions accompanied by loss of consciousness are more frequent. These subjective manifestations are confirmed by the increase in neurological deficit in patients with late stages of vertebrobasilar insufficiency due to cochleovestibular, cerebellar−atactic, neurodystrophic disorders, pyramidal and cerebrospinal hypertension syndromes.

Key words: neurological manifestations, spondylogenic disorders, vertebrobasilar insufficiency.


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