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Extravascular compression of vertebral artery: treatment, prevention

Not many people know that extravascular compression of vertebral artery, this is a violation of the functioning of the channels of the vertebral artery caused by extravascular compression, usually extravascular compression of vertebral artery arises from the pathological changes in the cervical spine.

Ekstravazalnaya kompressiya pozvonochnoj arterii

Symptoms

It is possible to identify three types of extravascular compression:

  • Extravascular compression of the left vertebral artery.
  • Extravascular compression of the right vertebral artery.
  • Bilateral compression of both vertebral arteries.

Extravascular compression of the right vertebral artery and the left do not have significant differences, with the exception of the localization of pathology. Pathology is the cause of the failure function of the blood supply to the brain, which will entail a range of serious deviations, one of which is neurocirculatory disorders. This violation is also known as "vertebral artery Syndrome", the cause is the reduction of flow velocity. Causing insufficient intake of oxygen or nutrients to the brain. Considering the main signs of extravascular compression, it can be noted headache, loss of coordination, nausea.

When the diagnosis of bilateral compression symptoms characteristic of compression of the left vertebral artery or right, plus reduced vision and hearing, also characterized by the manifestation of pain in the eyes with the possibility of redness and tearing.

Methods of diagnosis

For accurate diagnosis must pass the whole course of the surveys. In case of confirmation of extravascular compression of the left or right artery, the survey will give a complete picture of the disease. The doctor will be able to know the reason causing the compression of the artery to determine the location of the violation and determine the extent of the breach.

The main diagnostic methods of examination include:

  • Magnetic resonance imaging (MRI);
  • Computed tomography (CT);
  • Multislice computed tomography (MSCT);
  • Radiography of the cervical spine;
  • Ultrasound examination;
  • Duplex scanning – combined ultrasound and Doppler.

diagnostika

Conduct x-ray, MRI, CT and CT of the cervical spine will reveal changes such as:

The main difference between x-rays, MRI from CT scan is the principle of operation. MRI works with magnetic fields. At work CT uses x-rays but unlike x-rays we obtain three-dimensional image. We can say that to some extent these methods are mutually substitutable and mutually complementary. MSCT is used to obtain a spiral cut on. For the shortest time the device makes a large number of images that can be reconstructed into a 3D image.

If necessary these research methods can be an appointment with a contrast agent. Angiography — a method of contrast radiographic study of the blood vessels. Before performing the diagnosis in the artery injected contrast agent, which is clearly displayed in the pictures. Thus, a full picture of the status of vessels.

When applying dulksnio method can reliably determine the pathology of the vascular bed, to know the flow rate, to clarify the causes of violations and changes of blood flow.

Treatments

The main objective in the treatment of extravascular compression is normalization of the blood flow of the vertebral artery, with subsequent elimination of the causes of its violation. In most cases the method of treatment involves medication in conjunction with physiotherapy. Because medications are often prescribed non-steroidal anti-inflammatory drugs (NSAIDs) have analgesic, anti-inflammatory effects. Also possible use of medication to relieve the swelling of soft tissues and normalize blood flow.

When choosing medication, the specialist should have a complete understanding of the patient's condition in General. Since wrong medicines can worsen the situation. Whenthe purpose of physiotherapy you may be assigned:

  • Massage neck area;
  • Therapeutic physical culture (physical therapy);
  • Gymnastics;
  • Acupuncture;
  • Visit the Cabinet of physiotherapy.

lechenie

You need to implement that in case of deterioration, it is necessary to inform your doctor, for correction of further treatment. If these treatments do not give positive result, and your condition remains unchanged or worsens, you may be offered surgical intervention. After completion of treatment often recommend visiting treatment-and-prophylactic sanatorium, where is prescribed a course of rehabilitation therapy. That will contribute to the rapid recovery after illness and improve the General condition of the patient.

Prevention

If you are close to high risk of extravascular compression of the left or right artery, no need to despair. Regularly enough to carry out the complex of preventive measures that will halt the development of this disease. The complex of preventive measures, which will include:

  • Therapeutic physical culture (physical therapy) is a specially developed set of exercises aimed at strengthening muscles.
  • Exercises – exercises are aimed at removing muscle tone.
  • Massage neck and neck area – helps to relieve muscle tension, strengthen muscles, improve blood flow.

This complex of preventive measures will be useful not only to persons having a tendency to disease, but persons with such modifications as the cervical osteochondrosis, intervertebral hernia.

Patients included in the risk group for extravascular compression are put on to a neurologist.

Each year, they undergo preventive examinations, for certain indications they may be assigned a diagnosis of brain vessels and neck. If necessary, the doctor can prescribe preventive course of medication. This complex not only reduces the risk of disease, but in a timely manner indicates the presence of pathological changes.

profilaktika

Even if you have surgery, and cause extravascular compression resolved with full restoration of function of the blood supply, you should not neglect the complex of preventive measures. It will not only help to avoid the development of recurrence and impact on the overall state of your health.

Summarizing, we can say that to prevent the development of this pathology important preventive work, especially if there are pathological processes in the cervical spine. Accurate and timely diagnosis, with the pathological manifestation of disease symptoms, for further elimination.