Mechanical compression of the extracranial vertebral artery during neck rotation

被引:62
作者
Sakaguchi, M
Kitagawa, K
Hougaku, H
Hashimoto, H
Nagai, Y
Yamagami, H
Ohtsuki, T
Oku, N
Hashikawa, K
Matsushita, K
Matsumoto, M
Hori, M
机构
[1] Osaka Univ, Grad Sch Med, Div Stroke Res, Dept Internal Med & Therapeut A8, Suita, Osaka 5650871, Japan
[2] Hiroshima Univ, Grad Sch Biomedran Sci, Dept Clin Neurosci & Therapeut, Hiroshima 730, Japan
[3] Osaka Univ, Grad Sch Med, Dept Nucl Med, Suita, Osaka 565, Japan
[4] Osaka Univ, Grad Sch Med, Dept Clin Neurosci, Suita, Osaka 565, Japan
关键词
D O I
10.1212/01.WNL.0000078081.12097.AE
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Using duplex ultrasonography (US), the authors showed compression of the extracranial vertebral artery (ECVA) during neck rotation in 5.0% of 1,108 patients. Age (per 10-year increase, OR 0.80, 95% Cl 0.67 to 0.96), vessel diameters (per 0.5-mm diameter increase, OR 0.63, 95% Cl 0.51 to 0.79), and symptoms upon neck rotation (OR 4.01, 95% Cl 1.35 to 11.9) were associated with vessel compression. In one case, SPECT revealed decreased cerebral perfusion of the hindbrain during rotation. ECVA US is useful in identifying vessel compression, especially in patients with symptoms on neck rotation.
引用
收藏
页码:845 / 847
页数:3
相关论文
共 10 条
[1]
Amarenco P, 1998, STROKE PATHOPHYSIOLO, P513
[2]
Evaluation of extracranial vertebral artery dissection with duplex color-flow imaging [J].
Bartels, E ;
Flugel, KA .
STROKE, 1996, 27 (02) :290-295
[3]
Brandt T, 2002, STROKE, V33, P657
[4]
PROVOKABLE BILATERAL VERTEBRAL ARTERY COMPRESSION DIAGNOSED WITH TRANSCRANIAL DOPPLER [J].
BRAUTASET, NJ .
STROKE, 1992, 23 (02) :288-291
[5]
VERTEBROBASILAR ISCHEMIA AFTER NECK MOTION [J].
FRISONI, GB ;
ANZOLA, GP .
STROKE, 1991, 22 (11) :1452-1460
[6]
Jargiello T, 1998, Eur J Ultrasound, V8, P149, DOI 10.1016/S0929-8266(98)00067-6
[7]
ULTRASONOGRAPHIC EVALUATION OF VERTEBRAL ARTERY TO DETECT VERTEBROBASILAR AXIS OCCLUSION [J].
KIMURA, K ;
YASAKA, M ;
MORIYASU, H ;
TSUCHIYA, T ;
YAMAGUCHI, T .
STROKE, 1994, 25 (05) :1006-1009
[8]
Current concepts: Spontaneous dissection of the carotid and vertebral arteries. [J].
Schievink, WI .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (12) :898-906
[9]
DYNAMIC TRANSCRANIAL DOPPLER ASSESSMENT OF POSITIONAL VERTEBROBASILAR ISCHEMIA [J].
STURZENEGGER, M ;
NEWELL, DW ;
DOUVILLE, C ;
BYRD, S ;
SCHOONOVER, K .
STROKE, 1994, 25 (09) :1776-1783
[10]
POSTOPERATIVE BRAIN-STEM AND CEREBELLAR INFARCTS [J].
TETTENBORN, B ;
CAPLAN, LR ;
SLOAN, MA ;
ESTOL, CJ ;
PESSIN, MS ;
DEWITT, LD ;
HALEY, C ;
PRICE, TR .
NEUROLOGY, 1993, 43 (03) :471-477