home Auditorium 7 Hypoplasia of the vertebral artery: signs, treatment, consequences. Narrowing of the left vertebral artery or right

Hypoplasia of the vertebral artery: signs, treatment, consequences. Narrowing of the left vertebral artery or right

Among the many existing pathologies, narrowing vertebral artery stands out in that it can be congenital or acquired in nature. The term stenosis is commonly used for narrowing of the vertebral arteries. In addition to narrowing of blood vessels, this term can mean their blockage or partial blockage.

Such pathology of the vertebral artery can cause coronary artery disease and cerebral stroke in the future. Ambiguity therapeutic methods complicated by the fact that in the early stages of the disease it is quite difficult to identify accompanying symptoms.

Reception medications is able to alleviate the patient’s condition only in 35-45% of cases. The improvement in condition is temporary and short-lived. Full recovery occurs only as a result of surgical intervention.

What kind of disease

Literally, as a result of disturbances, stenosis leads to difficulty in blood flow, and the overall intensity of supply of nutrients and oxygen to the brain flow decreases.

Signs of narrowing of the left vertebral arteries make themselves felt after the internal space of the vascular cup narrows by more than 50-55%.

Symptoms

Since the task of the vertebral arteries is to provide at least 35-45% of the total blood supply to the brain, narrowing of the lumen causes chronic failure.

A prolonged decrease in blood flow is indicated by the following symptoms:

Periodic headaches - migraine crises occur mixed with dizziness, as well as a decrease in vision clarity.
Pain in the lumbar region is one of the primary symptoms of spinal vascular stenosis. Exacerbation occurs during walking and when physical activity.
Numbness of the limbs. With exacerbation of pathology and progression of narrowing of the distal section, a syndrome appears restless legs(noticeable pins and needles sensation), muscle weakness and tingling.
Increased blood pressure - pressure increases due to the body’s spontaneous attempts to establish normal blood supply to the brain.

Main reasons

There are three main reasons for the development of vertebral artery stenosis:

Congenital factor - a predisposition at the genetic level leads to congenital changes in the structural structure of blood vessels. If the disease does not progress to acute phase, people with a similar diagnosis continue to live full life.
Acquired factor - can be attributed to the main reason causing the need to treat narrowing of the vertebral artery. A blocked blood vessel condition can cause diabetes, atherosclerosis and various metabolic disorders.
Traumatic factor - the artery narrows due to force (fracture, bruise, hematoma). Definitely recommended surgical intervention, eliminating the causes of blockage.

Danger of disease

It is worth judging the danger of a disease based on its location pathological changes. Acute stenosis of the right vertebral artery threatens with a stroke, and death is not excluded.

The progressive form of the disease is the main factor for confirming disability. Regardless of whether there was surgical intervention, the patient late stages stenosis is determined by the disability group.

Variety

Therapeutic options and possible consequences diseases largely depend on the site of its localization.

Before choosing therapeutic methods, it is necessary to undergo differential diagnosis. This procedure will show a more accurate reason for the development of deviations, indicate the real phase and form of the disease. When determining the feasibility of surgical intervention, the main classifier is the degree of development of stenosis.

Treatment methods

Basically, one of three methods of combating the disease is used. In some cases it is possible joint use two methods of treating spinal vascular stenosis.

Drug therapy

The method is based on purpose and application vascular drugs, helping to maintain strength and elasticity. Also appointed medicines to control blood pressure, thin the blood and reduce blood clots. Along with medications, courses are prescribed physical therapy, manual therapy and hirudotherapy are also indicated.

Surgery

This procedure is aimed at surgical correction to eliminate traumatic complications and disorders in the structure of the spine. Stenosis can also be treated with stenting. A reinforced metal frame is placed in the artery, which prevents further rupture and narrowing of the vascular bed. Stents are designed for an average of 15 years of successful functioning. To reduce the risk of rejection, the steel frame is coated with special plastic.

Traditional methods of treatment

Such methods have not yet found recognition among representatives official medicine. But, according to the available data, medicinal decoctions and tinctures help normalize vascular tone, restore specified blood circulation parameters and regulate blood pressure. As a prophylactic used for narrowing vascular systems vertebral arteries, folk remedies look pretty effective.

To determine optimal type therapy, the appropriate specialist issues a referral for several diagnostic procedures. One of the most informative and reliable methods for obtaining a full-scale picture of pathological changes is recognized duplex scanning certain arteries. As an additional option, an MRI of the area of stenosis may be prescribed.

The final decision on treatment methods should be made by the attending physician together with the patient. If the patient complains of regular dizziness, chronic lack of air, general weakness and irritability, and vasoconstriction is determined to be at least 70%, then these signs are serious reason to perform a surgical operation.

Vertebral artery stenosis is a disease that can be either congenital or acquired. The most common and serious complications in this case are coronary heart disease and stroke. And the difficulty of treating such a pathology is that first initial stages There are almost no symptoms at all.

The term itself means nothing more than a blockage, obstruction or narrowing of blood vessels. As a result, there is a violation of blood flow, as a result of which the brain receives an insufficient volume of blood, and therefore oxygen and nutrients. The first signs begin to appear when the narrowing of the artery reaches 50%, and even with a lack of 40% of the total blood supply, chronic failure, which manifests itself with the following symptoms:

Headaches accompanied by dizziness, loss of visual acuity and clarity. Moreover, it is impossible to relieve the pain syndrome with analgesics or other drugs.
Lower back pain. This is one of the main symptoms of narrowing of the spinal vessels. The intensity becomes maximum when walking, during physical activity, and the pain does not disappear even at rest. A pose in which the back is tilted forward helps to reduce it.
Numbness of the extremities, which manifests itself in restless legs syndrome, muscle weakness, tingling. Most often, such manifestations disappear after changing body position.
High blood pressure is an attempt by the body to independently compensate for the lack of blood flow to the brain.

All these manifestations mean that pathological changes in the vessels have reached a life-threatening stage for the patient.

Causes

Spinal artery stenosis does not occur without a cause. There are currently three known reasons for its development. In the first case, this is a congenital factor, that is, a genetic predisposition that leads to some congenital abnormalities in the structure of the vessel. If the disease does not progress, then people with such pathologies can live for many years without limiting themselves in anything.

The second reason is an acquired factor. This is the very reason that requires mandatory treatment. Diabetes mellitus and metabolic disorders can cause blockage.

And finally, the third factor is traumatic. Narrowing of the artery can occur due to a fracture, bruise, or hematoma. In this case it is mandatory surgery.

How dangerous

In the presence of symptoms, the prognosis of vertebral artery stenosis is extremely unfavorable. A progressive form is always a reason for disability. But the treatment will completely depend on where exactly the pathology is localized.

The estuarine form is always emotional disturbances that can be expressed in panic attacks, photophobia. The main treatment is surgical; drug therapy is required before surgery.

The subcompensated form occurs as a complication traumatic injury. Drug treatment is not possible, only surgery is necessary. Another fairly common reason is oncology. In this case, most often the patient dies literally within a year.

Vertebrogenic stenosis is also characterized in the sacrum. However, it is not possible to detect any inflammatory processes.

The compensated form proceeds slowly, there are no signs acute onset, there is no need for urgent surgical treatment.

Intracranial stenosis occurs with arterial thrombosis and usually leads to death.

Left extravasal compression stenosis is a consequence of spinal diseases. The cause may be osteochondrosis, hernia, or oncology. After eliminating the causes, blood supply is most often restored to normal volume.

Stenosis of extravasal compression on the right has the same causes as the previous option.

The dynamic type is accompanied by complete or partial occlusion of blood vessels. This is the most life-threatening condition. Medicines can only help overcome the symptoms themselves, but the pathology can only be cured through surgery.

The functional symptom begins to manifest itself only in one position or another of the neck. The basis of the disease is osteochondrosis and other disorders.

Multifocal stenoses have numerous causes. The only way out is angioplasty with replacement of the section of the damaged artery.

Hemodynamically significant stenosis is observed when the vessel narrows by more than 50%.

The decompensated form is one of the most severe, when the narrowing of blood vessels is completely irreversible. The only way out is to completely replace the affected area or create a bypass channel for blood flow.

Treatment of vertebral artery stenosis begins after diagnosis and determination of the type of disease. The most commonly used surgical intervention is drug treatment used extremely rarely.

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Headache, tinnitus, constant fatigue people are accustomed to associate it with stress and an unhealthy lifestyle. But this is how diseases associated with poor blood circulation in the brain manifest themselves. The most common of these is vertebral artery syndrome.

What is vertebral artery syndrome

A network of blood vessels passing through the human axial skeleton continuously supplies the brain with blood. Vertebral artery syndrome is a complex of symptoms associated with impaired blood flow in one or two arteries of the same name. Formally, it is not considered an independent disease, but it indicates that destructive changes are occurring in the spine and circulatory system. The nutrition of the arterial basins of the spinal cord is impaired due to the asymmetry of the vessels in this disease. There are 3 types of the disease:

ischemic spa;
dystonic spa;
irritative spa.

Ischemic RAS is dangerous due to morphological changes in brain tissue. arise acute disorders blood circulation, the vertebrobasilar area begins to be affected. Changes may be reversible or provoke ischemic stroke. The angiospastic variant of the disease develops due to reflex spasms caused by irritation of receptors in the area of the damaged segment. The irritative state is provoked by irritation of the periarterial sympathetic plexus near a pinched artery.

Vertebral artery syndrome - causes

The appearance of the disease is due to the anatomy of the cervical vertebrae and circulatory system. The vertebral arteries emerge from subclavian arteries, and then go upward, passing through the openings of the transverse processes of the sixth cervical vertebra. The arteries ascend to the brain through all the vertebrali located above. The functionality of the blood vessels depends on the structure of the spine, so the main causes of vertebral artery syndrome are narrowing of the canal inside the vertebrae due to injury or salt deposits.

On the part of the circulatory system, the development of the disease is facilitated by spasms and asymmetry of blood vessels, intracranial atherosclerosis, and genetic abnormalities in development of cardio-vascular system. Vertebral syndrome provokes osteochondrosis, scoliosis, and displacement of the discs of the cervical spine as a result of heavy load. Incorrectly selected bedding can accelerate the development of the disease.

Vertebral artery syndrome - symptoms

It is difficult to recognize the disease without a full medical diagnosis. The main symptom of the disease is the appearance of throbbing pain in the back of the head. In some patients, it concentrates in the temples and bridge of the nose. One of the features of the disease is the unilateral localization of pain. All patients experience asymmetry of blood flow before entering the skull. In the initial stages, patients suffer from mild vestibular ataxia caused by a decrease in oxygen and nutrients. Later, the following symptoms of vertebral artery syndrome appear:

Vestibulo-atactic syndrome appears if there is a strong asymmetry of blood flow. When turning the head, the patient feels nauseous, his vision becomes dark, and dizziness occurs. This symptom is expressed by imbalances. Vertebrogenic pain appears, radiating to the limbs. Hyperfusion is replaced by hypoperfusion, extravasal compression develops with sympathetic pain in the lower part of the spine, affecting blood circulation in the occipital region.

Vertebral artery syndrome - diagnosis

The symptoms of the disease are similar to those of migraine, which complicates its identification. Diagnosis of vertebral artery syndrome begins with interviewing the patient. At this stage, the doctor must identify a group of symptoms characteristic of SPA. When pressing on the left and right transverse processes of the cervical vertebrae, the patient experiences discomfort. Along with pain, excessive tension in the neck muscles appears. To confirm the diagnosis, the doctor prescribes:

Dopplerography of extracranial vessels (USDG);
CT/MRI of the spine;

These techniques allow you to determine the diameter of the vessels, the degree of narrowing and its location (right or left). Using Doppler ultrasound, it is possible to diagnose the non-straightness of the arteries. CT and MRI will reveal vertebral artery stenosis in early stage. The transcript of the hardware test will indicate the ICD code and short description illness. If the disease is not treated or the wrong therapy is chosen, the patient will face the following consequences:

circulatory disorders of a small or large segment of the brain;
neurological disorders (short-term loss of vision, numbness of the limb, etc.);
destruction bone tissue due to a narrowed vertebra;
stroke.

Vertebral artery syndrome - treatment

The therapy is complex, combining medications and physical methods impact on the affected area. Treatment of vertebral artery syndrome with cervical osteochondrosis during exacerbation of the disease requires wearing orthopedic collar Shantsa. It is selected by the doctor based on the etiology of the disease. The compression collar reduces the load on the posterior cervical spine. If vestibulo-cochlear syndrome is accompanied by impaired blood flow to the brain, the patient is hospitalized.

Exercises for vertebral artery syndrome

Therapeutic gymnastics is prescribed to patients after a course of massage. The first lessons are held with an instructor. He explains exercise techniques to patients. There should be no unpleasant sensations during gymnastics. All exercises are done smoothly and softly; sharp jerks and turns are contraindicated. Classes should be temporarily stopped if an exacerbation of the disease begins. Exercises for vertebral artery syndrome:

turning the head to the sides (up to 10 times);
tilting the head back and forth (up to 10 times);
shoulder lift (5 times);
circular movements of the head (up to 10 times);
displacement of the head back and forth on one plane (up to 10 times);
moderate back pressure with your hand in different directions (up to 10 times).

Massage for vertebral artery syndrome

Manual therapy used to improve the health of the entire human body, and blood vessels are no exception. Massage for vertebral artery syndrome is carried out in a hospital by a specialist, because implies stretching axial skeleton humans and direct impact on cervical vertebrae. Relief occurs after 5-6 procedures. Patients are recommended to undergo massage courses 2-3 times a year.

Drugs for vertebral artery syndrome

Doctors prescribe medications that increase the speed of energy processes inside the brain. They prevent cell death and restore nerve endings. The doctor selects medications for vertebral artery syndrome and their dosage regimen based on clinical picture patient. Self-prescribing neuroprotectors and nootropics is prohibited. In addition to medications that accelerate neural metabolism, those diagnosed with PA syndrome are prescribed:

swelling-reducing anesthetics;
anti-inflammatory medications;
drugs that enhance cell regeneration;
drugs that affect the entire metabolism.

Blockage in vertebral artery syndrome

The procedure helps to instantly eliminate neck pain. In 70% of cases, doctors prescribe novocaine or lidocaine blockade for vertebral artery syndrome. Antispasmodics and glucocorticoids are added to the mixture of drugs. Relief comes from lockdown nerve endings. The impulse stops flowing into cell receptors, due to which the unpleasant sensations disappear. The blockade is contraindicated if the patient:

severe deformations of the cervical spine are observed;
chronic osteochondrosis;
disc jamming;
allergic reaction for drugs.

It is not possible to completely eliminate cervical artery syndrome using a blockade: it is a temporary measure in the fight against the disease. The introduction of novocaine relieves swelling and improves metabolic processes inside the cartilage, so doctors combine this procedure with injections of chondroprotectors. It is permissible to use the blockade in courses for each exacerbation of the disease. If the pain is severe and constant, the patient is referred for surgery.

Prevention of vertebral artery syndrome

Healthy daily exercise and good rest will become better protection from illness. If during work you keep your neck and head in one position for a long time, do not forget about therapeutic exercises. Every 60 minutes, gently move your head and shoulders in different directions. Prevention of vertebral artery syndrome includes rest and treatment in sanatoriums specializing in neurology. People with a genetic predisposition to diseases of the cardiovascular system and spine are advised to undergo courses of massage of the neck and adjacent areas several times a year.

Video: vertebral artery syndrome - can it be cured?

What is vertebral artery syndrome and does it exist? effective ways people who have been given a similar diagnosis are interested in treatment. Vertebral artery syndrome is symptoms resulting from circulatory problems in the brain due to pinched vertebral arteries.

Until recently, SPA was found only among older people. Now this pathology is diagnosed even in twenty-year-old youth. Left-sided syndrome develops more often. This situation is due to the fact that the left artery arises from the aorta, and the right artery arises from the subclavian artery.

As a result of degenerative-dystrophic changes in the spine, pinching of the vertebral artery and narrowing of its lumen are observed. As a result, the brain does not receive the required amount of nutrients and oxygen, which leads to the development of hypoxia - oxygen starvation.

The vertebral, or vertebral, arteries carry only 30% of the blood to the brain (they also supply spinal cord), the bulk of nutrients and oxygen enters through the carotid arteries.

Therefore, in most cases, vertebral artery syndrome does not pose a serious threat to life, but can still lead to many problems. It can cause vegetative-vascular dystonia, cerebral hypertension and disability.

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Causes

Various factors can cause vertebral artery syndrome. They can be divided into 3 large groups:

Congenital anomalies in the structure of the artery (kinks, severe tortuosity);
Diseases leading to a decrease in the lumen in the artery (arthrosis, atherosclerosis, arthritis, Kimmerly anomaly, embolism, thrombosis);
Compression of the artery due to the development of osteochondrosis, scoliosis, pathological bone structure, muscle spasms, the presence of tumors in the neck area.

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According to another classification, the reasons are:

Vertebrogenic (they are associated with the spine): intervertebral hernia, degenerative-dystrophic changes associated with osteochondrosis, proliferation of osteophytes caused by spondylosis, inflammatory processes in facet joints, vertebral injury;
Nonvertebrogenic (not associated with the spine): atherosclerosis, narrowing of the lumens of blood vessels due to their hypoplasia (underdevelopment), excessive tortuosity of blood vessels, spasms.

Sudden head movements (bending and turning) and sedentary lifestyle life. To cure the syndrome, you must first eliminate its cause.

Symptoms

Symptoms of vertebral artery syndrome may be similar to other diseases. These include:

Headache - usually one-sided, can be throbbing or burning, worsens after walking, running, riding in public transport, sleeping on your back;
Nausea and vomiting that does not alleviate the general condition;
Disturbances or loss of consciousness;
Numbness of the face;
Visual – sudden severe pain in the eyes, dryness, periodic appearance“fog” or “floaters”, transient weakening of visual acuity;
Auditory and vestibular disorders– periodic deterioration of hearing, the appearance of tinnitus, dizziness, pulsation in the head;
Signs of malfunctions in the cardiovascular system: unstable blood pressure, angina attacks;
Brain disorders accompanied by impaired balance, unintelligible speech, changes in handwriting,.

Diagnostics

The effectiveness of therapy depends on timely diagnosis. Therefore, before treating the pathology, the patient is sent for a comprehensive examination. If vertebral artery syndrome is suspected, diagnosis includes:

Studying patient complaints and medical history;
Neurological examination;
X-ray of the cervical spine - detects pathological changes in the atlanto-occipital joint;
Duplex scanning of arteries - shows abnormalities in the vessels, determines their patency;
Angiography of arteries - measures the speed of blood flow and the diameter of blood vessels, identifies the location of pathologies;
Dopplerography - determines blood flow disturbances, examines the patency of blood vessels, the nature of blood flow and its speed;
Magnetic resonance or computed tomography cervical spine – detects abnormalities in the spine;
Magnetic resonance imaging of the brain - evaluates the supply of oxygen and oxygen to brain cells nutrients, establishes the cause of circulatory disorders, shows the localization of pinching.

Therapeutic methods are selected for each patient individually based on the results of a diagnostic examination.

Treatment methods

If vertebral artery syndrome is diagnosed, treatment should be comprehensive. It is aimed at eliminating pathologies in the cervical spine and normalizing the lumen of the artery.

Treatment includes:

Conservative methods

For drug therapy of the syndrome, the following is used:

Non-steroidal anti-inflammatory drugs (nimesulide, aceclofenac, ibuprom, meloxicam, Celebrex, celecoxib) - relieve pain, relieve inflammation, prevent the formation of blood clots;
Muscle relaxants (tolperisone, mydocalm, baclofen, drotaverine, known as no-spa) - relieve increased muscle tone, relieve cramps;
Vasoactivators (cinnarizine, agapurine, trental, nicergoline, cavinton, vinpocetine, instenon) - dilate arteries, activate blood circulation in the brain;
Venotonics (troxerutin, diosmin) – improve venous outflow;
Angioprotectors (diosmin) restore the functionality of arteries;
Neuroprotectors (gliatilin, somazina, sermion) – protect the brain from adverse factors, prevent damage to neurons;
Antihypoxants (Mexidol, Actovegin) – prevent the development of hypoxia by regulating energy metabolism;
Nootropics (lucetam, piracetam, thiocetam) - improve brain functioning, elevate mood;
Medicines that restore metabolism in nerve cells(gliatilin, glycine, citicoline, piracetam, Semax, Cerebrolysin, Mexidol, Actovegin);
Medicines that normalize metabolism throughout the body (thiotriazoline, trimetazidine, mildronate);
Vitamins belonging to group B (milgamma, neurovitan, neurobion) improve the nutrition of neurons.

If necessary, symptomatic treatment is prescribed:

Antimigraine drugs (sumatriptan) – used for migraine attacks;
Drugs that eliminate dizziness (betaserc, betahistine);
Calming medications;
Antidepressants.

Will effectively complement drug therapy physiotherapeutic procedures:

Acupuncture relieves pain and relieves neurological disorders. Specially selected exercises will help strengthen the muscle corset. Swimming will have a beneficial effect on the body's condition.

Massage activates blood circulation, which helps fill the brain with oxygen. But any manual procedures must be carried out by a specialist. Otherwise, massage can aggravate the situation, causing irreparable harm body. If it is not possible to contact a professional massage therapist, then at home you can use a roller massager.

Orthopedic treatment involves the use of special bedding. For osteochondrosis, it is recommended to wear a Shants collar. To remove pain syndrome They use wool scarves and ointments containing snake and bee venom.

Attention should be paid proper nutrition to provide the body with everything essential vitamins and minerals. It is recommended to include currants, cranberries, chokeberry, sea buckthorn, prunes, nuts, beans, freshly squeezed juices. It is necessary to completely abandon alcoholic drinks, since they increase hypoxia.

Typically, treatment of vertebral artery syndrome is carried out in outpatient setting. But in severe cases hospitalization is required.

Surgery

When conservative techniques, turn out to be ineffective, and the lumen of the artery narrows to 2 millimeters, surgical intervention is recommended.

In specialized centers of vertebrology and neurosurgery, operations on the arteries are performed using minimally invasive methods using an endoscope. In this case, it is enough to make a small incision, less than two centimeters, which reduces injury to the body, prevents damage to nearby organs, and shortens the rehabilitation period.

During surgical intervention Pathological bone growths are removed, the pinched artery is cut out at the site of narrowing and its plastic surgery is performed. The effectiveness of surgical treatment reaches 90%.

Prevention

To avoid having to treat vertebral artery syndrome, it is better to prevent the development of pathology. To do this, you should conduct active image life, sleep on a comfortable bed (best on orthopedic mattresses and pillows). At professional activity, which requires the neck to be in one position (for example, working at a computer), it is recommended to periodically do exercises for the cervical spine. When unpleasant symptoms You should immediately consult a doctor.

Your feedback on the article

Congenital or acquired vertebral artery stenosis is pathological disorder, leading to coronary disease and cerebral stroke. The difficulty of therapy is that early stages The disease has virtually no symptoms.

Drug treatment brings relief only in 30-40% of cases. Positive effect Prescription of drugs is temporary. Complete cure possible only after surgery.

What is spinal stenosis

Literally, the term stenosis refers to a blockage, blockage, or narrowing of a blood vessel. As a result of the disturbances, blood flow becomes difficult and the intensity of the supply of nutrients and oxygen to the brain decreases.

Signs of stenosis of the left vertebral artery canal begin to appear after the internal cavity of the vessel narrows by more than 50%.

Since the vertebral artery provides about 35-40% of the total blood supply to the brain, chronic failure occurs, evidenced by characteristic symptoms:

Headaches - migraine crises are accompanied by dizziness and loss of vision clarity. The pain syndrome is not relieved with conventional analgesics.
Lower back pain is one of the first symptoms of spinal vascular stenosis. The intensity worsens during walking and physical activity. The pain does not go away when stopping or at rest. A decrease in pain is observed when the back is tilted forward.
Numbness of the limbs. With the development of pathology and continued narrowing of the distal section, restless legs syndrome (pins and needles sensation) is observed. muscle weakness, tingling. Usually, the discomfort goes away when changing body position, especially when bending forward.
An increase in blood pressure occurs due to the body’s independent attempts to ensure normal blood supply to the brain. With prolonged hypertension, symptoms characteristic of arterial hypertension are observed: decreased visual acuity, impaired motor coordination, etc.

Appearance clinical manifestations indicates that pathological changes have become life-threatening for the patient.

There are three main causes of vertebral artery stenosis:

Congenital factor - genetic predisposition leads to congenital disorders in the structure of blood vessels. If the disease does not progress, people with such stenosis live a full life, with virtually no restrictions.
The acquired factor is one of the main reasons why treatment of vertebral artery stenosis is required. Blockage of blood vessels can be caused by diabetes and metabolic disorders.
Traumatic factor. Narrowing of the artery occurs due to bruise, fracture, or hematoma at the site of injury. Surgical treatment is required to eliminate the causes of artery blockage.

How dangerous is the disease?

The prognosis of the disease is extremely unfavorable and mainly depends on the localization of pathological changes. Critical stenosis of the right vertebral artery leads to stroke and death is possible.

The progressive form of the disease is a criterion for disability. Regardless of whether it was carried out surgical treatment, a patient in the later stages of stenosis is placed on a disability group. Disability may be prescribed taking into account the consequences of stenosis (stroke, etc.)

Treatment methods for the disease and the consequences of stenosis largely depend on its location.

Before prescribing treatment methods, it is necessary to carry out differential diagnosis, to determine the exact cause of the development of disorders, the degree of development and form of the disease. Classification of the degree of stenosis plays important role in determining the advisability of prescribing a surgical operation.

What methods are used to treat the disease?

There are three main areas of treatment for spinal vascular stenosis.

To prescribe the optimal type of therapy, the attending physician refers to several diagnostic procedures. One of the most informative ways to obtain a complete picture of pathological changes is duplex scanning of the arteries. In addition, an MRI of the stenosis may be required.

Ultimately, the decision of what to treat depends on the patient himself. If the patient has constant dizziness, chronic lack of air, vasoconstriction over 70%, are absolute indications to perform a surgical operation.

What diet is optimal for treatment

Therapeutic diet is aimed at overcoming the causes of narrowing of the arteries. There is no specially designed diet. Patients are recommended to use one of the diets designed to combat pathologies of the cardiovascular system.

You will need to exclude from the diet: fatty and high-calorie foods, sweets, flour. Instead, you should consume as much as possible more fish(any variety), fruits and vegetables. You should be careful when drinking alcohol, coffee and tea.

It has been observed that losing just a few kilograms of weight reduces the risk of rapid development of stenosis due to atherosclerosis. Therapeutic gymnastics is one of the the best ways normalize the patient's weight.

Although many developments have recently appeared aimed at overcoming stenosis, so far the only method of combating a disease that has high efficiency, surgery remains.