Ask how left vertebral artery stenosis is treated

l***Q 2012-03-29 12:02:14Description of the condition (onset time, main symptoms, hospital, etc.):

The patient was a 60-year-old female with coronary heart disease and had a heart stent. In the past two years, he has often been dizzy, the back of his head has always ringing, ringing in both days and nights, tinnitus, and severe hearing loss. After having a cardiac stent two and a half years ago, I took Polivix for one year and took aspirin, bosu, isosorbide mononitrate tablets for a long time.

Diabetes for nearly 17 years. With insulin**. Currently glycosylated hemoglobin is around.

The biochemistry field has been normal for three years. Blood pressure is not high.

1. The flat scan display is normal.

2. Cervical angiography diagnosis: the left vertebral artery is slender, except for severe stenosis, and there are no clear signs of stenosis in the carotid arteries seen.

3. Doppler showed that the blood flow velocity of bilateral middle cerebral arteries was increased, the spectrum was disordered, and the vortex murmur could be heard. Conclusion: Bilateral middle cerebral artery stenosis.

Not yet done**.

How to upload: You can take a picture of the inspection report with a digital camera, and click "Upload Image Test Sheet**" below the dialog box to upload it. Dr. Kwok Hongjie A: 2012-03-29 18:

07:47 Cerebral insufficiency caused by vertebral artery stenosis mainly depends on the degree and frequency of the patient's current dizziness. Good luck soon**!

The neck is stiff, and the left and right rotation does not change.

Vertebral artery stenosis is mostly a congenital physiological defect, but there are also stenosis caused by compression of acquired trauma (cervical spine, thoracic spine).

The main symptom is transient cerebral ischemia (instantaneous syncope) or intermittent cerebral ischemia (vertigo, poor vision, nausea, etc.).

In the conventional ** program, Western medicine mostly uses some methods of forced blood supply, such as cibilin, etc.; Traditional Chinese medicine mostly uses methods to improve blood supply, such as leeches, ginkgo biloba, Chuanxiong and other formulas.

This is a symptom that cannot be cured, and it is necessary to do a long-term maintenance plan, and you need to be fully mentally prepared.

Professor Diao Wenjing introduced: Many patients with cervical spondylosis have insufficient cerebral blood supply, dizziness and other symptoms, mainly manifested as dizziness, tinnitus, nausea, and even deafness, dizziness, and inability to see clearly. The main characteristics are nausea and even vomiting, paleness, sometimes sweating, unable to even walk, and need help.

80 vertigo is related to cervical intervertebral joint misalignment, how does vertigo occur? I believe that about 80% of vertigo is related to cervical intervertebral joint misalignment, except for congenital factors such as cranial nerve malformations or organic lesions caused by trauma. The vertebral artery is an important "conduit" in the human body that leads through the cervical spine to the brain and is responsible for blood delivery to the brain.

Any misalignment, hyperplasia and other problems in the cervical spine may damage or affect this blood supply "pipe", which in turn affects the blood supply to the brain. Vertigo is caused by the dislocation of the occipital atlas vertebra and the atlantoaxial intervertebral joint compressing the third segment of the vertebral artery, resulting in insufficient blood supply and oxygen supply to the cerebral basilar artery, at this time, the brainstem, cerebellum, diencephalon and brain are hypoxic and ischemia, and the labyrinth artery and the internal auditory artery are also ischemia and hypoxia, resulting in ear nerve disorders and tinnitus and deafness; At the same time, due to the compression of the upper cervical sympathetic nerve, the cerebral vascular spasm is aggravated, and the cerebral ischemia state is aggravated, so symptoms such as dizziness appear.

On July 18, 2009, the "Diao's Spine of Traditional Chinese Medicine" was jointly organized by the Beijing Municipal Administration of Traditional Chinese Medicine, the Beijing Municipal Health Bureau, the China Medical and Health Development Association, and the China Folk Chinese Medicine Research and Development Association""The launching ceremony and development seminar of the "Cardiac Neurosis" municipal scientific research project was held in Beijing. "Diao's Chiropractic in Traditional Chinese Medicine" is Professor Diao's Pomfret on the basis of inheriting the medical skills of "tendons out of grooves, bone staggered seams" in traditional Chinese medicine, combined with modern medical theories, after decades of clinical practice and systematic theoretical research, formulated the "Diao's Spondylosis Diagnosis Criteria of Traditional Chinese Medicine and Diao's Spondylosis Five-point Manual Reduction Surgery of Diao's Spondylosis in Traditional Chinese Medicine". In clinical practice, two standards are strictly followed, and under the premise of no surgery, no drugs and instruments, the ideal results have been achieved for patients with "vertigo" and "cardiac neurosis", and practice has confirmed that the "Diao's Chiropractic Technique of Traditional Chinese Medicine" is 100% safe in clinical application.

The results of Professor Diao's research on vertigo are: for vertigo diagnosed as being caused by dislocation of the occipital atlantoaxial joint or atlantoaxial joint, the ** rate is 83 and the effective rate is 96. How can it be treated?

That is to use the "Chinese medicine Diao's spine joint five-point one-line manual reduction" to perform manual reduction for the dislocated intervertebral joints. With the correction of the misaligned intervertebral joints, the corresponding tissues and organs reach relative balance, and symptoms such as dizziness will naturally be relieved and eliminated.

Vertebral artery stenosis can occur at any site outside the cranial or intracranial and accounts for 20% of posterior circulation ischemic strokes. Stenosis lesions, particularly at the beginning of the vertebral artery, are not uncommon.

Nearly 1 in 4 ischemic strokes involve the posterior or vertebrobasal circulation. Vertebral artery stenosis can occur at any site outside the cranial or intracranial and accounts for 20% of posterior circulation ischemic strokes. Stenosis lesions, particularly at the beginning of the vertebral artery, are not uncommon.

Angiography studies of a group of 4748 ischemic stroke patients found that 18% of patients had different degrees of stenosis of the proximal extracranial vertebral artery on the left side; It is the second most common site after carotid artery stenosis at the carotid bifurcation. With vascular intimal technology, it is now possible to perform the above stenosis**.

In contrast to carotid artery stenosis, little attention has been paid to the specificity of vertebral artery stenosis**, and experience is markedly inadequate. To some extent, this reflects the difficulty of obtaining vertebral artery imaging data, which in turn restricts the development of targeted **. However, advances in near-proximal imaging techniques and the advent of vertebral artery angioplasty have provided new opportunities for this disease.

Principle The vertebral artery arises from the posterior superior part of the first segment of the subclavian artery. The left vertebral artery directly developed the autonomic arterial arch in 6% of patients. The branches of the vertebral arteries are not always a direct continuation of the parent vessel of the common carotid artery, as is the case with the internal carotid artery, but almost always originate at right angles to the donor vessel.

The vertebral artery is 3 5 mm in diameter and is a very small vessel relative to the subclavian artery, so only a small amount of normal blood flow in the subclavian artery enters the vertebral artery. This anatomical difference is a good explanation for the hemodynamic differences between the carotid and vertebrobasilar cerebral circulation, as well as the tendency to form different types of atherosclerotic plaques. Atherosclerotic plaque lesions located in the vertebral arteries are usually "smooth" and rarely ulcerate due to secondary thrombosis.

This morphological difference between carotid and vertebral atherosclerotic plaques is mainly due to angiography and is supported by very few published pathological data.

The onset of left vertebral artery stenosis is very serious, after the onset of the disease, it seriously damages the patient's health, most patients are prone to nausea and vomiting, and will affect the patient's hearing, induce tinnitus and hearing loss, the patient has unclear vision, and some patients will see double or distorted vision. It is recommended to go to a regular professional hospital as soon as possible.

Your symptoms may have little to do with the vertebral arteries, which most people have a dominant type, with one side being good and one side being bad.

Vertebral artery stenosis can be caused by different causes.

The most common are atherosclerosis, congenital malformations, Takayasu's arteritis, cervical spondylosis, etc.

Through color ultrasonography, you can make a preliminary judgment on **. If ** is not clear, you can see a neurology department first, and ** can be evaluated by the patient's symptoms.

If it is caused by atherosclerosis, it is necessary to control blood pressure and blood lipids, complete other tests to evaluate the blood supply to important organs such as the heart, brain, and kidneys (the degree of damage to these organs is often equal), and oral medication to control it.

Takayasu's arteritis belongs to rheumatology and immunology, and cervical spondylosis belongs to orthopedics.

If the degree of stenosis is important, surgery and stent placement are vascular surgery.

Neurology or Neurointerventional Medicine.

Neurology can use medications to improve symptoms;

Neurointerventional departments can deliver drugs directly into the narrowed vertebral artery through an interventional route, but the cost is higher, so please consider it as appropriate.

What are the symptoms of vertebral stenosis The symptoms of vertebral stenosis mainly affect the blood supply to the brain, dizziness, instability, easy falling, and other symptoms.

<>1. What is vertebral artery stenosis?

Vertebral artery stenosis is a common disease, which refers to the narrowing of the lumen diameter of the main trunk of the vertebral artery and its branches due to various factors, such as tumors, coronary heart disease, congenital dysplasia, etc. It can be treated with drugs and surgery. At present, the disease is a lifelong disease and cannot be **.

Therefore, don't underestimate or don't care about the problems of the spine and cervical spine, often it is too late for problems to occur. The vertebral artery is also very important to us because the spine is connected to innervation systems such as the brain, and if this area is damaged, it can cause many complications.

2. Causes of vertebral artery stenosis.

Atherosclerotic plaque formation leads to vertebral artery narrowing and lumen narrowing, and there are many triggers for the formation of atherosclerotic plaque, including irregular work and rest, long-term intake of fatty foods, long-term alcoholism, smoking, irritable temper, long-term incorrect posture, etc. Vertebral artery stenosis is also a common site for dissection, and decreased blood circulation leads to outbreaks of disease. There is also an acquired incomplete development that leads to diseases in this life, and it is easy to have stroke, cerebral hemorrhage and other diseases.

People who have been engaged in gravity labor for a long time can also cause such symptoms, such as: manual loading and unloading workers, force workers and other people who use more cervical spine parts are easy to induce.

3. How to**.

The method of this disease is divided into drugs and surgery, and the main methods of drugs are: antiplatelet **, intravenous thrombolysis**, you can take aspirin, and during this period, you should strictly control your diet, achieve balanced nutrition, avoid obesity, quit smoking and drinking, exercise appropriately, and avoid emotional agitation. The method of traditional Chinese medicine is the combination of Banxia Baizhu Tianma decoction, Zexiao decoction, Buzhong Yiqi Gui Spleen decoction and Western medicine, and the main surgeries include vertebral endarterectomy, vertebral artery transplacement, vertebral artery bypass, etc.

We can choose whether it is medication or surgery according to the severity of the patient's disease**, and the postoperative risk of general surgery** is greater, and it is easy to cause complications or death.

This is caused by atherosclerosis, because of physical reasons, it may be due to vasculitis, or arterial dissection, and there are many reasons for this condition.

The cause of vertebral artery stenosis is that the cervical spine is diseased, and the cervical spine is displaced, so when the cervical spine is deformed, it will compress the artery, which will cause the narrowing of the artery wall.

It may be caused by arteriosclerosis, this disease is still very serious, and it may not be paralyzed in time.

It may be because of diabetes, high blood pressure, or high blood lipids, so you must be concerned about your physical health.

First of all, tell you that it should be fine!

It's just that the right vertebral artery is limited to localized stenosis, because the human vertebral artery has two left and right arteries, and then converges into a basilar artery, so only one vertebral artery is narrowed, even if even this side has been occluded, because there is contralateral compensation, there are generally no symptoms, and there is no need for surgery or stenting!

Can be taken orally: aspirin for 100 days.

Condition analysis: Suggestions: 1. Try not to tell your mother all about your illness to reduce unnecessary panic.

2. Surgery is a method, but its technology is not mature in China, and the efficacy is not accurate, it can be replaced by one of them, but it cannot solve all the problems, and it is high. In the future, you will also need to take appropriate anticoagulants.

3 Aspirin can be taken. 100 mg once a day. + strong antithrombosis to strengthen the anticoagulant effect and prevent plaque rupture; If necessary, low molecular weight heparin is injected subcutaneously 1-2 times a day to prevent blood clots.

Advice: When dizziness is severe. It can be taken orally, one tablet, 3 times a day to improve symptoms; It can also be used, pethidine needle 20mg, into 250ml of liquid static point, to dilate cerebral blood vessels, improve dizziness symptoms, drip rate 20 drops per minute. Analysis:

Your dizziness is related to narrowing of the right vertebral artery. Usually the right vertebral artery is thinner than the left, and your right vertebral artery is indeed narrow. However, it is not certain that vertigo is 100% caused by stenosis of the right vertebral artery.

I don't know if you have a habit of smoking, arteritis or other immune diseases.

Suggestions: Suggestion: 1 hand closed ascension is a method, but its technique is not mature in our country, and the efficacy is not accurate, it can be replaced by one, but it cannot solve all the problems, and it is high. In the future, you will also need to take appropriate anticoagulants.

2 Aspirin can be taken. 100 mg once a day. + strong antithrombosis to strengthen the anticoagulant effect and prevent plaque rupture; If necessary, low molecular weight heparin is injected subcutaneously 1-2 times a day to prevent blood clots.

3. When the dizziness is severe, the sedan is old. It can be taken orally, one tablet, 3 times a day to improve symptoms; It can also be used, pethidine needle 20mg, into 250ml of liquid static point, to dilate cerebral blood vessels, improve dizziness symptoms, drip rate 20 drops per minute. 4. Control blood pressure, blood sugar, etc.