Radiography and complex ultrasound scanning: optimal screening methods in diagnosis of vertebrogenic changes in vertebral arteries at cerebrovascular blood flow disorders
Keywords:vertebrogenic changes of vertebral arteries, cerebrovascular circulation disorder, posterior basin, stenosis, ultrasound scanning
Introduction. Number of causes of cerebral vascular pathology justifies the necessity for a balanced application of modern instrumental complex in patients with cerebral blood flow disorders. However, more frequently practitioners exclude radiography and complex ultrasound scanning – methods of primary screening of high informativity, and begin the study with expensive methods such as MRI and SCT.
Methods. The results of complex survey of 103 patients with ischemic circulation disorders in posterior basin due to vertebrogenic stenosis of vertebral artery were analyzed. We studied the results of cervical radiography and complex ultrasound scanning in the diagnosis of blood flow pathology.
Results. According to data of radiography of cervical spine we found no difference between clinical diagnosis and results of radiography. Complex ultrasound scanning of vessels of cervical spine showed its high informativity in diagnosis of extravasal compression of vertebral artery, which allowed us not only to define the strategy of further diagnosis with additional neurovizualizing techniques, but also to treat stenosis of vertebral artery.
Conclusions. Radiography and complex ultrasound scanning is the optimal method of high informativity for screening of vertebrogenic changes of vertebral arteries, cerebrovascular blood flow disorders. The data obtained, allowed us to define precise indications for MRI, SCT scanning, provided proper information for further treatment.
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