Agramonte VN, García GO, Cutiño CI, Rizo RR, Sánchez HME

Language: Spanish
References: 20
Page: 1073-1079
PDF size: 915.22 Kb.

ABSTRACT

A quasi-experimental study of 52 patients with vertebrobasilar failure, assisted in "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba was carried out from September to March, 2014, in order to determine the effects of the cervical rotation maneuvers in the blood flow at the level of the extracraneal vertebral arteries. Among the analyzed variables there were: age, sex, maneuver of cervical rotation and final diastolic speed. The mean and proportions were used as summary measures, as well as the Friedman statistical Chi squared test, with a significance level of 0,05. The 45-54 years affected patients prevailed in both sexes. The cervical rotation maneuvers led to a decrease in the final diastolic speed of the vertebral arteries and reduced the extracraneal vertebral arterial blood flow.

REFERENCES

1. Hoch D, Zieve D. Trastornos circulatorios vertebrobasilares. Información General. School Departmen Neurology, Massachussets. 2008; 2(1): 1-5.

2. Krebs CA, Giyanani VL, Eisenberg RL. Doppler color. Madrid: Marbán; 2001. p. 21-113.

3. Netter F, Craig J, Perkins J. Principles of Anatomy and Physiology. 13 ed. United States of America: John Wiley and Sons; 2012. p. 834-5.

4. Ficsh Adam. Arterial Supply to The Central Nervous System. En: Neuroanatomy. New York: Oxford University Press; 2009. p. 327-43.

5. Roca Goderich R, Smith Smith VV. Enfermedades cerebrovasculares. En: Roca Goderich R, Smith Smith VV, Paz Presilla E, Losada Gómez J, Serret Rodríguez B, LLamos Sierra N. Temas de Medicina Interna. 4 ed. La Habana: Editorial Ciencias Médicas;2006. t2. p. 384-97.

6. Maya Entenza CM, Grondona Torres F, Gallardo Ríos MR. Ataques transitorios de isquemia del territorio vertebrobasilar: caracterización clínica evolutiva. Rev Cubana Med. 2006[citado 3 Jun 2015]; 45(2).

7. Shuaib A, Butcher K, Mohammad AA. La circulación colateral en el accidente cerebrovascular agudo. Lancet Neurol. 2011; 10: 909-21.

8. Kozar - Hurina OM. Relationship of indices of cerebral blood flow and reflex manifestations in patients with cervicogenic vertebrobasilar insufficiency. Lik Sprava. 2013;(4):76-81.

9. Mitchell JA. Changes in vertebral artery blood flow following normal rotation of the cervical spine. J Manipulative Physiol Ther. 2003; 26(6): 347-51.

10. Mitchell J. Vertebral artery blood flow velocity changes associated with cervical spine rotation: a meta-analysis of the evidence with implications for professional Practice. J Man Manip Ther. 2009; 17(1): 46-57.

11. 11.Bowler N, Shamley D, Davies R. The effect of a simulated manipulation position on internal carotid and vertebral artery blood flow in healthy individuals. Man Ther. 2011; 16: 87-93.

12. Dargon PT, Liang CW, Kohal A, Dogan A, Barnwell SL, Landry GJ. Bilateral mechanical rotational vertebral artery occlusion. J Vasc Surg. 2013;58(4): 1076-9.

13. Alnaami I, Siddiqui M, Saqqur M. The diagnosis of vertebrobasilar insufficiency using transcranial Doppler ultrasound. Case Rep Med. 2012; 2012: 894913.

14. Shchedrenok VV, Zakhmatova TV, Sebelev KI, Moguchaia OV. The role of duplex scanning in diagnosing extravasal compression of vertebral arteries in degenerative diseases of the cervical part of the spine. Vestn Khir Im I I Grek. 2011; 170(5): 38-40.

15. 15.Bosch Ramírez R, Robles Martínez-Pinillo JA, Aponte Pupo B. Epidemiología de la enfermedad cerebrovascular en la Isla de la Juventud, 2006-2009. Rev Cubana Med. 2010 [citado 3 Jun 2015]; 49(4).

16. Mesa García FH, Scherle Matamoros CE. El ultrasonido Doppler espectral en el diagnóstico de la insuficiencia vertebrobasilar posicional. Rev Cubana Neurol Neurocir. 2013; 3(1): 26–9.

17. 17.González Casanova E, García Cabrera R, Rodríguez García-Casariego M. Factores de riesgo de las enfermedades cerebrovasculares en el municipio Ciego de Ávila. Enero-mayo de 2011. MEDICIEGO. 2013 [citado 3 Jun 2015]; 19(1).

18. Appelros P, Stegmayr B, Terent A. Sex differences in stroke epidemiology: a systematic review. Stroke. 2009; 40(4): 1082-90.

19. Dravert NE. Characteristics of cerebral hemodynamics in patients with the syndrome of vertebral artery. Zh Nevrol Psikhiatr Im S S Korsakova. 2010; 110(1): 20-4.

20. Pérez Llanes R, Ríos Díaz J, Martínez Payá JJ, Del Baño Aledo ME. Análisis ecográfico de las modificaciones en la velocidad del flujo sanguíneo en la arteria vertebral producidas por el movimiento de rotación cervical máxima. Fisioterapia. 2012 [citado 3 Jun 2015]; 34(3).