Clinincal variants of trancient neurological deficit in patients with the neck osteochondrosis.

I. S. Zozulia; V. G. Nesukai

doi:10.26641/2307-0404.2018.2.133942

Авторы

I. S. Zozulia https://orcid.org/0000-0002-8496-9876
V. G. Nesukai

DOI:

https://doi.org/10.26641/2307-0404.2018.2.133942

Ключевые слова:

vertebral basilar system, transient ischemic attacks, neck osteochondrosis, clinical syndromes

Аннотация

With the purpose of studing frequency and variability of clinical symptoms there were observed 130 patients after transient ischemic attack (TIA) in a vertebrobasillar pool (VBP) on a background of neck osteochondrosis, verified from MRI, CT data or sciagraphies of the neck portion of the spine with functional tests. The analysis did not include patients with the signs of acute or past chronic stroke. After systematization of complaints and symptoms four clinical syndromes were selected: ophthalmic (OPS), vestibuloatactic (VAS), cochleovestibular (CVS) and local neurological symptoms (LNS) among which VAS and CVS appeared in 27.9 and 31.2% of young patients, respectively, and in 33.3 and 27.3% of the elderly ones. In patients with OPS, visual impairment was more frequent (in 63.6% of patients) and predominantly in women with a frequency of 62.5%, in patients with VAS - dizziness, which occurred in 74.2% of women and 90.0% of men, with CVS - noise in the ear (68.4%) without a gender difference, in patients with LNS the frequency of hemiparesis/hemiplegia was 34.5% and prevailed in patients of the older age group (50.0 versus 15.4% in young patients).

Биографии авторов

I. S. Zozulia

Shupyk National Medical Academy of Postgraduate Education Dorogozhytska str, 9, Kyiv, 04112, Ukraine

V. G. Nesukai

Kyiv Clinical Hospital N 8Kondratyuka str., 8, Kyiv, 04201, Ukraine

Библиографические ссылки

Antomonov YuK. [Mathematical treatment and analysis of medico-biological data]. 2^nd ed., Кyiv. 2018;579. Russian.

Grey M, Ailinani JM. [CT and MRI pathology]. МЕDpress-inform. 2017;456. Russian.

Lin YuK, Escott ED, Garg KA, Bleiher EG, Alexander D. [Differential Diagonosis in CT and MRI]. Medical literature. 2017;368. Russian.

ZinchenkoOM, Mishchenko TS. [The state of neurological service in 2015]. 2016;23. Ukrainian.

Zozulia IS, Nesukai VH. [Transitory Ischemic Attacks in Vertebral-Basilar System Caused by Cervical Spine Pathology]. Mistetstvo likuvannya. 2013;6:4-10. Ukrainian.

Mironenko TV, Vitayeva OD. [Clinical and diagnostic characterictics of transient ischemic attacks on the background of cervical spine pathology]. Practichna angiologiya. 2012;7-8:35-41. Russian.

Мishalov VG, Yakovenko LM,CherniakVA.[Age-dependent analysis of clinical variants and forms of vertebral artery syndrome in patients with extravascular compression in segment V1-V2]. Serce I sudini. 2011;2:57-64. Ukrainian.

Castle J, Mlynash M, Lee K, et al. Agreement regarding diagnosis of transient ischemic attack fairly low among stroke-trained neurologists. Stroke. 2010;41:1367-70.

Wu CM, McLaughlin K, Lorenzetti DL, et al. Early risk of stroke after transient ischemic attack: a systematic review and meta-analysis.Arch Intern Med. 2007;67:2417-22.

Ringleb PA, Bousser MG, Ford G, et al. European Stroke Organisation (ESO) Executive Committee, ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack Cerebrovasc Dis. 2008;25(5):457- 507.

Prabhakaran S, Silver AJ, Warrior L, et al. Misdiagnosis of transient ischemic attacks in the emergency room. Cerebrovasc Dis. 2008;26:630-5.

Ranta A, Barber PA. Transient ischemic attack service provision: A review of available service models. Neurology. 2016;86:947-53.

Rothwell PM. Stroke research in 2016: when more medicine is better, and when it isn't. The Lancet Neurology. 2017;16(1):2-3.

Nadarajan V, Perry RJ, Johnson J, et al. Transient ischaemic attacks: mimics and chameleons. Pract Neurol. 2014;14:23-31.