Naslov
Functional Transcranial Vertebrobasilar Doppler on Cervicogenic Haedache

Autori
Kadojić, D., Kadojić, M., Čandrlić, M., Buljan, K., Palić, R., Dikanović, M.

Izvornik
Liječnički Vjesnik (1330-4917) 126 (2004), SUPPL2;

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, kongresno priopcenje, znanstveni

Ključne riječi
Functional Transcranial Doppler :cervicogenic haedache

Sažetak
We analysed haemodynamic changes in vertebrobasilar (VB) arteries and radiological findings in patients with cervicogenic headache (CH). In 50 patients (42 women and 8 men, aged 20 to 60), standard and functional radiographs of cervical spine and transcranial Doppler sonography (TCDS) of VB-arteries (studied in standard head position, in maximum ventro - and dorsiflexion, right and left rotation) was performed. Standard radiographs verified cervical spine degenerative changes in 78% (mostly mild intensity and C4-C7 localisation), and straightening of physiological lordosis in 58% of patients. Functional radiographs verified abnormalities in 34% of patients, mostly instability (11 patients), hypomotility (5 patients), congenital block (1 patient). Intensity and localisation of radiological findings are not typical for CH. Functional TCD of VB was abnormal in 78% of patients. On the ground of the TCDS, compressive cervical syndrome was diagnosed in 28.2% vasospasm in 51.3% atherosclerotic changes in 10.25% and combination of atherosclerotic and compressive changes in 10.25% of patients. Neuropsychological testing showed high level of neuroticism in 40% and VAS evaluation of pain showed a strong pain in 60% of patients. The described functional tests may give useful information in differentiating the pathophysiologic mechanismcs of CH in routine clinical diagnostics in small neurological centres.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA