Open AccessON SURGICAL TREATMENT OF PATIENTS WITH VERTEBROBASILAR INSUFFICIENCY ASSOCIATED WITH KIMMERLE ANOMALY
Author(s) -
Александр Кузьмич Чертков,
Максим Евгеньевич Климов,
М. В. Нестерова
Publication year - 2005
Publication title -
hirurgiâ pozvonočnika
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.138
H-Index - 3
eISSN - 2313-1497
pISSN - 1810-8997
DOI - 10.14531/ss2005.1.69-73
Subject(s) - vertebrobasilar insufficiency , medicine , vertebral artery , foramen , radiology , decompression , etiology , surgery
Patients with vertebrobasilar insufficiency, which are frequent in neurological and neurosurgical practice, require a complex examination to reveal its ethiology and to perform a differential diagnostics. The study objective was to develop a diagnostic algorithm for detection of clinically significant forms of Kimmerle anomaly, and to introduce a new technique for surgical treatment under intraoperative monitoring of the vertebral artery decompression. When a patient with the Kimmerle anomaly shows a vertebrobasilar insufficiency, a comprehensive surgical policy includes a complex clinicalphysiological assessment of the vertebrobasilar basin (from vertebral arteries entrances up to the basilar artery and its branches). If any other pathology is excluded, the Kimmerle rings (foramen arcuale) are removed and hemodynamics in the vertebrobasilar basin is estimated by clinical and graphical Doppler methods.