Vertebral artery cervical spondylosis Vertebral artery cervical spondylosis is a common clinical disease caused by the degeneration of the cervical spine and the destabilization of the cervical spine, which stimulates or compresses the vertebrobasilar artery that passes through the cervical spine, causing ischemia in the blood supply area of the vertebrobasilar artery, resulting in dizziness, dizziness, tinnitus, vomiting, panic and other symptoms. Because it mainly causes headache symptoms, it is also called “episodic cervical spondylosis”. Causes: When the vertebral artery has some kind of pathology (such as deformity of vertebral artery, bone spur compression, thrombosis or arterial stenosis, etc.), and when the head and neck are rotated, the bone spurs of the cervical hook vertebral joint and synovial joint may stimulate or compress the vertebral artery on the opposite side, or stimulate the sympathetic nerve around it, causing the vertebral artery to twist or spasm, thinning the lumen and reducing the blood flow, thus causing insufficient blood supply to the basilar artery of the brain, resulting in a series of corresponding symptoms of brainstem This is the pathogenesis of vertebral artery type cervical spondylosis. Symptoms: vertigo, the most common, almost every patient has vertigo of varying severity, often occurs when the head is moved, such as head tilting upward, sudden head turning or repeatedly turning the head from side to side, or vertigo is aggravated, and in severe cases, syncope or coma may occur. Headache, when patients with vertebral artery type cervical spondylosis develop, headache and vertigo symptoms usually exist at the same time, which can last for several minutes or hours, or even days, similar to the performance of migraine, some people call it cervical migraine, which often appears or worsens in the morning, when the head is moving, or when riding on a bumpy ride. Sudden collapse, a symptom unique to vertebral artery type cervical spondylosis, occurs in some cases when the vertigo is intense or when the neck is active. The patient may suddenly feel numbness and weakness of the limbs and fall, but is clearly conscious and can mostly get up on his own in relation to sudden head activity or posture change. Visual disturbances, such as visual fog, flash in front of the eyes, dark spots, transient black haze, temporary visual field loss, vision loss, diplopia, hallucinations and blindness, etc. These ocular symptoms are mainly caused by ischemia of the posterior cerebral artery, so they are easily confused with eye diseases. Sensory disturbances may include numbness of the face, perioral area, tongue, extremities or half of the body, some with pins and needles sensation, ankylosis, and some with deep sensory disturbances. Medulla oblongata palsy and other neurological symptoms, such as slurred speech, swallowing disorder, loss of gag reflex, choking on water, soft palate palsy, hoarseness, tongue extension disorder, oculofacial muscle twitching and facial nerve palsy. Non-surgical treatment: Non-surgical treatment is the basic treatment for vertebral artery type cervical spondylosis, especially for those caused by cervical instability, and most of them can be cured without leaving sequelae. 1, cervical traction, the main purpose is to limit the movement of the cervical spine, reduce weight-bearing, so that the pressure on the vertebral artery is reduced or relieved. 2, cervical spine braking, so that the neck muscles rest, reducing friction between the vertebral artery and the compression. Surgical treatment: Surgical treatment is suitable for individuals whose treatment has been ineffective for a long time or whose recurrent attacks have seriously affected their work and life, especially when accompanied by compression of the spinal nerve roots or spinal cord. The Spine Rehabilitation Medical Center reminds us that the symptoms of vertebral artery cervical spondylosis are easily confused with a variety of headache-causing disorders and eye diseases, and it is often difficult to confirm the diagnosis before imaging of the vertebral artery, therefore, patients who have the above-mentioned symptoms should pay attention to check whether they have vertebral artery cervical spondylosis to avoid wrong treatment.