OVERVIEW
Overview of Vertebrobasilar Stealing Syndrome
Vertebrobasilar steal syndrome is a condition in which significant stenosis or occlusion of the vertebrobasilar artery can cause blood from the internal carotid artery system to flow back into the vertebrobasilar artery via the posterior communicating artery to compensate for this, resulting in manifestations of ischemia of the internal carotid artery system on one side or both, such as hemiparesis, hemiplegia, hemiplegic sensory deficits, and aphasia.
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Department
Neurology, Neurosurgery
Clinical Symptoms
Hemiparesis, aphasia, hemiplegia, hemiplegia, memory loss, vertigo, ataxia, diplopia, and diminished or absent internal carotid artery pulsations.
Harm
It can cause cerebral ischemia, cause psychoneurological symptoms, and affect life.
Complications
Cerebral ischemia.
Examination
Vascular ultrasound, electrocardiogram, transcranial Doppler ultrasound, angiography, magnetic resonance imaging.
Diagnosis
When hemiparesis, aphasia, and hemiplegia occur in the vertebrobasilar artery blood-supplying area due to insufficient blood supply, the diagnosis can be made by combining with angiography and other tests.
Treatment principle
Treatment is mainly directed at the cause of the disease, with surgery if necessary to improve the blood supply deficiency.
Curative
Symptoms can be relieved and prognosis can be improved.
Dietary recommendations
Regular diet, low-salt, low-fat and low-sugar diet, diet rich in protein and vitamins, avoid spicy and stimulating food.
Etiology
Causes
Commonly due to atherosclerotic plaque formation.
Symptoms and Diagnosis
Typical symptoms
Hemiparesis, aphasia, hemiplegia, memory loss, vertigo, ataxia, diplopia, and weakened or absent internal carotid artery pulsation.
Diagnostic basis
1. Hemiparesis, aphasia, memory loss, vertigo, ataxia, diplopia, and weakened or absent internal carotid artery pulsation. 2. Cerebral and carotid arteriography can be used to make a definite diagnosis.
Treatment
Treatment guidelines
It is mainly to treat the cause of the disease, and if necessary, surgery to improve the blood supply insufficiency.
Drug therapy
Anticoagulation therapy.
Surgery
Endarterectomy, vascular bypass grafting, etc.
Prognosis
Prognosis can be improved with treatment.
Nursing care
Daily care
1. Regular life, keep a happy mood. 2. Moderate exercise. 3. Control risk factors such as hypertension, hyperlipidemia, hyperglycemia, etc. 4. Periodic review.
Dietary management
1. Regular diet, low-salt, low-fat and low-sugar diet. 2. Diet rich in protein and vitamins is recommended. 3. Avoid spicy and stimulating foods. 4. Avoid smoking and alcohol.