Vertebral artery type cervical spondylosis symptoms
Symptoms.
(1) Vertigo: The syndrome can be induced by cervical rotation.
(2) Sudden onset of collapse and impaired consciousness: This is a special manifestation of acute ischemia of the vertebral artery. There is often no warning before the onset. Patients often fall when walking or standing due to sudden loss of muscle tone in the lower limbs as the head turns.
(4) Headache: often alternating with vertigo, the headache is mostly unilateral and often confined to the occipital or parieto-occipital region. The nature of headache is mainly throbbing pain and swelling pain.
(5) Disturbance of plant nerves and internal organs: nausea, vomiting, epigastric discomfort, excessive sweating or no sweating, salivation, cardiac arrhythmia, burning sensation in the back of the neck and chest, anthroposis, chest tightness, uneven respiratory rhythm, etc.
Physical signs.
Positive rotary neck test.
Differential diagnosis:
Vertebral artery type cervical spondylosis must be differentiated from cerebral arteriosclerosis, Meniere’s sign, migraine, etc.
(l) Cerebral arteriosclerosis: Cerebral artery is one of the three major sites prone to sclerosis and is a common disease in middle-aged and elderly people. Cervical spondylosis can be combined with cerebral arteriosclerosis (especially vertebrobasilar arteriosclerosis), and both of them can appear dizziness, numbness of upper limbs and pathological reflexes, so it is easy to misdiagnose. However, the following points can be used as a basis for diagnosis and can be differentiated from pulsatile cervical spondylosis.
① Above 40 years old, symptoms of cortical decompensation, such as dizziness, memory loss and sleep disorders, gradually appear. There is no obvious relationship between the waxing and waning of symptoms and cervical spine activities.
②Cerebral arteriosclerosis is often a component of systemic arteriosclerosis, so it may be accompanied by signs of atherosclerosis of the fundic arteries, aorta, coronary arteries or renal arteries.
③The blood pressure is stubbornly high or low, characterized by high diastolic pressure and low systolic pressure, i.e., reduced pulse pressure. If the blood pressure is 17.3/13.3 or 120/9.33kPa over 40 years old and there is dizziness, the possibility of this disease should be considered first.
④Laboratory tests, increased amount of total serum cholesterol, increased ratio of total cholesterol to phospholipids, increased thresher protein and triglycerides, etc. However, the number of normal lipids varies greatly from region to region. Sometimes the arteriosclerosis is not high, so it is not possible to determine whether there is arteriosclerosis based on the value of blood lipids alone.
⑤ Cerebral hemogram, with constant ischemic changes in the image, is more helpful for the diagnosis of this disease. If cervical spondylosis is combined with cerebral arteriosclerosis, the presentation is more complicated.
(2) Meniere’s disease: also known as episodic vertigo, it is caused by lymphatic metabolism disorder in the inner ear, excessive lymphatic secretion or absorption disorder, resulting in fluid accumulation in the inner ear vagus, expansion of the inner ear lymphatic system, and elevated pressure, resulting in hypoxia and degeneration of inner ear end receptors. Meniere’s disease mostly occurs in young and middle-aged people, and the attacks are accompanied by tinnitus, deafness, nausea and vomiting, so it is easy to misdiagnose with vertebral artery cervical spondylosis. Cervical vertigo caused by vertebral artery type cervical spondylosis is a kind of central vertigo, which is mainly characterized by a series of symptoms and signs of brainstem ischemia, short attack time, and mostly related to neck rotation. The vertigo caused by Meniere’s syndrome is peripheral (also called inner ear) vertigo, characterized by regular vertigo attacks with horizontal nystagmus: it can be asymptomatic after remission; no abnormal findings in neurological examination.9 Vestibular function test is abnormal.
(3) Migraine: Migraine is predominantly female, and most of them start around puberty and last for several years or even decades. The symptoms will gradually resolve and heal themselves when menopause is reached. Migraine is more likely to occur during menstruation and to resolve spontaneously during pregnancy. There may be a family history.
Vertebral artery cervical spondylosis – Causes
What is vertebral artery cervical spondylosis and how is it caused? Vertebral artery cervical spondylosis is a disease caused by instability and degeneration of the cervical spine, direct stimulation and compression of the vertebral artery by bone spurs, or reflex spasm of the vertebral artery caused by stimulation of the cervical capsule ligament and sympathetic nerves around the wall of the vertebral artery, resulting in insufficient blood supply to the vertebral artery.
Vertebral artery cervical spondylosis is a syndrome caused by various mechanical and dynamic factors that stimulate or compress the vertebral artery, resulting in narrowing and folding of the blood vessels and causing inadequate blood supply to the vertebrobasilar artery as the main symptom.
1, the dynamic factors mainly refers to the vertebral joint instability after the loosening and dislocation of the hook vertebral joint and the lateral upper and lower transverse foramen, appearing axial or lateral displacement, and stimulation or compression of the vertebral artery arch caused by spasm, narrowing or folding changes.
2, mechanical factors mainly refers to some fixed compression (including hook vertebral osteophytes), hyperplastic bone spurs directly compress the vertebral artery, while the transverse foramen, a bony canal, causes the vertebral artery to lose retraction and avoidance space.
When the nucleus pulposus penetrates the posterior longitudinal ligament and enters the spinal canal, it may reach the intervertebral foramen, compressing the spinal nerve roots while transmitting pressure to the vertebral artery.
The swelling, congestion, and exudation of the synovial membrane of the wing wall of the hooked vertebral joint reduces the transverse foramen, which may cause spasm and stenosis of the vertebral artery either directly or through the sympathetic nerve fibers in the periapical wall of the vertebral artery.
Treatment:
1, change work habits, correct poor posture, to avoid fatigue.
2, cervical neck brace brake
3, vasodilator drugs, anti-dizziness drug treatment.
4.Physiotherapy
5.Some patients can be manipulated to press