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dependence of character NMK on a pathogenesis of disturbances of a blood flow in pozvonochnyh arteries.

In the previous sections we had been investigated character NMK at various variants of a clinical current of an osteochondrosis of cervical department of a backbone, hernias of intervertebral disks, consequences of traumas of cervical department of a backbone, and also at stenoses VSA.

All specified pathological processes, except for stenosis VSA, lead to blood flow disturbances in pozvonochnyh arteries. Thus there are only two pathogenetic mechanisms causing development of disturbances of a circulation in pozvonochnyh arteries and, as consequence, in vertebrobaziljarnom pool.

It, first, a syndrome vertebrogenno the caused boring (irritatsii) a perivascular sympathetic plexus of this artery with expressed painful vegetalgicheskimi and angiodystonic (neurovascular) components in zones of an innervation of the specified plexus and partially behind its limits.

Secondly is direct komprimirujushchee influence on pozvonochnuju an artery (a prelum pozvonochnoj arteries unkovertebralnymi osteophytes, a disk hernia, articulate processes of vertebra etc.). With disturbance of its passableness and (or) a boring of a nervous plexus.

In our opinion, direct komprimirujushchee influence on pozvonochnuju always causes an artery irritatsiju a perivascular sympathetic plexus of a vessel. Thereupon we have allocated two groups of the reasons of development of disturbances of a circulation in pozvonochnyh arteries:

1. Irritatsija a perivascular sympathetic plexus of the PAS

2. A combination direct komprimirujushchego influences on the PAS and irritatsii a perivascular sympathetic plexus of a vessel.

According to the resulted principle patients have been parted on two corresponding clinical groups. Character of disturbances of a cerebral circulation at patients of these clinical groups according to OFEKT, VA and sinusostsintigrafii is resulted in table 8.

Table 8

Character of disturbances

The cerebral

Circulations

Irritatsija

The perivascular

Sympathetic plexus of the PAS (и=31)

/1 group /

Combination of the direct

komprimirujushchego influences on the PAS and irritatsii the perivascular

Sympathetic plexus of a vessel (и=12)

/2 group /

Lesion of the left PAS Lesion of the right PAS Lesion of the left PAS Lesion of the right PAS
Depression of the venous

Blood flow on the left venous collectors and the left bulbar vein

10 2 8 3
Depression of the venous

Blood flow on the right venous collectors and the right bulbar vein

- 6 5
Blood flow depression on left SMA 4 3
Blood flow depression on left ZMA 5 4
Blood flow depression on right SMA 2 2
Blood flow depression on right ZMA 2 1
The hypoperfusion centres in the left

polushariigolovnogo

Brain

4 - 3
The hypoperfusion centres in the left

polushariigolovnogo

Brain

4 - - 3
The hypoperfusion centres in the right hemisphere

Brain

- -
The hypoperfusion centres in both hemispheres

Brain

1 3 1 2
The hypoperfusion centres in a cerebellum tissue 1 1 1 1
TOTAL 1 1 1 2

Character of disturbances of a cerebral circulation in dependence

From a pathogenesis of development of disturbances of a blood flow in the PAS.

At the analysis of the resulted data attracts attention that fact, that depression of a venous blood flow on the left venous collectors and the left bulbar vein is authentic (r

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A source: TSATHLANOVA DIVIDING IVANOVNA. RADIAL DIAGNOSTICS of DISTURBANCES of the CEREBRAL CIRCULATION AT the PATHOLOGY of CERVICAL DEPARTMENT of the BACKBONE. The DISSERTATION on competition of a scientific degree of the candidate of medical sciences. Moscow - 2005. 2005

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