Slide Set 4 Flashcards
What hypothesis involves cervical spinal joint lesions that may compromise the vertebral arteries, especially in the presence of anomalies within the vertebrobasilar system?
Vertebrobasilar Insufficiency Hypothesis
What are some causes of deflection or compression of vertebral arteries?
Injury to cervical spine Congenital bony anomalies Anomalies in origin of vertebral A Spondylosis VSC phase 2 lesions
What arteries are a major blood supply to brainstem and include a considerable portion of blood supply to cranium?
Vertebral Arteries
What syndrome causes headache, nausea, vomiting, nystagmus, suboccipital tenderness, dizziness and drop attacks?
Barre- Lieau Syndrome
What are instantaneous and temporary quadriplegia on rotation and extension of the neck?
Drop attacks
How do you identify patients with vertebrobasilar compromise?
Transcranial Doppler Sonography (TCD)
Do chiropractic adjustments affect vertebral artery blood flow?
No
What are some purported stroke risks?
Falling asleep in an awkward position
Receiving a solon sink shampoo
What is the annual death rate in the US due to NSAIDS?
16,500
What is the VSC phase 2 that causes a VBI?
Lateral atlas subluxation with constriction of vertebral arteries
What is the chiropractic care for VSC phase 2?
Lighter adjustments
In home cryotherapy
Exercise for cervical erector muscles
What is the primary cause of vertebrobasilar arterial compression syndrome?
Cervical Spondylosis
What are other causes of vertebrobasilar arterial compression syndrome?
Osteophytic encroachment & cerebrovascular atherosclerosis
Atheromatous Plaque
Arteriosclerotic tortuosity
How can you diagnose VBI syndrome?
Meniere’s Disease
Brain Tumor
What do you do if you have brainstem ischemia that is subsequent to chiropractic adjustment?
Don’t manipulate
Observe pt
Refer pt if symptoms don’t subside
