Cervical sympathectomy in treatment of patients with cerebral ischemia
Objective: to improve the methods of treatment for cerebral ischemia, caused by vertebrobasilar insufficiency and impairment of brain venous outflow. Material and methods: We examined 73 patients with cerebral ischemia of various genesis from 1997 till 2007. All these patients underwent cervical sympathectomy. Patients were divided into three groups by etiological principle. First group consisted of 16 (21,92%) patients with atherosclerosis, second group - 7 (9,59%) patients with nonspecific aortoarteriitis, third group was divided into three subgroups: 20 (27,39%) patients with vertebral artery hypoplasia, 16 (21,39%) patients - impairment of brain venous outflow and 14 (19,18%) patients with extravascular compression of vertebral artery. Results: The improvement of brain perfusion after cervical sympathectomy according to clinical data as well as by data of ultrasound dopplerography and radioisotopic brain scan. Conclusion: Разработка алгоритма обследования больных с ишемией головного мозга и показаний к выполнению шейной симпатэктомии.