Interobserver, interequipment and intersubject variability of echo-Doppler examination of the common carotid and vertebral arteries

Objective: to comparatively evaluate the clinical efficiency of cervicocranialgia therapy with dexketoprofen (flamadex) and tolperisone (calmyrex), as well as with their combination. Patients and methods. The investigation enrolled 90 patients aged 30–60 years with cervicocranialgia, who were randomized into three equal groups. Group 1 included 7 men and 23 women who took dexketoprofen; Group 2 consisted of 13 men and 17 women who were prescribed dexketoprofen and tolperisone; Group 3 comprised 18 men and 12 women who used tolperisone. The three patient groups underwent assessment of the intensity of pain on a visual analogue scale and the degree of muscle tone on a 3-point scale and evaluation of the efficiency of therapy and the hemodynamic effect of the drugs in the common carotid and vertebral arteries. Results and discussion. In all the groups, their treatment reversed neck pain, headache, and dizziness, normalized muscle tone, and improved hemodynamics in the carotid and vertebral arteries. The effect was more pronounced in patients receiving combination treatment (Group 2). The therapy showed a high safety and a good tolerability. Conclusion. Dexketoprofen and tolperisone have been demonstrated to be effective and safe in treating cervicocranialgia.

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Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury

JOURNAL OF ACUTE CARE SURGERY ◽

10.17479/jacs.2021.11.3.141 ◽

2021 ◽

Vol 11 (3) ◽

pp. 141-144

Author(s):

Eun Ji Lee ◽

Hojong Park ◽

Kyu Hyouck Kyoung ◽

Sang Jun Park

Keyword(s):

Internal Jugular Vein ◽

Jugular Vein ◽

Neck Injury ◽

Neck Muscle ◽

Neurological Outcomes ◽

Vertebral Arteries ◽

Penetrating Neck Injury ◽

The Common ◽

Operative Findings ◽

Carotid And Vertebral Arteries

A case of a 30-year-old man who was admitted following a penetrating neck injury is presented. A clinical examination and operative findings identified semi-comatose mentality, neck muscle laceration, and transection of the left common carotid and vertebral arteries and the internal jugular vein. During the operation, the carotid arteries were repaired by interposition grafting, and the internal jugular vein was ligated. The vertebral artery was managed by interventional embolization. Although the patient had some neurological deficit, he was discharged on postoperative Day 52. This surgical case prompted a discussion regarding neurological outcomes, and surgical and endovascular treatment following vascular neck injury.

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Age Dependence of Total Cerebral Blood Flow Volume from Childhood to Adulthood

Journal of Cerebral Blood Flow & Metabolism ◽

10.1097/00004647-199609000-00007 ◽

1996 ◽

Vol 16 (5) ◽

pp. 827-833 ◽

Cited By ~ 66

Author(s):

Martin Schöning ◽

Bernd Hartig

Keyword(s):

Blood Flow ◽

Cerebral Blood Flow ◽

Carotid Arteries ◽

Internal Carotid ◽

External Carotid ◽

Flow Volume ◽

Blood Flow Volume ◽

Vertebral Arteries ◽

The Common ◽

Carotid And Vertebral Arteries

In a prospective study of the natural development of total cerebral blood flow volume (CBFV), the common, external and internal carotid and vertebral arteries were examined in 94 healthy children and adolescents between 3 and 18 years of age (sex and age evenly distributed) using a 7.0-MHz transducer of a computed sonography system. Intravascular flow volumes were calculated with the product of angle-corrected time-averaged flow velocity and the cross-sectional area of the vessel. CBFV was determined as the sum of flow volumes in the internal carotid and vertebral arteries of both sides. CBFV increased significantly between 3 and 6.5 years of age (from 687 ± 85 to 896 ± 110 ml/min; age correlation, p ≤ 0.01) and declined thereafter ( p ≤ 0.001) to a constant level of ∼700 ml/min at 15 years of age. There was no difference in CBFV between sexes. The proportion of bilateral vertebral artery flow volume in total CBFV decreased significantly between the ages of 3 and 18 years ( p ≤ 0.001). As the flow volumes of the external carotid arteries increased markedly from childhood to adulthood, flow volumes of the common carotid arteries were not representative of CBFV. Intrasession test-retest correlation of CBFV was high ( r = 0.89, p ≤ 0.0001). Reference data for the childhood years presented here and previously described results from healthy adults allow us to outline the natural evolution of CBFV in humans. The reliability of the method has already been demonstrated. Thus, it may now be introduced into clinical application.

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Endovascular Considerations in Traumatic Injury of the Carotid and Vertebral Arteries

Seminars in Interventional Radiology ◽

10.1055/s-0041-1724008 ◽

2021 ◽

Vol 38 (01) ◽

pp. 053-063

Author(s):

Ananth K. Vellimana ◽

Jayson Lavie ◽

Arindam Rano Chatterjee

Keyword(s):

Natural History ◽

Clinical Presentation ◽

Traumatic Injury ◽

Classification Systems ◽

Endovascular Techniques ◽

Traumatic Injuries ◽

Cerebrovascular Injury ◽

Vertebral Arteries ◽

Carotid And Vertebral Arteries

AbstractCervical carotid and vertebral artery traumatic injuries can have a devastating natural history. This article reviews the epidemiology, mechanisms of injury, clinical presentation, and classification systems pertinent to consideration of endovascular treatment. The growing role of modern endovascular techniques for the treatment of these diseases is presented to equip endovascular surgeons with a framework for critically assessing patients presenting with traumatic cervical cerebrovascular injury.

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