Vertebrobasilar insufficiency causes
| Vertebrobasilar insufficiency
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Differentiating Vertebrobasilar insufficiency from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The causes leading to VBI is primarily the vasulcar ones, like atherosclerosis and cardioembolism, etc. As the vertebral artery is in the cervical vertebra, the orthopedical lesion also contribute to part of the causes.
Causes
Life Threatening Causes
- Vertebrobasilar aneurysm
- Stroke caused by arterial embolism
- Subarachnoid hemorrhage caused by vertebral artery dissection
Common Causes
The most common causes of VBI are cardioembolism, atherosclerosis, and small artery disease.[1]
Causes by Organ System
| Cardiovascular | Intracranial atherosclerosis , vertebral artery dissections , maldevelopment or absent of unilateral vertebral artery, arterial embolism , subclavian steal syndrome ,rotational VA occlusion, |
| Chemical / poisoning | No underlying causes |
| Dermatologic | No underlying causes |
| Drug Side Effect | No underlying causes |
| Ear Nose Throat | No underlying causes |
| Endocrine | No underlying causes |
| Environmental | No underlying causes |
| Gastroenterologic | No underlying causes |
| Genetic | Fabry disease |
| Hematologic | No underlying causes |
| Iatrogenic | physiatric cervical manipulation |
| Infectious Disease | No underlying causes |
| Musculoskeletal / Ortho | Cervical spondylosis , degenerative cervical spine changes , Spinal disc herniation , Cervical tuberculosis, Cervical injury,osteoporosis |
| Neurologic | No underlying causes |
| Nutritional / Metabolic | No underlying causes |
| Obstetric/Gynecologic | No underlying causes |
| Oncologic | No underlying causes |
| Opthalmologic | No underlying causes |
| Overdose / Toxicity | No underlying causes |
| Psychiatric | No underlying causes |
| Pulmonary | No underlying causes |
| Renal / Electrolyte | No underlying causes |
| Rheum / Immune / Allergy | Takayasu disease, arteritides |
| Sexual | No underlying causes |
| Trauma | Cervical injury |
| Urologic | No underlying causes |
| Dental | No underlying causes |
| Miscellaneous | Postural changes,like head rotation or extension , fibromuscular dysplasia |
Causes in Alphabetical Order
fibromuscular dysplasia
arteritides
Cervical injury
degenerative cervical spine changes
maldevelopment or absent of unilateral vertebral artery
Postural changes
rotational VA occlusion
References
- ↑ Markus HS, van der Worp HB, Rothwell PM (2013)Posterior circulation ischaemic stroke and transient ischaemic attack: diagnosis, investigation, and secondary prevention. Lancet Neurol 12 (10):989-98. DOI:10.1016/S1474-4422(13)70211-4 PMID:24050733