Turkish Journal of Physical Medicine and Rehabilitation 2003 , Vol 49 , Num 4

Vertigosu Olan ve Olmayan Olgularda Servikal Dejeneratif Değişikliklerin Vertebral Arter Kan Akımı Üzerine Etkileri

Aslan Bilici 1 ,Abdurrahman Can 2 ,Sevda Kocamaz 3 ,Ali Gür 4 ,Kemal Nas 5
1 Dicle Üniversitesi Tıp Fakültesi Radyoloji Anabilim Dalı, DİYARBAKIR
2 Dicle Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Diyarbakır
3 Dicle Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Diyarbakır
4 Gaziantep Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Gaziantep, Türkiye
5 Dicle Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Diyarbakır, Türkiye

Vertigo is an important clinical finding of vertebrobasiller insufficiency syndrome which occurs as a result of cervical spondylosis. The aim of present study was to investigate blood flow velocity of vertebral artery in patients having cervical spondylosis with and without vertigo by color Doppler ultrasonography, and its relation with degenerative changes of cervical spine. Thirty patients with vertigo due to spondylosis (I group), 20 patients with spondylosis and without vertigo (II group), and 20 healthy controls were included to the study. Maximum systolic velocity and end diastolic velocity of vertebral arteries were measured bilaterally in all subjects by color Doppler ultrasonography. Mean ages of study groups were 49.2 ± 8.5, 47.35 ± 8.23 and 45.63 ± 4.75, respectively There were significant differentiations among three groups in all VA blood flow velocities (p<0.01 and p<0.001). There were significant correlations between stage of cervical degenerative changes and all VA blood flow velocities (p<0,001). In conclusion, color Doppler ultrasonography, which is non-invasive and uncomplicated tecnique, is a useful method to evaluate vertebral artery blood flow velocity in patients having cervical spondylosis with vertigo.

Keywords : Cervical degenerative changes, vertigo, color doppler ultrasonography