MODERN APPROACHES TO DIAGNOSIS AND TREATMENT OF VERTEBRAL ARTERY SYNDROME WITH CONSIDERATION OF GENDER
Keywords:
vertebral artery syndrome, gender, cognitive function, psycho-emotional state, NDI, DHI, PAQ, COMPASS-31, functional stage, organic stage, psychotype, autonomic dysfunction.Abstract
The study results allowed analysis of clinical, cognitive, psycho-emotional, and autonomic dysfunction in patients with vertebral artery syndrome (VAS), taking into account gender, disease stage, and psychotype. Women exhibited more pronounced cognitive and psycho-emotional impairments, with higher levels of anxiety and depression compared to men, whereas men primarily demonstrated motor and hemodynamic disturbances. On the functional stage (Group 1), mild to moderate dizziness was more common, while on the organic stage (Group 2), severe dizziness, pain syndrome, and neck disability index (NDI) scores were significantly higher (p<0.01). Analysis of PAQ and COMPASS-31 scales revealed gender role and autonomic symptom differences, with the sympathetic component and total scores in the feminine psychotype being 1.16–1.24 times higher than in men (p<0.05). These findings emphasize the importance of individualized diagnostic and rehabilitation strategies for VAS patients, considering gender, disease stage, and psychotype.
References
Andreeva I. V. Sravnitelnaya Otsenka instrumentalnix metodov issledovania pozvonochnoy arterii / I. V. Andreeva, N. V. Kalina / / nauchnie Vedomosti Belgorodskogo gosudarstvennogo universiteta. Ser. Media. Farmasia. 2013. No. 18 (161), VIP. 23. S. 103-108).,
Barulin A. E. Syndrome pozvonochnoy arterii: osnovi pathogenesis, Klinicheskaya kartina, diagnosis of Osnovnie principle / A. E. Barulin, A. E. Puchkov, O. V. Ivakhnenko / / Lekarstvenny vestnik. 2014. T. 8. № 2. S. 8-14.), 17 (Dicheskul M. L. Vliyanie maksimalnoy rotasii golovi na pokazateli krovotoka v intracranialnom segment pozvonochnix artery / M. L. Dichesculus, V. P. Kulikov / / Manualnaya therapy. 2011. T. 41. № 1. S. 27-32),
Zinoveva, G.A., Babanina, L.P. Syndrome pozvonochnoy arterii pri vertebrogennoy patologii sheynogo otdela pozvonochnika [elektronny resource] / g.A. Zinoveva, L.P. Babanina / / Nauchnaya elektronnaya biblioteka "cyberleninka" - regime dostupa: https://cyberleninka.ru/article/n/sindrom-pozvonochnoy-arteriipri-vertebrogennoy-patologii-sheynogootdela-pozvonochnika (Data obratsheniya: 15 .02.2020).,
Panteleeva E.A. Syndrome pozvonochnoy arterii I taktika vedeniya pasientov / / Journal neurologii I psychiatrii im.S. S. Korsakova. 2012. T. 112. № 12. S. 46-50),
Rudkowski A. I. Narusheniya krovotoka v pozvonochnix arteriyax pri nestabilnosti v motornix segmentax sheynogo otdela pozvonochnika: dis. ... kand. med. nauk / A. I. Rudkowski; Moskovsky Gosudarstvenny mediko-stomatologichesky universitet Roszdrava. Moscow. 2012. 108 P.),
Sitel A. B., Kuzminov K.O., Bakhtadze M.A. (2010). Vliyanie degenerativno-distroficheskixprosessov v sheynom otdele pozvonochnika na narusheniya hemodynamiki v vertebralno-basilarnoysisteme. // Manualnaya therapy. 2010. №1 (37). S. 10-21).,
Tardov M. V., Kryukov A. I., Boldin A. V. Na granise neurologii i otorinolaringologii. M.: Geotarmedia. 2023. 256s)]. Literatura:
Andreeva I. V. Sravnitelnaya Otsenka instrumentalnix metodov issledovania pozvonochnoy arterii / I. V. Andreeva, N. V. Kalina / / nauchnie Vedomosti Belgorodskogo gosudarstvennogo universiteta. Ser. Media. Farmasia. 2013. No. 18 (161), VIP. 23. S. 103-108.
Barulin A. E. Syndrome pozvonochnoy arterii: osnovi pathogenesis, Klinicheskaya kartina, diagnosis of Osnovnie principle / A. E. Barulin, A. E. Puchkov, O. V. Ivakhnenko / / Lekarstvenny vestnik. 2014. T. 8. № 2. S. 8-14.
Barish A. E. Symptomatics I diagnostics povrezhdeniy pozvonochnix arterial pri travmaticheskix deformasiyax sheynogo otdela pozvonochnika ( obzor literaturi) / A. E. Barish, Ya. A. Doluda / / orthopedics, Traumatology I prosthesirovanie. 2012. № 3. S. 119-124.
Bosak A. A. Ultrazvukovoe issledovanie hemodynamiki v pozvonochnix arteriax pri osteochondroze sheynogo otdela pozvonochnica / A. A. Bosak / / material nauchno-prakticheskoy conference molodix uchenix "Innovasii v medicine i farmasii – 2012", Minsk, 23 October 2012 g. / pod Red. A. V. Sikorskogo, O. K. Kulagi, A. V. Staxeyko, T. V. Terekhovoy. Minsk: BGMU. 2012. S. 9-11.
G.D. Sitnik, V.V. Voytov, M.I. Tarasevich, M.E. Kashiskaya, E.V. Lemeshko, Ya.O. Kuznesov, A.E. Baranovsky 119
Bugroveskaya O. G. Vliyanie probi s povtornimi povorotami golovi na krovotok v pozvonochnix arteriax u bolnix s kranioservikalgiey / O. G. Bugroveskaya, A. I. Rudkowski, M. V. Tardov, B. V. Arshinov / / Neurodiagnostics i visokie biomechanicheskie technologii. 2010. № 4. S. 14-22.
Berlite P. Neurology M.: Medpress. 2023. 592s.
Barabanova E. V. Neurologicheskie proyavleniya spontannoy dissektsii pozvonochnoy arterii: uchebnometodicheskoe posobie. UMS Belorusskoy medisinskoy akademii poslediplomnogo obrazovaniya / E. V. Barabanova, S. V. Kapasevich. Belmapo. Minsk, 2013. 24 p.
Barulin A. E., Puchkov A. E., Ivakhnenko O. V. Syndrome pozvonochnoy arterii: osnovi pathogenesis, Klinicheskaya kartina, diagnostic of Osnovnie principle //Lekarstvenniy vestnik 2014. T. 8. №2 (54). S. 8-14.
Bolevoy syndrome. Prakticheskoe rukovodstvo (series "doktor na prieme")/ pod Red. J. D. Kobalava. M.: Geotar. 2022. 232s.
Bronstein A., Lempert T. Golovokruzhenie. 2-e izd.; Per. s angle. pod Red. V. A. Parfyonova, M.: Geotarmedia. 2022. 216 P.
Vachyov, A.N. Stentirovanie pozvonochnoy arterii U bolnix s mnojestvennimi porajeniyami preserebralnix arterii / A.N. Vachyov, O.V. Dmitriev, M.Yu. Stepanov [I dr.] / / Diagnostics veskaya I interventsionnaya radiology. 2016. T.10. №4. S. 35-43.
Vdovina T. Yu. Priznaki dissirkulyasii v pozvonochnix venax u bolnix s osteochondrozom sheynogo otdela pozvonochnika / T. Yu. Vdovina, I. N. Vinokhodova / / thesis VII s'ezda Rossiyskoy assosiasii spesialistov ultrazvukovoy diagnostics v medicine (10-13 November 2015 g., Moscow). Moscow. 2015. Ch. 1. S. 34. – 37.
Vyalov S.S. Neurology: obtshaya vrachebnaya praktika.M.:- Umny Doc. 2020. 112s.
Golubev V.L., Wayne A.M. Neurologicheskie syndrome. M.: Medpress. 2023. 736s.
Goodfellow John A. Obsledovanie neurologicheskogo Bolnogo; Per. s angle. pod Red. V. V. Zakharova. M.: Geotar-Media. 2021. 224s.
