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Vertebrobasilar insufficiency

MedGen UID:
12075
•Concept ID:
C0042568
•
Disease or Syndrome
Synonyms: Insufficiencies, Vertebro-Basilar; Insufficiencies, Vertebrobasilar; Insufficiency, Vertebro-Basilar; Insufficiency, Vertebrobasilar; Ischemia, Vertebro-Basilar; Ischemia, Vertebrobasilar; Ischemias, Vertebro-Basilar; Ischemias, Vertebrobasilar; Vertebro Basilar Insufficiency; Vertebro Basilar Ischemia; Vertebro-Basilar Insufficiencies; Vertebro-Basilar Insufficiency; Vertebro-Basilar Ischemia; Vertebro-Basilar Ischemias; Vertebrobasilar Insufficiencies; Vertebrobasilar Insufficiency; Vertebrobasilar Ischemia; Vertebrobasilar Ischemias
SNOMED CT: Vertebrobasilar arterial insufficiency (64009001); Vertebrobasilar insufficiency (64009001); Vertebrobasilar artery syndrome (195199008)
 
Monarch Initiative: MONDO:0001613

Definition

Temporary occlusion of the vertebral artery caused by rotation of the neck leading to symptoms of dizziness and vertigo, secondary to bone spurs or ligament impingement. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVVertebrobasilar insufficiency

Professional guidelines

PubMed

Perspectives of Emergency Physicians, Primary Care Physicians, and Otolaryngologists on the Diagnosis and Treatment of Acute Vertigo.
Dede MN, Başoğlu Y, Yilmaz B, Şerbetçioğlu MB
Am J Audiol 2023 Jun;32(2):289-302. Epub 2023 Mar 30 doi: 10.1044/2022_AJA-22-00146. PMID: 36995903
Mechanical Thrombectomy for Tandem Vertebrobasilar Stroke: Characteristics and Treatment Outcome.
Baik SH, Jung C, Kim BM, Kim DJ
Stroke 2020 Jun;51(6):1883-1885. Epub 2020 May 14 doi: 10.1161/STROKEAHA.120.029503. PMID: 32404041
Endovascular Treatment of Vertebral Artery Stenosis.
Jenkins JS, Stewart M
Prog Cardiovasc Dis 2017 May-Jun;59(6):619-625. Epub 2017 Mar 8 doi: 10.1016/j.pcad.2017.02.005. PMID: 28284683

Recent clinical studies

Etiology

"Dolichoectatic Vertebrobasilar Artery Aneurysms".
Rezai Jahromi B, Niemelä M
Neurosurg Clin N Am 2022 Oct;33(4):419-429. Epub 2022 Sep 11 doi: 10.1016/j.nec.2022.06.003. PMID: 36229129
Vertebral artery stenosis.
Madonis SM, Jenkins JS
Prog Cardiovasc Dis 2021 Mar-Apr;65:55-59. Epub 2021 Feb 14 doi: 10.1016/j.pcad.2021.02.006. PMID: 33592207
Endovascular Treatment of Vertebral Artery Stenosis.
Jenkins JS, Stewart M
Prog Cardiovasc Dis 2017 May-Jun;59(6):619-625. Epub 2017 Mar 8 doi: 10.1016/j.pcad.2017.02.005. PMID: 28284683
Carotid and vertebral artery disease.
Mokin M, Dumont TM, Kass-Hout T, Levy EI
Prim Care 2013 Mar;40(1):135-51. Epub 2012 Dec 8 doi: 10.1016/j.pop.2012.11.006. PMID: 23402465
Vertigo.
Collard M, Chevalier Y
Curr Opin Neurol 1994 Feb;7(1):88-92. PMID: 8173685

Diagnosis

Bow Hunter's Syndrome.
Regenhardt RW, Kozberg MG, Dmytriw AA, Vranic JE, Stapleton CJ, Silverman SB, Patel AB
Stroke 2022 Jan;53(1):e26-e29. Epub 2021 Dec 6 doi: 10.1161/STROKEAHA.121.037253. PMID: 34865507Free PMC Article
Positional Vertigo.
Yellin I, Svrakic M
Otolaryngol Clin North Am 2021 Oct;54(5):913-924. Epub 2021 Jul 20 doi: 10.1016/j.otc.2021.05.012. PMID: 34294440
Vertebral artery stenosis.
Madonis SM, Jenkins JS
Prog Cardiovasc Dis 2021 Mar-Apr;65:55-59. Epub 2021 Feb 14 doi: 10.1016/j.pcad.2021.02.006. PMID: 33592207
Basilar artery occlusion.
Mattle HP, Arnold M, Lindsberg PJ, Schonewille WJ, Schroth G
Lancet Neurol 2011 Nov;10(11):1002-14. doi: 10.1016/S1474-4422(11)70229-0. PMID: 22014435
Vertebrobasilar disease.
Savitz SI, Caplan LR
N Engl J Med 2005 Jun 23;352(25):2618-26. doi: 10.1056/NEJMra041544. PMID: 15972868

Therapy

Vertebral artery stenosis.
Madonis SM, Jenkins JS
Prog Cardiovasc Dis 2021 Mar-Apr;65:55-59. Epub 2021 Feb 14 doi: 10.1016/j.pcad.2021.02.006. PMID: 33592207
Endovascular Treatment of Vertebral Artery Stenosis.
Jenkins JS, Stewart M
Prog Cardiovasc Dis 2017 May-Jun;59(6):619-625. Epub 2017 Mar 8 doi: 10.1016/j.pcad.2017.02.005. PMID: 28284683
Basilar artery occlusion.
Mattle HP, Arnold M, Lindsberg PJ, Schonewille WJ, Schroth G
Lancet Neurol 2011 Nov;10(11):1002-14. doi: 10.1016/S1474-4422(11)70229-0. PMID: 22014435
Basilar artery occlusion.
Baird TA, Muir KW, Bone I
Neurocrit Care 2004;1(3):319-29. doi: 10.1385/NCC:1:3:319. PMID: 16174929
Cervical artery dissections.
Leys D, Lucas C, Gobert M, Deklunder G, Pruvo JP
Eur Neurol 1997;37(1):3-12. doi: 10.1159/000117396. PMID: 9018025

Prognosis

Posterior circulation ischaemic stroke and transient ischaemic attack: diagnosis, investigation, and secondary prevention.
Markus HS, van der Worp HB, Rothwell PM
Lancet Neurol 2013 Oct;12(10):989-98. doi: 10.1016/S1474-4422(13)70211-4. PMID: 24050733
Current treatment of basilar artery occlusion.
Lindsberg PJ, Sairanen T, Strbian D, Kaste M
Ann N Y Acad Sci 2012 Sep;1268:35-44. doi: 10.1111/j.1749-6632.2012.06687.x. PMID: 22994219
Vertigo, vertebrobasilar disease, and posterior circulation ischemic stroke.
Schneider JI, Olshaker JS
Emerg Med Clin North Am 2012 Aug;30(3):681-93. doi: 10.1016/j.emc.2012.06.004. PMID: 22974644
Vertebrobasilar disease.
Savitz SI, Caplan LR
N Engl J Med 2005 Jun 23;352(25):2618-26. doi: 10.1056/NEJMra041544. PMID: 15972868
Basilar artery occlusion.
Baird TA, Muir KW, Bone I
Neurocrit Care 2004;1(3):319-29. doi: 10.1385/NCC:1:3:319. PMID: 16174929

Clinical prediction guides

Bilateral Medial Medullary Infarct with Unique Radiological Presentation.
Çakmakci G, Çetiner M, Uysal N, Arikan FA, Kabay SC
Acta Neurol Taiwan 2024 Mar 30;33(1):13-16. doi: 10.4103/ANT.33-1_111_0017. PMID: 37848233
Long-Term Outcomes After Stenting in Extracranial vs. Intracranial Stenosis.
Zhang Y, Hu Y, Gu X, Leng S, Tang D, Sun J, Ding J
Altern Ther Health Med 2023 Nov;29(8):255-261. PMID: 37573598
Posterior Circulation Ischaemic Stroke.
Ng AC
Am J Med Sci 2022 May;363(5):388-398. Epub 2022 Jan 31 doi: 10.1016/j.amjms.2021.10.027. PMID: 35104439
The Incidence and Risk Factors of In-Stent Restenosis for Vertebrobasilar Artery Stenting.
Zheng D, Mingyue Z, Wei S, Min L, Wanhong C, Qiliang D, Yongjun J, Xinfeng L
World Neurosurg 2018 Feb;110:e937-e941. Epub 2017 Nov 28 doi: 10.1016/j.wneu.2017.11.112. PMID: 29191532
Ultrasound diagnostics of the vertebrobasilar system.
von Büdingen HC, Staudacher T, von Büdingen HJ
Front Neurol Neurosci 2006;21:57-69. doi: 10.1159/000092385. PMID: 17290126

Recent systematic reviews

Risk factors for in-stent restenosis after vertebral artery stenting of V1 segment: A systematic review and meta-analysis.
Guo J, Ning Y, Wu S, Zhang F, Li Y, Xu Z, Guo L, Gu Y
Catheter Cardiovasc Interv 2022 Aug;100(2):279-289. Epub 2022 Jun 22 doi: 10.1002/ccd.30296. PMID: 35730645
Outcomes and Complications of Endovascular Mechanical Thrombectomy in the Treatment of Acute Posterior Circulation Occlusions: A Systematic Review.
Watson CCL, Feria A, Chen CJ, Camacho A
World Neurosurg 2021 Jan;145:35-44. Epub 2020 Sep 3 doi: 10.1016/j.wneu.2020.08.221. PMID: 32891832
Treatment of acute basilar artery occlusion: Systematic review and meta-analysis.
Wyszomirski A, Szczyrba S, Tomaka D, Karaszewski B
Neurol Neurochir Pol 2017 Nov-Dec;51(6):486-496. Epub 2017 Aug 1 doi: 10.1016/j.pjnns.2017.07.012. PMID: 28823413
Percutaneous transluminal angioplasty and stenting for vertebral artery stenosis.
Crawley F, Brown MM
Cochrane Database Syst Rev 2000;(2):CD000516. doi: 10.1002/14651858.CD000516. PMID: 10796383
Cervical spine manipulation: summary report of a systematic review of the literature and a multidisciplinary expert panel.
Shekelle PG, Coulter I
J Spinal Disord 1997 Jun;10(3):223-8. PMID: 9213278

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