Vertebrobasillar Insufficiency

<   Back


   

 

 

  

INJURY TITLE

Vertebrobasillar Insufficiency

 

INJURY OVERVIEW

Vertebrobasilar insufficiency (VBI) refers to a temporary set of symptoms due to decreased blood flow in the circulation to the back of the brain. The circulation supplies different parts of the brain and so symptoms will vary depending on which portions of the brain have reduced blood supply.

 

INJURY IN-DEPTH INFORMATION

The incidence of VBI increases with age and typically occurs in the seventh or eighth decade of life. The vascular pathology called atherosclerosis, is the most common cause of VBI, it affects men twice as often as women and patients with hypertensiondiabetes, and smoking have a higher risk of developing VBI.

Mechanical forces acting upon the neck at any age can cause VBI by exacerbating arterial insufficiency or outright occluding one or both vertebrobasilar arteries. Internal forces include those caused by turning the head to an extreme angle to the side, especially with the neck extended. The patient can create this condition while practicing yoga, driving a vehicle in reverse, shooting a bow and arrow, bird watching, or stargazing. External forces include those caused by sports or other physical contact.

 

 

COMMON SIGNS & SYMPTOMS

  • Dizziness (when lying down especially)
  • Dysarthria (difficulty using the muscles in your mouth to form your words)
  • Dysphagia (problems with swallowing)
  • Drop Attacks (falling down and not knowing why)
  • Diplopia (episodic blurred vision)

 

HOW IS IT ASSESSED

  • Clinical examination (usually suspected from the questioning part of the examination) will reveal some of the signs and symptoms.
  • There are some clinical tests that can attempt to replicate the symptoms, but if the condition is suspected, it is not always a good idea to go ahead with the clinical examination.
  • Doppler tests will identify the problem if it lies within the walls of the blood vessels.

 

GENERAL TREATMENT

Best handled with medication and medical review.

 

Exercise Videos: i.e.

  • Rotator cuff strengthening
  • Pec stretch
  • etc

 

WHICH HEALTH PROFESSIONAL TO CONSULT

PHYSIO     X

MEDIC     X

PODIATRY     

Put an ‘X’ next to each health professional that most commonly deals with this injury.

i.e. tennis elbow would be Physio and Medic as injections are common, whereas for muscular LBP it would be Physio and not Medic as they would just refer them to a Physio.

Ready to book an appointment with Physio4Life?

To book an appointment please complete our contact form with your details and one of our team members will be in touch within 10 minutes.



Please select a service*