Vertebrobasilar Insufficiency

Vertebrobasilar disease may be a challenge to pinpoint - Mark Moster MD

Vertebrobasilar Insufficiency
Vertebrobasilar Insufficiency

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Vertebrobasilar Insufficiency/Stroke

The inner ear depends on a small artery, called the labyrinthine artery, for its blood supply. This artery typically branches off another artery, called the AICA (anterior-inferior cerebellar artery). Both of these arteries are part of a larger network of arteries called the “posterior circulation”, which supplies blood to the brainstem and cerebellum. Similar to other TIAs (transient ischemic attacks) or strokes (damage to brain tissue as a result of impaired blood flow), when blood flow to the vestibular system is interrupted, dizziness ensues. It can also cause other symptoms, including facial weakness, speech and swallowing problems, facial numbness, vision changes, confusion, lethargy,…

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 Vertebrobasilar Insufficiency/Stroke

Vertebrobasilar insufficiency (VBI) is diagnosed when there is transient and reversible changes in blood supply, and is usually treated with an antiplatelet agent (like aspirin or clopidogrel). Sometimes VBI can be provoked with certain neck positions (like turning the head far to one side).

ScienceDirect

Vertebrobasilar insufficiency (VBI) results in ischemia to the posterior circulation of the brain, vascular territories supplied by the paired vertebral and common basilar artery (brain stem, cerebellum, thalamus, and occipital cortex). Posterior circulation TIAs and strokes represent approximately 20% of all TIAs and strokes.

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