Changes of blood flow velocity indicating mechanical compression of the vertebral arteries during rotation of the head in the normal human measured with transcranial Doppler sonography

The dynamical changes of blood flow velocity of the intracranial vertebral arteries (VA's) and proximal basilar artery (BA) provoked by rotation of the head in normal volunteers were measured using pulsed-wave transcranial Doppler sonography (TCD). In another group both VA's were examined...

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Main Authors: Sandro Rossiti, Reinhard Volkmann
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 1995-03-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1995000100005&lng=en&tlng=en
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author Sandro Rossiti
Reinhard Volkmann
author_facet Sandro Rossiti
Reinhard Volkmann
author_sort Sandro Rossiti
collection DOAJ
description The dynamical changes of blood flow velocity of the intracranial vertebral arteries (VA's) and proximal basilar artery (BA) provoked by rotation of the head in normal volunteers were measured using pulsed-wave transcranial Doppler sonography (TCD). In another group both VA's were examined simultaneously with 2-channel TCD. Blood flow velocities diminished compared to the neutral position in all vessels, independently of die side. Total obstruction of the flow was not observed. Our findings reveal a definitive decrease of blood flow velocity at the vertebrobasilar artery system provoked by rotation of the head in normal humans. This physiological phenomenon is suggested to have an impact on the cerebral blood flow in patients with impaired autoregulation of the cerebral vessels, low volume flow reserve in the contralateral VA or insufficient collateral channels because of normal anatomical variation, especially those patients under general anesthesia or comatose.
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spelling doaj.art-a363b6f6c03242a9b5057b79b9a3a8fc2022-12-22T03:54:57ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42271995-03-01531263310.1590/S0004-282X1995000100005S0004-282X1995000100005Changes of blood flow velocity indicating mechanical compression of the vertebral arteries during rotation of the head in the normal human measured with transcranial Doppler sonographySandro Rossiti0Reinhard Volkmann1Göteborg UniveristySahlgrenska University HospitalThe dynamical changes of blood flow velocity of the intracranial vertebral arteries (VA's) and proximal basilar artery (BA) provoked by rotation of the head in normal volunteers were measured using pulsed-wave transcranial Doppler sonography (TCD). In another group both VA's were examined simultaneously with 2-channel TCD. Blood flow velocities diminished compared to the neutral position in all vessels, independently of die side. Total obstruction of the flow was not observed. Our findings reveal a definitive decrease of blood flow velocity at the vertebrobasilar artery system provoked by rotation of the head in normal humans. This physiological phenomenon is suggested to have an impact on the cerebral blood flow in patients with impaired autoregulation of the cerebral vessels, low volume flow reserve in the contralateral VA or insufficient collateral channels because of normal anatomical variation, especially those patients under general anesthesia or comatose.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1995000100005&lng=en&tlng=enartéria basilardoença cerebrovascularhemodinãmicacuidado intra-operatórioposturaictosonografiaDoppler transcranianoultrassomartéria vertebralinsuficiência vertebrobasilar
spellingShingle Sandro Rossiti
Reinhard Volkmann
Changes of blood flow velocity indicating mechanical compression of the vertebral arteries during rotation of the head in the normal human measured with transcranial Doppler sonography
Arquivos de Neuro-Psiquiatria
artéria basilar
doença cerebrovascular
hemodinãmica
cuidado intra-operatório
postura
icto
sonografia
Doppler transcraniano
ultrassom
artéria vertebral
insuficiência vertebrobasilar
title Changes of blood flow velocity indicating mechanical compression of the vertebral arteries during rotation of the head in the normal human measured with transcranial Doppler sonography
title_full Changes of blood flow velocity indicating mechanical compression of the vertebral arteries during rotation of the head in the normal human measured with transcranial Doppler sonography
title_fullStr Changes of blood flow velocity indicating mechanical compression of the vertebral arteries during rotation of the head in the normal human measured with transcranial Doppler sonography
title_full_unstemmed Changes of blood flow velocity indicating mechanical compression of the vertebral arteries during rotation of the head in the normal human measured with transcranial Doppler sonography
title_short Changes of blood flow velocity indicating mechanical compression of the vertebral arteries during rotation of the head in the normal human measured with transcranial Doppler sonography
title_sort changes of blood flow velocity indicating mechanical compression of the vertebral arteries during rotation of the head in the normal human measured with transcranial doppler sonography
topic artéria basilar
doença cerebrovascular
hemodinãmica
cuidado intra-operatório
postura
icto
sonografia
Doppler transcraniano
ultrassom
artéria vertebral
insuficiência vertebrobasilar
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1995000100005&lng=en&tlng=en
work_keys_str_mv AT sandrorossiti changesofbloodflowvelocityindicatingmechanicalcompressionofthevertebralarteriesduringrotationoftheheadinthenormalhumanmeasuredwithtranscranialdopplersonography
AT reinhardvolkmann changesofbloodflowvelocityindicatingmechanicalcompressionofthevertebralarteriesduringrotationoftheheadinthenormalhumanmeasuredwithtranscranialdopplersonography