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Anatomical Basis Of Cervical Vertigo Vertigo Diagnosis

Posted on:2014-09-13Degree:MasterType:Thesis
Country:ChinaCandidate:P ZhouFull Text:PDF
GTID:2284330431466195Subject:Human Anatomy and Embryology
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Purposethrough the study of cervical vertigo vertebral artery and its surrounding structurestomography (CT) anatomy and clinical image data to explore the vertebral arteryassociated with cervical vertigo complex anatomical relationships and its surroundingstructures, the diagnosis of the cause of cervical vertigo tomographic imaging anatomicalbasis.Materials and Methodspeople adult corpses neck CT images of11patients (7male and4females), the Dutchcompany Philips Brilliance64-slice spiral CT line TLC scanning first obtain transaxial,sagittal, and coronalthe Netherlands Philips1.5T whole body MRI scanner and AW4.4image processing workstation acquisition transaxial, sagittal and coronal MR images.10cases of neck specimens (7male,3females the) Applied electric fault bandsaw atequidistant legal system into8mm thick transaxial specimens in4cases,3cases of coronalsectional specimens, sagittal specimens of three cases. In addition, a cadaver neckspecimens post-surgical anatomy, for the analysis of the vertebral artery and itssurrounding structures adjacent structures. Selection of20healthy volunteers (12males,8females), the Dutch company Philips1.5T whole body MRI scan the instrument andAW4.4image processing workstation, get transaxial, sagittal and coronal MR images.Anatomy of the body and neck, continuous transverse, sagittal, coronal sectionalspecimens with corresponding CT, MRI image control study to explore the complexanatomy of the vertebral artery and its adjacent structures around relationship and clarifythe anatomical basis of cervical vertigo, cervical vertigo The etiological diagnosis faultsimages anatomical basis.Resultsthe typical cervical transverse foramen roots in the cervical transverse vertebral hook inside and within the rear transverse foramen Luschka joint is located just inside thetransverse foramen; facet transverse foramen after outside phase adjacent to the side beforethe inner surface of the superior articular process every posterolateral margin of cervicalnerve root and transverse foramen; end of the transverse process is divided into anteriortubercle and posterior tubercle, before, after the nodular form a groove up the anterolateralgroove in cervical intervertebral tube the the outer parts constitute the segmentintervertebral tube is located just lateral border of the transverse foramen.After the Hengduan layer of the cervical disc specimens, the vertebral artery in thecervical transverse hole, the posterolateral vertebral artery visible cervical nerve and theupper and lower facet joints, vertebral artery can be seen inside the cervical vertebrae,cervical disc, as well as the lower cervical vertebral hook. Paramedian sagittal completepicture of the second paragraph of the vertebral artery, can clearly show the posterolateralvertebral artery before the inside of the vertebrae, intervertebral discs and the Luschka joint,as well as the vertebral artery cervical nerves, upper and lower articular process joints facetjoint. After the root of cervical transverse the coronal sectional specimens and CT images,can display a complete picture of the second paragraph of the vertebral artery, vertebralartery medial to the lateral margin of the vertebral body, the the Luschka joint and medialcervical disc; vertebral artery The outside of the cervical nerves and intervertebral vascularnodules and nodular transverse process before running outside of the intervertebral tubecomponent between.The statistical results of the clinical data showed that cervical vertigo, a commonlesion Luschka joint disease, calcification of ligaments, facet joints instability, transverseprocess anterior tubercle osteophyte formation. Etiological diagnosis of cervical vertigo,cervical bone lesions, especially cervical vertebral hooks, transverse process and facetlesion in a dominant position.Conclusion(1) vertebral hooks, transverse process and facet complex is the main cause of cervicalvertigo anatomical basis vertebral hook in the transverse foramen medial facet in thetransverse foramen posterolateral transverse process hole located in the cervical transverseroots, vertebral hooks, transverse process and facet lesion of any structure can lead tovertebral artery type of vertigo.(2) cross-sectional layer of the cervical disc paramedian sagittal vertebral artery andits surrounding faults and by the the cervical transverse roots coronavirus fault can identifythe transverse process hole adjacent structure above level diagnosis of vertebral artery type of vertigo The ideal level.(3) in the diagnosis of the cause of cervical vertigo, bone lesions of the cervicalvertebral hook, transverse process and facet the complex bone lesions is the major cause ofcervical vertigo.
Keywords/Search Tags:cervical vertigo, vertebral artery, the vertebral body hook-transverse process-zygapophysial complex, sectional anatomy
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