[Operative correction of kinking and coiling at the origin of vertebral artery and stellate ganglionectomy in patients with severe vertigo and dizziness].
Bilateral vertebral angiograms were taken in 125 cases with severe vertigo and dizziness during the period between April 1983 and March 1986. Various kinds of morphological abnormalities were found. Most impressive findings were kinking and coiling at the first portion of the vertebral artery, which was corrected by operation in 54 cases out of 100 cases. This method is accompanied with stellate ganglionectomy and completed by rolling the subclavian artery forwards and downwards with ligation. The follow-up results were evaluated one to four years after operation. Symptoms were cured in 50 cases out of 54. The postoperative course was satisfactory. It was emphasized in this paper that our operation was very useful for patients with severe and recurrent vertigo.
Department of Neurosurgery, Toyama Medical and Pharmaceutical University.
M
M
Nishijima
J
J
Harada
K
K
Nogami
S
S
Endo
A
A
Takaku
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004244:Dizziness / Q000209:etiology / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D015171:Ganglionectomy; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013233:Stellate Ganglion / Q000601:surgery; D013348:Subclavian Artery / Q000601:surgery; D014711:Vertebral Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014715:Vertebrobasilar Insufficiency / Q000150:complications; D014717:Vertigo / Q000209:etiology / Q000601:surgery*