旋转性椎动脉闭塞综合征的研究进展△

Research progress in rotational occlusion of the vertebral artery

摘要:

旋转性椎动脉闭塞综合征 (rotational occlusion of the vertebral artery, ROVA) 是一种因头颈旋转或后伸时椎动脉受到机械性压迫导致椎基底动脉供血不足进而出现的罕见症状综合征。其病因复杂且症状容易与心脑血管等疾病相混淆，所以临床上容易误诊，甚至漏诊。该病早期主要以一过性的体位性眩晕为主要临床表现，但如果处理不及时，晚期可能会导致后循环卒中等严重并发症。目前对该病尚认识不足，现就 ROVA 的病因、诊断和治疗进行综述，以提高临床医师对 ROVA 的认识。

Abstract:

Rotational occlusion of the vertebral artery (ROVA) is a rare syndrome, in which vertebrobasilar artery insufficiency occurs due to mechanical compression of the vertebral artery during rotation or extension of the head and neck. This condition has complex etiolo- gy and is prone to be confused with cardiovascular and cerebrovascular diseases, leading to delay diagnosis or even misdiagnosis. Transient positional vertigo is the main clinical manifestation in the early stage of the disease, if not treated on time, serious complications such as posterior circulation stroke may occurred at the late stage. At present, the understanding of this disease is not enough to orthopaedic clini- cian. This article reviews the etiology, diagnosis and treatment of ROVA to improve the recognition of ROVA in clinical setting.