Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo

IYEM, Cihan; ALPUA, Murat; ÇELEBİ, Umut Orkun; INAL, Mikail; Burulday, Veysel; KÜLTÜR, Turgut; MULUK, Nuray BAYAR

doi:10.32448/entupdates.507983

Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo

Turgut KÜLTÜR, (Kırıkkale Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, Kırıkkale, Türkiye)

Nuray BAYAR MULUK, (Kırıkkale Üniversitesi, Tıp Fakültesi, Kulak Burun Boğaz Ana Bilim Dalı, Kırıkkale, Türkiye)

Cihan IYEM, (Kırıkkale Üniversitesi, Tıp Fakültesi, Anatomi Anabilim Dalı, Kırıkkale, Türkiye)

Mikail INAL, (Kırıkkale Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Kırıkkale, Türkiye)

Veysel BURULDAY, (Kırıkkale Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Kırıkkale, Türkiye)

Murat ALPUA, (Kırıkkale Üniversitesi, Tıp Fakültesi, Nöroloji Ana Bilim Dalı, Kırıkkale, Türkiye)

Umut Orkun ÇELEBİ (Kırıkkale Üniversitesi, Tıp Fakültesi, Nöroloji Ana Bilim Dalı, Kırıkkale, Türkiye)

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Yıl: 2018 Cilt: 8 Sayı: 3 Sayfa Aralığı: 185 - 194 Metin Dili: İngilizce DOI: 10.32448/entupdates.507983 İndeks Tarihi: 24-12-2020

Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo

Öz:

Objective: In this study, we aimed to investigate the relationship between the size of the vertebral artery andthat of the transverse foramina at the C1 to C6 vertebrallevel in patients suffering from vertigo thought to be related to vertebrobasilar insufficiency (VBI).Materials and Methods: In this retrospective study, twogroups were compared in terms of cervical computedtomography (CT): 22 adult patients with vertigo; and acontrol group consisting of 23 healthy adult indivıduals.Measurement of the vertebral artery and transverse foramina (i.e. sagittal and transverse dimensions, plus area)were performed bilaterally at levels C (cervical vertebra)1 to C6.Results: For the cases group, at C6 level the right vertebral artery area, sagittal and transverse diameter werelarger than in the control group at the level of statisticalsignificance. At C1 level, the area of the right transverseforamina in the cases group was significantly higher thanin the control group. At levels C1 to C5, the values obtained for vertebral artery area were positively correlated with the values for the ipsilateral transverse foramina(transverse foramen sagittal and transverse dimensionsplus areas). Where the sagittal or transverse dimensionsof the transverse foramina, or the area of the transverseforamina were found to be decreased, vertebral arteryareas were also observed to have decreased at C1 to C5levels.Conclusion: We concluded that a decrease in diameter ofthe bony structures or transverse foramina may cause adecrease in the cross-sectional area of the vertebral artery on the ipsilateral side. Since it is only the left vertebral artery which is dominant for cerebral blood flow,any compensatory increase in right vertebral artery areacannot offset decreased cerebral blood flow. Decreasedblood flow (i.e. VBI) on the left side may play a role in thedevelopment of vertigo.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KÜLTÜR T, MULUK N, IYEM C, INAL M, Burulday V, ALPUA M, ÇELEBİ U (2018). Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo. , 185 - 194. 10.32448/entupdates.507983
Chicago	KÜLTÜR Turgut,MULUK Nuray BAYAR,IYEM Cihan,INAL Mikail,Burulday Veysel,ALPUA Murat,ÇELEBİ Umut Orkun Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo. (2018): 185 - 194. 10.32448/entupdates.507983
MLA	KÜLTÜR Turgut,MULUK Nuray BAYAR,IYEM Cihan,INAL Mikail,Burulday Veysel,ALPUA Murat,ÇELEBİ Umut Orkun Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo. , 2018, ss.185 - 194. 10.32448/entupdates.507983
AMA	KÜLTÜR T,MULUK N,IYEM C,INAL M,Burulday V,ALPUA M,ÇELEBİ U Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo. . 2018; 185 - 194. 10.32448/entupdates.507983
Vancouver	KÜLTÜR T,MULUK N,IYEM C,INAL M,Burulday V,ALPUA M,ÇELEBİ U Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo. . 2018; 185 - 194. 10.32448/entupdates.507983
IEEE	KÜLTÜR T,MULUK N,IYEM C,INAL M,Burulday V,ALPUA M,ÇELEBİ U "Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo." , ss.185 - 194, 2018. 10.32448/entupdates.507983
ISNAD	KÜLTÜR, Turgut vd. "Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo". (2018), 185-194. https://doi.org/10.32448/entupdates.507983

APA	KÜLTÜR T, MULUK N, IYEM C, INAL M, Burulday V, ALPUA M, ÇELEBİ U (2018). Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo. ENT Updates, 8(3), 185 - 194. 10.32448/entupdates.507983
Chicago	KÜLTÜR Turgut,MULUK Nuray BAYAR,IYEM Cihan,INAL Mikail,Burulday Veysel,ALPUA Murat,ÇELEBİ Umut Orkun Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo. ENT Updates 8, no.3 (2018): 185 - 194. 10.32448/entupdates.507983
MLA	KÜLTÜR Turgut,MULUK Nuray BAYAR,IYEM Cihan,INAL Mikail,Burulday Veysel,ALPUA Murat,ÇELEBİ Umut Orkun Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo. ENT Updates, vol.8, no.3, 2018, ss.185 - 194. 10.32448/entupdates.507983
AMA	KÜLTÜR T,MULUK N,IYEM C,INAL M,Burulday V,ALPUA M,ÇELEBİ U Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo. ENT Updates. 2018; 8(3): 185 - 194. 10.32448/entupdates.507983
Vancouver	KÜLTÜR T,MULUK N,IYEM C,INAL M,Burulday V,ALPUA M,ÇELEBİ U Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo. ENT Updates. 2018; 8(3): 185 - 194. 10.32448/entupdates.507983
IEEE	KÜLTÜR T,MULUK N,IYEM C,INAL M,Burulday V,ALPUA M,ÇELEBİ U "Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo." ENT Updates, 8, ss.185 - 194, 2018. 10.32448/entupdates.507983
ISNAD	KÜLTÜR, Turgut vd. "Anatomical Considerations: The Relationship Between The Vertebral Artery And Transverse Foramina At Cervical Vertebrae 1 To 6 In Patients With Vertigo". ENT Updates 8/3 (2018), 185-194. https://doi.org/10.32448/entupdates.507983