Среди всех нарушений мозгового кровообращения ишемический инсульт в вертебробазилярном сосудистом бассейне составляет 25-30 % случаев, а преходящие нарушения мозгового кровообращения-70 % [2, 3, 5, 11, 13], в половине случаев они предшествуют ишемическим инсультам, рассматриваются как предынсультные состояния.

No abstract

To analyze long-term results of applying three surgical techniques and dynamics of certain symptoms in patients with vertebrogenic lesion of vertebral arteries. Material and Methods. Catamnestic and long-term outcomes in 283 patients operated on using decompression and stabilization (n = 103), decompression and plasty (n = 59), and decompression without discectomy and fusion (n = 121) were studied. Criterion for patient inclusion was the absence of clinically significant non-vertebrogenic stenotic and occlusive lesions of vertebral and carotid arteries. Results. Comprehensive assessment of long-term surgical results revealed recovery in 74 patients (26.1 %), good result in 124 (43.8 %), satisfactory-in 78 (27.6 %), and the absence of dynamics in 5 patients (1.8 %). Two patients (0.7 %) presented with aggravation of neurologic symptoms in the postoperative period due to recurrent stroke. Surgical treatment of patients with recurrent transient ischemic attacks (TIA) and cerebral hypertensive crises was the most effective. Excellent and good results were observed in 91 % of these patients. Conclusion. Long-term results of decompressive interventions (without discectomy and fusion) showed their substantial advantages over decompression and plasty and over decompression and stabilization.