References

nnp

Neurology, Neuropsychiatry, Psychosomatics

Неврология, нейропсихиатрия, психосоматика

2074-27112310-1342

"IMA-Press", LLC

10.14412/2074-2711-2024-1-16-23

nnp-2176

Research Article

LECTURES

ЛЕКЦИЯ

Transient ischemic attack in the vertebrobasilar vascular territory as a cause of isolated vertigo

Транзиторная ишемическая атака в вертебробазилярном бассейне как причина изолированного головокружения

https://orcid.org/0000-0001-6061-8118

Кулеш

А. А.

Kulesh

A. A.

Кафедра неврологии и медицинской генетики

614990, Пермь, ул. Петропавловская, 26

Department of neurology and medical genetics

Perm 26, Petropavlovskaya St., Perm 614990

aleksey.kulesh@gmail.com

ФГБОУ ВО «Пермский государственный медицинский университет им. акад. Е.А. Вагнера» Минздрава РоссииРоссияVagner Perm State Medical University, Ministry of Health of RussiaRussian Federation

2024

19022024

1611623

2024

Кулеш А.А.

Kulesh A.A.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://nnp.ima-press.net/nnp/article/view/2176

Transient ischemic attack (TIA) in the vertebrobasilar vascular territory (VB) causes difficulties in diagnosis when it manifests only with vestibular symptoms. Issues relating to the differential diagnosis of TIA are discussed, awareness of which is necessary for the selection of informative methods of examination and the prescription of effective stroke prevention in patients with an episode of isolated dizziness. The likelihood of TIA as the cause of dizziness is increased by the patients' high cardiovascular risk, the presence of atrial fibrillation, severe instability during an attack, and head and/or neck pain. If a TIA in VB is suspected, it is advisable to perform a minimal instrumental examination, including computed tomography (CT) of the brain and CT angiography or diffusion-weighted magnetic resonance imaging (MRI) and MRI angiography. In case of doubt, additional information can be obtained by a perfusion CT or MRI as well as a post-contrast MRI. When interpreting the results of these methods of examination, their limitations in terms of application time and resolution should be taken into account.

Транзиторная ишемическая атака (ТИА) в вертебробазилярном бассейне (ВББ) вызывает сложности в диагностике, если проявляется только вестибулярными симптомами. Обсуждаются вопросы дифференциальной диагностики ТИА, знание которых необходимо для выбора информативных методов исследования и назначения эффективной профилактики инсульта у пациентов с эпизодом изолированного головокружения. Вероятность ТИА как причины головокружения повышают высокий сердечно-сосудистый риск у пациента, наличие фибрилляции предсердий, выраженная неустойчивость во время приступа, а также головная и/или шейная боль. При подозрении на ТИА в ВББ целесообразно выполнить минимальное инструментальное обследование, включающее компьютерную томографию (КТ) головного мозга и КТ-ангиографию или диффузионно-взвешенную магнитно-резонансную томографию (МРТ) и МРТ-ангиографию. В сомнительных ситуациях дополнительную информацию можно получить при использовании перфузионной КТ или МРТ, а также постконтрастной МРТ. При интерпретации результатов данных методов исследования следует учитывать их ограничения, связанные со сроком применения и разрешающей способностью.

транзиторная ишемическая атака в вертебробазилярном бассейнедиагностикадифференциальная диагностикакомпьютерная томографиямагнитно-резонансная томография

transient ischemic attack in the vertebrobasilar vascular territorydiagnosisdifferential diagnosisCT scanmagnetic resonance imaging

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The authors declare that there are no conflicts of interest present.