Nikiforov B M, Rudenko I Ia
Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(5):34-7.
Two young patients with ischemic strokes in the vertebrobasilar basin were observed. The results of the observation verified by brachiocephalic aortography and operation showed that the development of the ischemic lesion because of a circulation disorder in the vertebrobasilar basin in young people could be due to the presence of an additional cervical rib. The leading role in the pathogenesis of those disorders belongs to arterial spasms developing because of irritation of the vegetative structures of the subclavicular artery. The authors consider it reasonable to differentiate between the additional cervical rib syndrome and hypertrophy of the transverse process of the VIIIth vertebra on the one hand and the syndrome of the anterior scalene muscle on the other.
观察了两名椎基底动脉供血区缺血性脑卒中的年轻患者。经头臂主动脉造影和手术证实的观察结果表明，年轻人椎基底动脉供血区因循环障碍导致的缺血性病变可能是由于存在额外的颈肋。这些疾病发病机制中的主要作用属于因锁骨下动脉植物性结构受刺激而发生的动脉痉挛。作者认为，一方面区分额外颈肋综合征和第八颈椎横突肥大，另一方面区分前斜角肌综合征是合理的。
