ABSTRACT

INTRODUCTION. Ultrasound duplex and magnetic resonance study of arterial and venous sections of the vascular channel of the head and neck was performed in 88 patients, and it was shown that in degenerative diseases of the cervical spine along with changes in the arterial blood flow, changes in the regulation of venous circulation are indicative.

AIM. To study the cerebral venous blood flow in patients with cervical spinal cord injuries.

MATERIAL AND METHODS. The study of 88 patients with degenerative changes in the cervical spine were treated in the neurological department of the clinic of Samarkand Medical University from 2022 to 2024. Complex diagnostics using modern methods such as magnetic resonance imaging, rheoencephalography, Dopplerography of cerebral and cervical vessels was performed for each patient.

RESULTS AND DISCUSSION. A moderate noise in the head was detected in 63 (71.6%) patients, and accompanied by headaches. These additional symptoms not only complicated the clinical picture, but also required a more thorough diagnosis and individual approach to treatment.

CONCLUSION. Thus, various disorders in the cervical spine cause changes in arterial blood flow and venous outflow regulation. Internal jugular vein dilation and decreased blood flow intensity are often associated with degenerative changes in the cervical spine.

KEYWORDS: degenerative diseases of the cervical spine, venous hemodynamics, duplex scanning

For citation: Dzhurabekova A.T., Eshimova Sh.K., Akhmadeeva L.R. Cerebral Venous Blood Flow in Cervical Spinal Cord Injuries: an Observational Case-Control Study. Comorbidity Neurology. 2024; 1 (4): 5-11. https://doi.org/10.62505/3034-185x-2024-1-4-5-11

*For correspondence: Aziza T. Dzhurabekova, Dr. Sci. (Med.), Professor, Head of the Department of Neurology, Samarkand State Medical University, Samarkand, Uzbekistan. E-mail: Nevrologiya.km@mail.ru

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ADDITIONAL INFORMATION

Aziza T. Dzhurabekova, Dr. Sci. (Med.), Professor, Head of the Department of Neurology, Samarkand State Medical University, Samarkand, Uzbekistan. E-mail: Nevrologiya.km@mail.ru

Shokhsanam K. Eshimova, free candidate for the Department of Neurology of the Faculty of Medicine, Samarkand State Medical University, Samarkand. Uzbekistan. ORCID: https://orcid.org/0009-0006-0073-4129

Leyla R. Akhmadeyeva, Dr. Sci. (Med.), Professor of the Department of Neurology, Bashkir State Medical University, Professor of the Academy of Sciences of the Republic of Bashkortostan. ORCID: https://orcid.org/0000-0002-1177-6424

Author contributions. All authors confirm the compliance of their authorship, according to international ICMJE criteria (all authors made a significant contribution to the development of the concept, research and preparation of the article, read and approved the final version before publication). Dzhurabekova A.T. – development of the concept of the article, editing of the final text, collection of material, writing of the text, methodology; Eshimova Sh.K. – preparation of the article for publication, collection of material, writing of the text, statistical processing;  Akhmadeyeva L.R. – development of the concept of the article, editing of the final text, collection of material, writing of the text, statistical processing.

Funding. This study was not supported by any external sources of funding.

Disclosure. The authors declare that they have no competing interests.

Ethics Approval. The study was approved by the Department of Neurology, Samarkand State Medical University (Samarkand, Uzbekistan) (protocol No. 4 of August 23, 2024).

Informed consent for publication. All patients, and if it is impossible to review and sign, persons responsible for the patients (relatives, social workers, etc.) on behalf of the patients undergoing examination and participating in this study, signed informed consent.

The content is available under the Creative Commons Attribution 4.0 License.

©2024. Aziza T. Dzhurabekova, Shokhsanam K. Eshimova, Leyla T. Akhmadeeva