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Vertebrobasilar insufficiency (VBI) describes a temporary set of symptoms due to decreased blood flow in the posterior circulation of the brain. The posterior circulation supplies the medulla , pons , midbrain , cerebellum and (in 70-80% of people) supplies the posterior cerebellar artery to the thalamus and occipital cortex . [ 1 ]
TOS has been reported to cause stroke through theorized clot propagation towards the vertebral artery; [3] a similar mechanism could explain how TOS causes SSS. Presence of a cervical rib is a risk factor for both TOS and SSS. [citation needed] Takayasu's arteritis is a disease causing inflammation of arteries, including the subclavian artery ...
[16] [17] Any cause of inflammation such as common cold, influenza, and bacterial infections may cause transient vertigo if it involves the inner ear, as may chemical insults (e.g., aminoglycosides) [18] or physical trauma (e.g., skull fractures). Motion sickness is sometimes classified as a cause of peripheral vertigo. [citation needed]
Besides, overuse injury of the upper limbs causes swellings, small bleeding, and subsequent fibrosis which would cause the thrombosis of the subclavian vein, leading to Paget–Schroetter disease or effort-induced thrombosis. [7] TOS can be related to cerebrovascular arterial insufficiency when affecting the subclavian artery. [8]
The Vertebral Artery Test or Wallenberg Test is a physical exam for vertebral artery insufficiency. Commonly, the VA test involves cervical spine motion to an end-range position of rotation, extension or a combination of both. At this point, the physician assesses for vertebrobasilar insufficiency (VBI) symptoms.
Hyperviscosity syndrome is a group of symptoms triggered by an increase in the viscosity of the blood.Symptoms of high blood viscosity include spontaneous bleeding from mucous membranes, visual disturbances due to retinopathy, and neurologic symptoms ranging from headache and vertigo to seizures and coma.
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Impaired blood flow to the cells of the occipital lobe (ischemia, for example as caused by a TIA or Vertebrobasilar insufficiency) will lead to temporary visual problems; if the poor blood flow is sustained it will lead to cell death (infarction, for example as caused by a stroke) which may cause persistent visual problems.