Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова (Sep 2015)

The relationship of the brainstem ischemia and chronicity of lumboischialgia

  • D. G. Smolko,
  • K. T. Aliev,
  • E. V. Bondarenko,
  • D. A. Lobatsevich,
  • O. T. Makarova,
  • G. V. Ponomarev,
  • M. V. Shumilina

DOI
https://doi.org/10.24884/1607-4181-2015-22-3-54-59
Journal volume & issue
Vol. 22, no. 3
pp. 54 – 59

Abstract

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We analyzed 60 patients aged from 30 up to 75 years with any of low-lumbar herniated intervertebral disks. Pain intensity was compared with the concomitant presence of chronic circulatory failure in the vertebral-basilar basin as a result of clinically significant abnormalities of blood vessels in the form of hypoplasia of vertebral artery and its tortuosity. We investigated dynamics of patient's pain under the influence of low-dose treatment by Cortexin (neurocytoprotector). In patients with chronic brainstem ischemia the herniated discs cause more intense and prolonged pain (radicular and local). More effective in these patients is a treatment with inclusion of Cortexin 20 mg intramuscularly within 10 days.

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