Cervical Arterial Dysfunction & Clinical Practice: Moving Forward
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A short description of current concepts in the understanding of vascular risk in the cervical spine, with specific reference to cervical arterial dysfunction (CAD). This presentation gives an overview of this 'umbrella term' and relates to the pathologies that fall under it.
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Cervical Arterial Dysfunction & Clinical Practice: Moving Forward
- 1. CERVICAL ARTERIAL DYSFUNCTION & CLINICAL PRACTICE: MOVING FORWARD @TaylorAlanJ & @RogerKerry1
- 2. Risk Time/experience Cervical spine risk … where are you? @TaylorAlanJ & @RogerKerry1
- 5. @TaylorAlanJ & @RogerKerry1 Cervical arterial dysfunction • CAD covers ALL known vascular pathologies & anatomical structures that may be compromised by assessment/management Cervical artery dissection • Specific to one type of arterial pathology • Anatomical site – not stated Carotid artery dissection • Specific to one arterial vessel • Specific to one type of arterial pathology CAD
- 6. Cervical arterial dysfunction • CAD covers ALL known vascular pathologies & anatomical structures that may be compromised by assessment/management CAD @TaylorAlanJ & @RogerKerry1
- 7. @TaylorAlanJ & @RogerKerry1 ‘Cervical Arterial Dysfunction’ is an umbrella term
- 9. Diseased (Atherosclerosis)Mechanics Altered Haemodynamic Continuum Healthy normal Vessel?? TRAUMA? @TaylorAlanJ & @RogerKerry1
- 10. @TaylorAlanJ & @RogerKerry1 Healthy vessel Dissection
- 11. Source: DailyTelegraph Source: Daily Telegraph Phillip Hughes @TaylorAlanJ & @RogerKerry1 Sub arachnoid haemorrhage Dissection of Healthy vessel Source: DailyTelegraph Source: DailyTelegraph
- 12. @TaylorAlanJ & @RogerKerry1 Diseased vessel
- 13. Cervical Arterial Dysfunction Any cranio-cervical artery • Carotid artery • Vertebral artery • Temporal artery • Intra-cranial arteries/circle of Willis Any pathology • Atherosclerosis – Stenosis – Aneurysm – Distal emboli – TIA – Stroke • Dissection – Thrombus – Distal emboli – TIA – Stoke • Inflammation – Arteritis @TaylorAlanJ & @RogerKerry1
- 16. ASSESSMENT & SUB-GROUPING@TaylorAlanJ & @RogerKerry1
- 18. HISTORYIdentifying CAD risk factor @TaylorAlanJ & @RogerKerry1
- 19. PHYSICAL EXAMINATION Identifying CAD risk factors @TaylorAlanJ & @RogerKerry1
- 20. High blood pressure is a level consistently at or above 140mmHg and/or 90mmHg Normal adult blood pressure is considered to be between 90/60mmHg and 120/80mmHg A blood pressure reading between 120/80mmHg and 140/90mmHg could mean you're at risk of developing high blood pressure if you don't take steps to keep your blood pressure under control. @TaylorAlanJ & @RogerKerry1
- 21. CRANIAL NERVES this should be a simple, two minute screening examination @TaylorAlanJ & @RogerKerry1
- 23. So what can we do with these folk? What is our reasoned framework for parameters of practice? @TaylorAlanJ & @RogerKerry1
- 24. NEXT STEPS? @TaylorAlanJ & @RogerKerry1
- 25. You can access the IFOMPT Cervical Framework Altered Haemodynamics Blog which summarises some clinical issues very well IFOMPT Cervical Framework REVISION 2018 @TaylorAlanJ & @RogerKerry1
- 26. Thanks for your feedback . . . ! alan.taylor@nottingham.ac.uk roger.Kerry@Nottingham.ac.uk @rogerkerry1@TaylorAlanJ The Pulse of Thought: Haemodynamics of the Brain and Mind @TaylorAlanJ & @RogerKerry1