[Dolichoectasia of the basilar artery caused by cystic medial degeneration, as a cause of neurovascular conflict with damage to the trigeminal, facial and vestibulocochlear nerves]. / Dolikhoektaziya bazilyarnoi arterii, obuslovlennaya kistoznoi medial'noi degeneratsiei, kak prichina neirovaskulyarnogo konflikta s porazheniem troinichnogo, litsevogo i vestibulokokhlearnogo nervov.

Cystic medial degeneration (Gsell-Erdheim syndrome, cystic medial necrosis) is considered to be a nonspecific histological manifestation of a group of diseases characterized by degenerative changes in the media, affecting primarily the aorta and adjacent branches, which leads to destruction of the vessel wall, followed by its expansion and, possibly, rupture. The authors describe a case of a 65-year-old female patient with a neurovascular conflict of the three cranial nerves with dolichoectatic basilar artery due to cystic medial degeneration. As a result, the patient has clinical manifestations in the form of hemifacial spasm, trigeminal neuralgia and vestibular paroxysmia. Data from instrumental studies and treatment provided are presented. Neurovascular conflict can be identified in various diseases and is characterized by the complex etiology. The most common clinical manifestations of neurovascular conflict are trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia, and vestibular paroxysmia.

[Statokinetic characteristics of vestibular dysfunction in patients with vascular compression of the cochleo-vestibular nerve].

AIM: To study the state of statokinetic stability in patients with recurrent vestibular dysfunction caused by the vascular compression of the cochlea-vestibular nerve. MATERIAL AND METHODS: Authors examined 30 patients with recurrent vestibular dysfunction in which neuroimaging studies revealed the vessel adjacent to the cochlea-vestibular nerve. Statokinetic stability evaluation was selected as a neurophysiological indicator of the cochlea-vestibular nerve hyperactivity syndrome. RESULTS AND CONCLUSION: The correlation of the statokinetic stability indicators with the functional tests used and the side of the vascular compression of the cochlea-vestibular nerve has demonstrated high sensitivity of the statokinetic function to the turning of the head to the side of the neurovascular interaction with the decrease in stability in 17 (77.3%), as well as the minor in 15 (68.2%) and marked in 7 (31,8%) cases worsening of the statokinetic function during optokinetic stimulation (p<0.05). High diagnostic value of computer stabilometry with biological feedback in the objectification of the vestibulovegetative syndrome and detection of latent vestibular dysfunction in the patients with proven vascular compression of the cochlea-vestibular nerve has been shown.