Uploaded byAlan J Taylor
Cervical Arterial Dysfunction & Clinical Practice: Moving Forward
The document discusses cervical arterial dysfunction (CAD) as a comprehensive term for various vascular pathologies affecting cranio-cervical arteries, including dissections and atherosclerosis. It emphasizes the importance of risk factor assessment, physical examination, and screening for interventions. The authors suggest a reasoned framework for clinical practice and highlight resources like the IFOMPT cervical framework for guidance.
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Cervical Arterial Dysfunction & Clinical Practice: Moving Forward
- 1. CERVICAL ARTERIAL DYSFUNCTION & CLINICAL PRACTICE: MOVINGFORWARD @TaylorAlanJ & @RogerKerry1
- 2. Risk Time/experience Cervical spine risk… where are you? @TaylorAlanJ & @RogerKerry1
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- 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 coversALL known vascular pathologies & anatomical structures that may be compromised by assessment/management CAD @TaylorAlanJ & @RogerKerry1
- 7. @TaylorAlanJ & @RogerKerry1 ‘CervicalArterial Dysfunction’ is an umbrella term
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- 9. Diseased (Atherosclerosis)Mechanics Altered Haemodynamic Continuum Healthynormal Vessel?? TRAUMA? @TaylorAlanJ & @RogerKerry1
- 10. @TaylorAlanJ & @RogerKerry1 Healthyvessel Dissection
- 11. Source: DailyTelegraph Source: DailyTelegraph Phillip Hughes @TaylorAlanJ & @RogerKerry1 Sub arachnoid haemorrhage Dissection of Healthy vessel Source: DailyTelegraph Source: DailyTelegraph
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- 13. Cervical Arterial Dysfunction Anycranio-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
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- 16. ASSESSMENT & SUB-GROUPING@TaylorAlanJ &@RogerKerry1
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- 18. HISTORYIdentifying CAD riskfactor @TaylorAlanJ & @RogerKerry1
- 19. PHYSICAL EXAMINATION IdentifyingCAD risk factors @TaylorAlanJ & @RogerKerry1
- 20. High blood pressureis 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 thisshould be a simple, two minute screening examination @TaylorAlanJ & @RogerKerry1
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- 23. So what canwe do with these folk? What is our reasoned framework for parameters of practice? @TaylorAlanJ & @RogerKerry1
- 24. NEXT STEPS? @TaylorAlanJ &@RogerKerry1
- 25. You can accessthe IFOMPT Cervical Framework Altered Haemodynamics Blog which summarises some clinical issues very well IFOMPT Cervical Framework REVISION 2018 @TaylorAlanJ & @RogerKerry1
- 26. Thanks for yourfeedback . . . ! alan.taylor@nottingham.ac.uk roger.Kerry@Nottingham.ac.uk @rogerkerry1@TaylorAlanJ The Pulse of Thought: Haemodynamics of the Brain and Mind @TaylorAlanJ & @RogerKerry1