Possibilities of conservative management of patients with vertebra-basilar insufficiency at out-patient stage
The paper discusses the problem of management of patient with vertebrobasilar insufficiency (VBI) in outpatient stage. The data for etiology and pathogenesis of circulatory disorders in the vertebral-basilar circulation, principles of diagnosis and VBN clinical symptoms are presented. The conservative approach to treatment of such patients include non-medicated (using the Shance splint, manual correction of biomechanical dysfunction in cases with no contraindications) as well as medicated (antiplatelet, nootropic and vascular therapy, statin use) therapies. Adequate pathogenetic-based pharmacotherapy makes it possible to achieve desired clinical effect with minimization of side effects and pharmacological stress on the patient.

Keywords: Actovegin, vascular therapy, nootropic therapy, vertebral-basilar insufficiency, antiplatelet therapy