Cervical hypertension

Introduction Cervical hypertension refers to the instability and dislocation of cervical intervertebral tissue due to cervical strain, degeneration, trauma, etc., resulting in aseptic inflammation, directly or indirectly stimulating the cervical sympathetic ganglia or vertebral artery to cause vasomotor function. Central blood pressure abnormalities caused by disordered intracerebral ischemia, with the increasing incidence of cervical spondylosis.

Cause

1. Insufficient blood supply to the vertebral-basal artery system

Cervical facet joint displacement or hyperplasia of the epiphysis can directly compress or stimulate the vertebral artery, the cervical sympathetic ganglia lead to vertebral artery spasm, causing insufficient blood supply to the vertebral-basal artery system, reflexively increase the vasomotor center excitability, causing hypertension .

2, sympathetic dysfunction

Neck lesions or soft tissue damage in the neck cause neck muscle spasm, neck nerves, blood vessels and other soft tissues to be pulled or squeezed, causing sympathetic dysfunction and vasospasm, affecting blood supply to the brain, and increasing the concentration of CO2 in the brain. It stimulates the excitability of the vasomotor center and eventually leads to an increase in blood pressure.

an examination

Related inspection

Spinal MRI examination of blood glucose, diabetic retinopathy, cervical CT examination

Clinical manifestations of patients with cervical hypertension often manifested as headache, dizziness, dizziness, pain in the north of the shoulder, and visual impairment. Upper limbs are sore and uncomfortable and numb. X-ray examination has degenerative changes, blood pressure is high, and the general course of disease is more than one year. After reasonable treatment of cervical spondylosis, the blood gradually becomes normal.

1) Blood pressure is above normal range.

2) The clinical manifestations of cervical spondylosis, the blood pressure changes in the history of the disease are directly related to cervical lesions.

3) Whether blood pressure is stable or not is directly related to the severity of the disease.

4) After stopping the antihypertensive drug, the blood pressure is decreased after the treatment of cervical spondylosis (5-10 times). The observation is one month, and the hypertension is obviously improved.

Differential diagnosis

Obstinate hypertension

Most hypertensive patients can be controlled to a satisfactory level of blood pressure after antihypertensive drugs, while a few hypertensive patients continue to increase their diastolic blood pressure despite the combination of larger doses of drugs, maintaining at 15.2 kPa (115 mm). Hg) or more is called refractory hypertension.

2. With hypertension

Hypertension refers to the occurrence of certain diseases at the same time, producing high blood pressure, which occurs due to the occurrence of a disease or its complications are high blood pressure.

3. Heart palpitations with hypertension

Heart palpitations with hypertension are seen in hypertensive heart disease.

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