Arterial Hypertension After Macrovascular Decompression of Vertebrobasilar Dolichoectasia: Rethinking the Cause-Effect Relationship
MaVD proves highly effective in treating HDS from VBDE, with most patients achieving complete symptom resolution. However, a significant proportion experienced increased BP postoperatively, especially those with preexisting HT. These findings support Jannetta et al.'s theory of neurogenic HT and suggest that cardiovascular risk factors like age, male sex, and obesity may predispose patients to BP increases. Left-sided NVC and glossopharyngeal neuralgia may be protective. The transient nature of BP elevation indicates possible long-term compensation. Further studies are needed to clarify the mechanisms behind BP changes and improve management strategies postsurgery.
Authors
- Paolo Alimonti
- Marco Schiariti (ORCID: https://orcid.org/0000-0001-5494-8292)
- Francesco Acerbi (ORCID: https://orcid.org/0000-0002-8418-7698)
- Francesco Restelli (ORCID: https://orcid.org/0000-0002-3789-957X)
- Jacopo Falco (ORCID: https://orcid.org/0000-0002-6933-7328)
- Elio Mazzapicchi (ORCID: https://orcid.org/0000-0002-7043-9233)
- Paolo Ferroli (ORCID: https://orcid.org/0000-0002-8744-8857)
- Guglielmo Iess (ORCID: https://orcid.org/0000-0002-1021-6855)
- Giulio Bonomo (ORCID: https://orcid.org/0000-0002-4749-7929)
- Morgan Broggi (ORCID: https://orcid.org/0000-0001-8818-1317)
- Roberta Bonomo (ORCID: https://orcid.org/0000-0001-6879-2946)
Institutions
- University of Pisa (IT)
- Fondazione IRCCS Istituto Neurologico Carlo Besta (IT)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2025-04-13
- DOI
- https://doi.org/10.1016/j.wneu.2025.123974
- Citations
- 3
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 6.02
Funders
- Ministero della Salute