Recovery following surgical decompression of the vertebral artery in Kimmerle anomaly: challenges and solutions

Background . Recovery challenges in patients following cervical spine surgery, particularly vertebral artery decompression in Kimmerle anomaly, are of great scientific and practical interest. This includes developing solutions based on the analysis of clinical practice and doctor-patient communication. Objective : To investigate adaptation and recovery challenges in patients with Kimmerle anomaly following surgical treatment and propose solutions. Material and methods . The analysis of patients’ post-surgery rehabilitation was conducted. This included patient E.M. Rozanova’s case, who kept a recovery diary, as well as survey data from operated patients. Results . Main postoperative rehabilitation challenges were identified, i.e., the need to adapt to altered blood flow, psychological difficulties, lack of standardized recovery protocols, and limited access to rehabilitation programs, especially for patients with vestibulo-ataxic syndrome. Proposed solutions include patient questionnaires to develop individualized rehabilitation plans, consultations with psychiatrists and psychologists prior to and following surgery, and the development of specialized physical therapy programs including vestibular exercises and habilitation techniques (e.g., recreational swimming). Conclusion . Surgical treatment of Kimmerle anomaly requires an integrated rehabilitation approach that takes into account neurological, psychological, and social aspects. Further research and development of clinical guidelines are necessary to improve patients’ quality of life. Proposed measures may accelerate patients’ recovery and minimize their postoperative complications.