KIMMERLE’S ANOMALY: ASPECTS OF DIAGNOSTICS AND TREATMENT OF MAIN CLINICAL SYNDROMES

Abstract

The authors have examined 107 patients with Kimmerle’s anomaly and identified four main groups of symptoms. These were vertebral artery circulatory disturbance syndrome, cephalgic syndrome, epileptic syndrome, and radicular syndrome. A neurological onset of these syndromes was characterised by paroxysmal symptoms. The paper identifies three severity levels of Kimmerle’s anomaly-related clinical features and determines criteria for reliable, probable and tentative indicators of poor prognosis. The authors put forward a differentiated approach to selecting drug treatment and assess efficiency of the drug treatment, depending on different courses of neurological complications associated with Kimmerle’s anomaly.