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Abrazo Brain and Spine

What Is Transient Vertebrobasilar Insufficiency?

Transient vertebrobasilar insufficiency (TVI) may not be a term you hear very often, but it’s related to one well-known condition: stroke.

TVI refers to the temporary inability of the vertebrobasilar arteries to supply enough blood to the brain. Specifically, the vertebrobasilar arteries supply blood to the back of the brain, cerebellum and brainstem. These parts of the brain govern functions such as breathing, sleeping, balance and motor coordination.

TVI is most often caused by atherosclerosis, or the buildup of plaque in the arteries. Arterial plaque may develop due to numerous factors:

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  • Age and sex (men and older people have higher risk)
  • High blood sugar
  • Family history
  • High blood pressure
  • High levels of low-density lipoprotein cholesterol in the blood
  • Smoking

TVI Treatments

Bending or rotating the neck sharply has been known to cause TVI. Also known as bowhunter’s syndrome (side-to-side rotation) or beauty parlor syndrome (tipped backward), TVI happens when an acute twisting movement of the neck limits blood flow in the vertebrobasilar arteries. In some cases, an artery may even be torn.

What Causes TVI?

Cerebral Vascular Conditions That We Treat

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