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EXTENSION-ROTATION TEST FOR CERVICAL ARTERY DISEASE The vertebral artery supplies blood flow to the hindbrain and courses through the transverse foramina of the cervical levels from C6 to C1 and is tethered at foramina C2, C1 and the atlanto-occipital membrane. Abnomal stress (amongst others through cervical rotation) on this artery may lead to a reduction of blood flow to the hindbrain, which we call vertebrobasilar insufficiency or VBI– a condition that can develop into cerebral or brain stem
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