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Abstract
The application of the Transcranial Doppler sonography in patients with cervicocranialgia is discussed. The review of the original observation of the state of the arterial and vemous cerebral hemodynamics and cerebrovascular reactivity in these patients is presented. The authors performed clinical and Doppler sonography examinations of 148 patients with cervicocranialgia aged 18 to 45 years. According to the Doppler examination, patients mainly presented with cervicocranialgia , increased velocity parameters and functional asymmetries of blood flow in the basilar and vertebral arteries. Patients with cervicocranialgia had excessive blood supply in vertebral veins and direct sinus. Hyperreactivity in vertebral veins and direct sinus during orthostatic load is probably associated with the impaired regulation of cerebral blood flow at neurogenic level.
Key words: Cervicogenic headache, cervicocranialgia, Transcranial Doppler sonography, cerebral hemodynamics, cerebrovascular reactivity. functional X-ray study of cervical spine.
Калашников В.И.
ЦЕРЕБРАЛЬНА ГЕМОДИНАМІКА ТА ЦЕРЕБРОВАСКУЛЯРНА РЕАКТИВНІСТЬ У ХВОРИХ НА ВЕРТЕБРОГЕННУ ЦЕРВІКОКРАНІАЛГІЮ
Обговорюється застосування транскраніальної доплерографії у пацієнтів з цервікокраніалгією. Представлені результати власних досліджень стану артеріальної та венозної церебральної гемодинаміки та цереброваскулярної реактивності у даних пацієнтів. Проведено клінічне та допплерографічне обстеження 148 пацієнтів у віці від 18 до 45 років з цервікокраніалгією. За даними допплерографічного дослідження у пацієнтів з цервікокраніалгією переважають підвищення швидкісних показників та функціональна асиметрія кровоплину в базилярної і хребетних артеріях. У пацієнтів з цервікокраніалгією відзначалося надлишкове кровонаповнення в хребетних венах і прямому синусі. Гіперреактивність в хребетних венах і прямому синусі на тлі ортостатичного навантаження, імовірно, пов'язана зі змінами нейрогенної ланки регуляції церебрального кровоплину.
Ключові слова. Цервікогенний головний біль, цервікокраніалгія, транскраніальна допплерографія, церебральна гемодинаміка, цереброваскулярна реактивність, функціональне рентгенографічне дослідження шийного відділу хребта.
Калашников В.И.
ЦЕРЕБРАЛЬНАЯ ГЕМОДИНАМИКА И ЦЕРЕБРОВАСКУЛЯРНАЯ РЕАКТИВНОСТЬ У БОЛЬНЫХ С ВЕРТЕБРОГЕННОЙ ЦЕРВИКОКРАНИАЛГИЕЙ
Обсуждается применение транскраниальной допплерографии у пациентов с цервикокраниалгией. Представлены результаты собственных исследований состояния артериальной и венозной церебральной гемодинамики и цереброваскулярной реактивности у данных пациентов. Проведено клиническое и допплерографическое обследование 148 пациентов в возрасте от 18 до 45 длет с цервикокраниалгией. По данным допплерографического исследования у пациентов с цервикокраниалгией преобладают повышении скоростных показателей и функциональная асимметрия кровотока в базилярной и позвночных артериях. У пациентов с цервикокраниалгией отмечалось избыточное кровенаполнение в позвоночных венах и прямом синусе. Гиперреактивность в позвоночных венах и прярмом синусе на фоне ортостатической нагрузки, предположительно, связана с изменениями нейрогенного звена регуляции церебрального кровотока.
Ключевые слова. Цервикогенная головная боль, цервикокраниалгия, транскраниальная допплерография, церебральная гемодинамика, цереброваскулярная реактивность, функциональное рентгенографическое исследование шейного отдела позвоночника.
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