Короткий опис (реферат):
The aim of this study was to conduct a Doppler study of arterial and venous hemodynamics in young patients with various types of cervical headache. Materials and Methods. Sixty-five patients (38 women, 27 men) aged 18-35 years with headaches secondary to cervical spine instability were studied. Two groups of patients were identified: those with cervicocranialgia (CCA) and those with posterior cervical sympathetic Barré-Lieou syndrome (BLS). The time-averaged maximum blood flow velocity (TAMX) indices were studied in the middle cerebral arteries (MCA), anterior cerebral arteries (ACA), posterior cerebral arteries (PCA), vertebral arteries (VA), and basilar arteries (BA). The state of venous hemodynamics was studied with the study of maximum blood flow velocity (Vmax) in the vertebral veins (VV), basal veins (BV) of Rosenthal, and straight sinus (SS). Results. Generalized vasospastic reactions predominated in the group of patients with CCA. The development of BLS in the overwhelming majority of cases was due to vasospasm in one VA, as well as a combination of vasospasm in the BA and one VA. In most cases, patients with CCA had impaired venous hemodynamics. Increased blood flow in the BV and SS was predominant. The greatest changes in blood flow velocity parameters in patients with BLS were observed in the VV; these changes were most often unilateral and associated with asymmetry in Vmax along the VV. Analysis of the obtained data suggests the presence of Doppler signs of cerebral venous dyshemia in the majority of patients with CH. Blood flow parameters in the VV proved to be the most informative. Conclusions: Headache in cervicocranialgia is associated with diffuse changes in hemodynamics in the arteries of the vertebrobasilar basin, VV and SS. In patients with Barré-Lieou syndrome, regional changes in arterial hemodynamics were observed in the form of local vasospastic reactions in the VA and BA, as well as, to a lesser extent, local venous disorders, mainly in the VV. Examination of patients with cervicogenic headache should include mandatory Doppler ultrasound examination of the arterial and venous links of cerebral and vertebral blood flow.
