CEREBRAL VENOUS DYSCIRCULATION IN PATIENTS WITH CERVICOGENIC HEADACHE

Valeriy Kalashnikov

doi:10.23856/6426

Valeriy Kalashnikov Kharkiv National Medical University https://orcid.org/0000-0002-7012-1698

Słowa kluczowe: cervicocranialgia, Barre-Lieou syndrome, vertebral vein, basal vein of Rosenthal, sinus rectus, autoregulation of venous blood flow, orthostatic load, anti-orthostatic load.

Abstrakt

Clinical and Doppler examination of 146 patients was carried out young age (18–44 years, including men – 75, women – 71) with cervicogenic headache. All patients were divided into two clinical groups: group 1 – cervicocranialgia – 82 patients; group 2 – posterior cervical sympathetic Barre-Lieou syndrome – 64 patients. By help triplex transcranial scanning has been studied high- speed blood flow indicators in the supraocular and vertebral veins, basal veins of Rosenthal, sinus rectus, as well as reactivity coefficients in the vertebral veins, basal veins of Rosenthal and direct sinus at applications and orthostatic and antiorthostatic functional loads. All patients were determined Doppler and signs of cerebral venous dyscirculation, mainly in the vertebral veins. Signs of venous dyscirculation were manifested in the vertebral veins and sinus rectus in patients with cervicocranialgia, as well as in vertebral veins in patients with Barre-Lieou syndrome. Leading pattern there was a violation of autoregulation of cerebral venous blood flow hyporeactivity to orthostatic and antiorthostatic loading in the vertebral veins, more pronounced in patients with cervicocranialgia. Easy hyperreactivity to antiorthostatic load on the basal veins of Rosenthal and sinus rectus in patients of both groups indicates a violation of the neurogenic mechanism in the regulation of venous blood flow.

Wykaz bibliografii

1. Barmherzig R, Kingston W. (2019). Occipital Neuralgia and Cervicogenic Headache: Diagnosis and Management. Curr Neurol Neurosci Rep; 19(5):20. doi : 10.1007/s11910-019-0937-8.
2. Bogduk N. (2014). The Neck and Headaches. Neurol Clin; 32(2):471–87. DOI: http://dx.doi.org/ 10.1016/j.ncl.2013.11.005.
3. Bulut MD, Alpayci M, Senkoy E. et al. (2016). Decreased Vertebral Artery Hemodynamics in Patients with Loss of Cervical Lordosis. Med Sci Monitor; 22: 495–500.
4. Fredriksen TA, Antonaci F, Sjaastad O. (2015). Cervicogenic headache: too important to be left undiagnosed. J Headache Pain; 16:6. doi : 10.1186/1129-2377-16-6.
5. Kalashnikov VI. (2016). Cerebral hemodynamics and cerebrovascular reactivity in patients with vertebrogenic cervicocranialgia. INTER COLLEGAS;3 (4):185–189.
6. Kalashnikov VI, Stoyanov OM, Bakumenko IK, et al. (2021). Reactivity of brain blood flow in patients with various types of headache. PhOL.Archives;3:235-243. http://pharmacologyonline. silae.it ISSN: 1827–8620
7. Noseda R, Melo-Carrillo A, Nir RR, et al. (2019). Non-trigeminal nociceptive innervation of the posterior dura: implications to occipital headache. J Neurosci ; 39:1867–80.
8. G, Cinnamond S, Hough D, Choy S, Whittingham W. (2017). Doppler ultrasonography assessment of the vertebral artery in people with cervicogenic dizziness. J Spine ; 6: 4.
9. Stoyanov AN Kalashnikov VI., Vastyanov RS., et al. (2022). State of autonomic regulation and cerebrovascular reactivity in patients with headache with arterial hypertension. Wiad Lek;75(9 , p2):2233–2237 DOI: 10.36740/WLek202209210
10. Todua FI, Gachechiladze DG, Beraia MV, Berulava DV. (2005). Cerebral venous hemodynamics in chronic disorders of cerebral circulation. Angiol. Sosud. Khir; 11(2): 39–43.
11. Verma S, Tripathi M, Chandra PS. (2021). Cervicogenic Headache: Current Perspectives. Neurol India; 69(Supplement): S 194–S198. doi : 10.4103/0028-3886.315992.