The state of cerebral venous hemodynamics in patients with various types of headache
DOI:
https://doi.org/10.32782/2077-6594/2024.2/10Keywords:
venous cerebral hemodynamics, cerebrovascular reactivity, migraine, tension headache, cervicogenic headacheAbstract
Purpose. Study of cerebral venous hemodynamics in patients with migraine (M), tension-type headache (TTH) and cervicogenic headache (CH). Materials and methods. 458 young patients (18–44 years old, 203 men, 255 women) with various types of headache were studied; including M – 124 patients, TTH – 186 patients, CH – 146 patients. The indicators of the maximum linear velocity of blood flow (Vmax) in the vertebral (VV) veins, basal veins of Rosenthal (BV), direct sinus (DS), as well as reactivity coefficients (Cr) in the DS and BV were studied using orthostatic (CrdsOL and CrbvOL), antiorthostatic (CrdsAOL and CrbvAOL) loads The results. The indicators of blood flow in the VV were increased in patients with CH, in patients with M and TTH they did not differ from the data of control groupe (CG). Patients with M and TTH demonstrated an increase in blood flow along the BV. Blood flow in DS was slightly increased in all clinical groups. Comparison of indicators of venous cerebrovascular reactivity (CVR) in patients with headache was carried out. CrdsOL exceeded CG indicators in patients with TTH and did not significantly differ from CG data in patients with M and CH. Similar changes were observed for CrbvOL. Hyperreactivity to AOL in DS was observed in all clinical groups. Hyperreactivity to AOL in DS and BV was noted in patients with migraine. Hyperreactivity to both OL and AOL was noted in the group with TTH. Normoreactivity to OL and hyperreactivity to AOL was observed in the case of CH, similarly to the group with migraine. Conclusions. 1. In patients with migraine, signs of impaired blood flow in the BV and DS are detected. 2. Venous dyscirculation is characteristic for patients with TTH, manifested as an increase in Vmax and hyperreactivity to OL in DS and BV. 3. In patients with CH, outflow disorders in the VV system predominate. 4. Hyperreactivity to AOL in DS and BV may be associated with subclinical intracranial hypertension.
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