Paroxysmal hemicrania. Treatment of migraine and other forms of paroxysmal migraine headache, convulsive genesis

Chronic paroxysmal hemikrania (CPH) was seen by a Norwegian neurologist Shost in 1974

being ill characterized with frequent attacks of intense one-sided baking, boring, before pulsating pain in the orbital, supraorbital abnormally low region. More attacks in chronic paroxysmal hemicrania due to the nature of the pain, localization and supra-vascular symptoms are quite common in what is called a beam headache. The triviality of the attack is from 2 to 45 min, or the frequency can reach 10-30 times per dob. For the sake of frequent attacks, tim stinks are short. In sick people during the period of remission.

Bіl supervises vegetative symptoms:іn'єktsієyu conjunctivi, lacrimation, nasal congestion, rhinorrhea, overgrowth, myositis, ptosis. CPG is developed at a frequency of 0.03-0.05%. On the basis of bundle hypertension, women are more often (1: 8) who are 40 years old and older. Zvoryuvannya call in rіdko vinikє in to a young person... It is especially important that with CPH, there is a vinyatkovy therapeutic effect of endometacin: many attacks pass through 1-2 days. However, the use of drugs for chronic hepatitis, which is vicious for the treatment of bundle hypertension, is not very effective.

In such a rank, three diagnostic criteria lead to the form of hypertension from bundle pains: the visibility of Puchkov, to become a patient (to be the head of the woman) and the effectiveness of pharmacotherapy with endometacin.

"More syndromes in neurological practice", A. M. Veyna

Such more tied fired up vuha - otitis media; fiery congestion of the nasal sinuses - sinusitis. Characterized by an overnight ear of headache and sinusitis, nasal congestion, appearance pathological changes in the nasal sinuses with X-ray, computer and nuclear magnetic resonance tomography. With a hostile front, it was localized in the frontal area from the upheaval and into the area behind the ochima, when ...

Dentistry, glossary The main skargami of patients є pain and paresthesia (sadness, writing, rooting, poking) in new children, empty companies: in case of glossy - in children in children of language, in dentistry, dentistry The variability of the values ​​\ u200b \ u200bof the symptoms: from even weak to unbearably painful. In the world of progression, the zone is expanding, I’ll swallow all the slime ...

Atypes of facial pain - a type of psychogenic pain, in case of certain peripheral mechanisms, implementation and the main meaning of swelling central mechanisms pain, well tied with depression. Atypes of individuals are more flexible due to the nature of clinical manifestations and localization, there are a number of typical signs. onsutnі cleverly show, Characteristic for the other types of pain (curled zones, impaired sensitivity, myofascial, peripheral ...

Indigestion Frequency Triviality Localization Intensity Nature of pain Supra-vascular symptoms Puchkova G B 1-3 times per day From 15 to 3 years One-sided periorbital, forehead, close. Big chi does not pulsate, fluffy tears, rhinorrhea, inn'єktsia, partial Gorner Migren 1-3 times per month 4-72 hours One-sided, swelling sides, more double-sided Strong pulsating 80% Nudota, blues

Tolosa in 1954, and then Hunt in 1961 described a spike in recurrent orbital pain with ophthalmoplegia. Be of a permanent character, it appears without provinces and it is unhealthy to do it, maybe a burning ditch. Localization - peri and retroorbital area. The triviality of a painful period without treatment is close to 8 months. In the middle of the term, ale, wake up not before the 14th day, ...

Chronic paroxysmal hemikrania (CPH) was seen by a Norwegian neurologist Shost in 1974

Anxiety is characterized by frequent attacks of intense one-sided baking, boring, before pulsating pain in the orbital, supraorbical and mental abnormal areas. More attacks with chronic paroxysmal hemicrania due to the nature of the pain, localization and supra-vascular symptoms are quite common in which to find a beam headache. The triviality of the attack is from 2 to 45 min, or the frequency can be up to 10-30 times per dob. Quite often attack, tim stench korotshi. In sick people during the period of remission.

Bіl supravodzhutsya vegetative symptoms: іn'єktsієyu conjunctivi, lacrimation, nasal congestion, rhinorrhea, swelling of the head, myositis, ptosis. CPG is developed at a frequency of 0.03-0.05%. On the basis of bundle hypertension, women are often awaited (1: 8) at those 40 years old and older. Zvoryuvannya zvvychay Ridko Vinikak in a young vіtsі. It is especially important that with CPH, there is a vinyatkovy therapeutic effect of endometacin: a large amount of attack occurs in 1-2 days. However, the use of drugs for chronic hepatitis, which is vicious for the treatment of bundle hypertension, is not very effective.

In such a rank, three diagnostic criteria lead to the form of hypertension from bundle pains: the visibility of the buccal pain, to become a patient (to be the head of the woman) and the effectiveness of pharmacotherapy with in-hometasis.

Pathogenesis of CPH grafting lacking. Bagato authors look at the shape of the yak version of the bundle GB. Іnshi, based in the main on the instant reaction from the endometacin, to talk about unrepentant damage by the type of arteritis.

main in lіkuvanni KhPG є taking endometacin at a dose of 75-200 mg per day for 4-6 hours. Change the dose to a dose of 25 mg 3 times a day, then step by step increase the dose to 115-200 mg per day. effective I will add a dose pick up and down, but, based on the swelling of the pain syndrome. Combination of psychotropic drugs is possible

(In the presence of the characteristics of psychopathological manifestations), it is often antidepressant. In a number of vypadkіv docіal combination with court drugs (trental) and nootropic drugs. Also described is the positive effect of therapy with aspirin (as-Lirin UPSA 500 mg 3 times per dose) and other non-stero-? Іdnimі protivapalnymi zasob (especially on the cob get sick): niflurіl - 1 capsule 3 times or 1 candle 2 times for dobu; nurofen - 400 mg 3 times; solpadein (paracetamol 500 mg, codeine phosphate 8 mg, codeine 30 mg) - 2 tablets 4 times for dobu.

Skroneviy artery (Horton's ailment)

Fiery changes in cranial vessels are an important cause of facial pain in young people. The main symptom is a pulsating or non-pulsating, slow, permanent character of a blister, which is attacking like a fire, and maybe firing or fucking. It was a trivial day, and a particularly strong night. Vona is localized in frontal areas from one or two sides in the area of ​​arteries. On palpation, there is an onset of an ulcer, a nasal and a sore skin artery. The pulsation of the arteries is ailing for an hour, and then it becomes weak at the time. With biopsies, a picture of a giant artery will be revealed. rs In 30-50% of ailments through a spike of tyzhnyv on the cob of hypertension infusion of damage to the eye, vyklicane or ischemia of the healthy nerve, or thrombosis of the artery of the stenosis. Significantly higher in ailments with a skinny artery of the disease is ophthalmoplegia, the cause of which is neural or myazove. , Zahvoryuvannya, as a rule, the winery was 50 years. Hvor_yut more often than women. Some of the symptoms are: loss of appetite, increased temperature, fatigue, thinning, muscle, arthralgia. In most ailments, normal and hypochromic anemia, diminished leukocytosis, increased SHOE,

special adjustment of A2-globulin, fibrinogen, C-reactive protein. However, in some cases, the first symptom of sickness could be raptus head bill... At the expense of the disease є to non-morbid morbid accelerated early arteritis, that with adolescence at the time of illness, the patient is guilty of hospitalization, a biopsy was carried out and the treatment was promptly discharged.

Pathogenesis. Autoimmune ailment, a good variant of gigantoclitinous vasculitis.

lykuvannya conduct with corticosteroids. Pain syndrome regresses after 48 years after the ear of corticosteroid therapy. As a rule, pre-nizolone 45-60 mg should be used for a prolonged period of time with decreasing doses of up to 10-20 mg doses for an additional period of time.

SUNCT (shortlasting, unilateral, neuralgiform headache with conjunctival injection and tearing) - short-lasting, one-sided, neuralgic headache with conjunctival headaches and lymphadenitis.

SUNCT-syndrome є a severe form of primary headache and descriptions by the Norwegian pre-glider Shost in 1978 r. The triviality of the bolovy attack is short and in the middle it is close to 60 s. The nature of the pain is striking, scho the ditch, baking, non-pulsating. Bol'ova attack supernatural, as a rule, local vegetative changes: conjunctival hardening full-time apple on the side of pain, lacrimation (most types of symptoms). Secondary vegetative disorders: ptosis, swelling of the body on the side of the pain, nasal congestion, rhinorrhea, which are characteristic of a cluster headache, are more likely to develop.

Inspiration of the debut of 50 rock (from 50 to 80 rock), often ailment of the cholovik. Look at the leaks with the repairs and

sharpened; For an hour of fire, in the middle, there are up to 20 painful attacks, more of which are bad for an hour not to sleep, if you want to attack pain (1.2%).

pathogenesis I do not know anything about being ill. Okremі doslіdzhennya play on the role of the vascular factors - strengthening the blood flow, firing and thrombotic changes in the vasculature of the cavernous sinus and ophthalmia, veins, as well as vegetative veins. The order of the idiopathic forms of the description of the type of secondary symptomatic SANCT, which developed as a result of the ipsilateral cavernous angiomy of the bridge.

for lykuvannya SANCT-syndrome vikoristovuyt carboma-zepin (finlepsin). In additional publications, there is information about the effectiveness of the intake of agonist 5-HT Id receptors in sumatriptan (imigran).

Such a rank, SANCT-syndrome є an intermediate form between neuralgia of the tricycle nerve and bundle headache, near the author's name for this transformed neuralgia of the tricycle nerve, is susceptible to the neuralgic nature of pain and effective

ISH (idiopathic stabbing headache) - strong raptal headache.

ISH is a severe form of primary headache, which is characterized by ultrashort attacks (1 s), which may cause one or more focus. Most often it is localized in the orbital area, the protest can change localization. The frequency of paroxysms is suspiciously variable: it can be from 1 to 50 times per dose, and in important cases of stink, one attack per period occurs. Most attacks occur spontaneously. Superficial symptoms are rare.

In the middle of the century (47 years), it is often spared by women (F / M = 6.6). The therapeutic effect is nadaє endometacin in a dose of 75 mg per dob.

Date added: 2015-05-19 | Review: 461 | Violation of copyright

: More than 5 attacks on doba (more than less in half of all days).

Indomethacin is a sensitive headache. Determine effective endometacin in doses from 75 to 150 mg / day 1.

Episodic paroxysmal hemіcrania (PG) and chronic paroxysmal hemіcrania - rіdkіsnі syndromes, which are characterized by the appearance of short-term frequent attacks of headache with suppurative vegetative symptoms. Klіnіchno attacking the PG, nagaduyut short attacks of cluster headaches, a little more often during the day. On the basis of a cluster headache, as it is more often observed in choloviks, PG is widened in females (the rate of maturity is 3: 1). In case of cluster headaches, in the development of prolonged periods of headache attacks, changes in periods of remission, an epizodic form of PG is diagnosed. In patients with uninterrupted attacks stretching out to the rock, or if the remission is less than 1 month, a chronic form of PG arises.

Klinichny show

Naybilsh is an important sign, which allows differentiation of paroxysmal hemikrania from cluster headache, to serve as the frequency of attacks throughout the day. In case of paroxysmal hemicrania, the frequency of attacks is set at 5 per day (more often than not in half of all days on the protested to become ill). Bil with PH is characterized by a significant intensity, it is described as drilling or cutting. Name the triviality of headache attacks from 2 to 30 hvili. Symptoms include autonomic phenomena, which are susceptible to cluster headaches. In the majority of patients with chronic PG, there is a tendency to develop lacrimation (62%), nasal congestion (42%), инъекция!}!} conjunctivi and rhinorrhea (36%) or ptosis (33%).

lykuvannya

Paroxysmal hemikrania - one of the types of headache, which is characterized by high sensitiveness to indomethacin in all vipads. Take a starting dose of indo-metacin 1 tablet (25 mg) 3 times a day for three days. In case of an onset of pain relief, the dose is increased to 2 tablets (50 mg) 3 times a day. In larger patients, the effective therapeutic dose is 150 mg / day. Mossy douche yaskraviy therapeutic type пол!}!} we show signs of a headache and associated symptoms. A positive therapeutic response, as a rule, can be reached for 48 years after the administration of endometacin in an adequate dose. As a therapeutic effect during the day when endometacin is administered at a dose of 75 mg 3 times a day, it is necessary to look over Diagnosis, -a; m. A short medical report about the sickness and the sick person, the history of the disease and all-round routine. View of walnuts. - analysis, diagnostics, -і; f. 1. Supremacy of acceptance and methods, including instrumental and laboratory ones, which allow detecting ailments and establishing a diagnosis. View of walnuts. - good news. 2. Establishment of diagnosis, dializ, -a; m. peritoneal dialysis. The method of correcting water-electrolyte and acid-puddling іvnovagy and vivedennya to the organism of toxic substances with the introduction of a diluted rose into a black empty.

Paroxysmal Hemikrania - tse childbirth syndrome For any type of short and numerical headache attacks throughout the day. The head b_l is even strong, pulsing, barking, like a paw paw grabbed my head.
Head beel call back eyes, or in the area of ​​wuh. Bil is one-sided. The bright side can change. One can get more in the shoulder.

A typical attack is three times from 2 to 30 hilin. Deyakі patsієnti see a light beat in the midst of attacks.

A headache attack is repeated during the day, and on the basis of a cluster headache, the hour of pain attacks is not transmitted.

Nichni attacks are not typical for paroxysmal hemicrania. Indomethacin was transferred to the control of the head.

The incidence of the effect of endometacin is diagnosed.

Asociyovany (Supervision) Symptoms

Pererakhovani in the order of decreasing the number of symptoms, for paroxysmal hemicrania are characteristic of the onset of associated symptoms: lachrymation, nasal congestion, wry eyes, nose lingering and drooping hypertension.

Fear of God and sensitivity is also not. All associated symptoms (including increased sensitivity to light and noise) are flanked by the side of a headache and are diagnosed every hour of a painful attack.

Deyaki patients at the time of the attack bigayut back and forth, as with a cluster headache;

Trigeri paroxysmal hemicrania

Provocative factors, or triggers, can only play a grateful role in a third of patients.

Approximately 10% of attacks of paroxysmal hemicrania are provoked by mechanical factors. Such is the way of zginannya, straightening and wrapping of the sheer, or the hindering of the upper and middle part of the sheer on the sides.

Alcohol provokes painful attacks in 20% of patients suffering from paroxysmal hemicrania.

Hormonal contraceptives and vaginism are infused into the frequency and severity of headache attacks, the character of which is infused is even more individual.

Demographic Features, Types and Mechanisms of Paroxysmal Hemicrania

Paroxysmal Hemikrania - tse ridkisne ill... It will be developed approximately 100 times before the cluster head count. For a long time, I was in love with a type of headache 3 times more often seen in women. Recently, we have set the price for the confirmation of the sum. However, especially for me, I didn’t get stuck to the tsim ailments among the choloviks. Paroxysmal hemikrania is most often repaired in the course of the third dozen, or else it can be repaired in any other business.

Approximately one third of patients suffer from episodic paroxysmal hemicrania. Period of headache three times from months to months with periodic remissions from months to three years.
Reshta patients suffer from a chronic form of illness. When the form of remission is trivial less than a month, And the bigger the period is the bigger the rock.

I’ll look at the brilliance of the headache, the triviality of the ill-fated nevidoma. I don’t know if the headache is transferred from the children to all their lives, or to lean back in the child’s bag.

Mechanism of pain diagnosis in case of paroxysmal hemicrania is lost in the meaning of the world. Tsey syndrome is similar to viklikayetsya dislocation of the hypothalamus (yak with cluster headache).

Likuvannya paroxysmal hemicrania

Paroxysmal hemikrania is transmitted to endomethacin. I will explain the name - "Indomethacin is sensitive to the head". During the period of pain control on endometacin, the diagnosis is made on the basis of the sum.

A dose of endometacin variyuє 75 mg to 225 mg per dose is required for general pain control, divided into 3 doses. The sickly effect of endometacin is inviting to take hold of the bagatech rock.

I’ll look at the paroxysmal hemikrania - a chronic stun, a large reception of endometacin can cause serious problems with the intestines and nerves.

Prophylactic treatment with Verapamil is effective in some patients. Tryptani, Topamax, Celebrex and the blockade of the nerve nerve can only give a positive effect. Melatonin can be helpful for children.

The one who wants to have severe headaches once again means hemicrania. But all the same, give a report to look at the ailment and how to fight it. - the whole body, when there are pains on one side of the head. An attack of supravodzhuatsya boring and bloating. Hemіcranіu partly women are grieving. The ailment actively manifests itself at the age of 25 to 60 years, for whom the attack grows older or is called to know.

Before the cob, the children often see sprague, hunger, blasphemy abo rіzku zmіnu emoji background... Inodі head bіl front zorova aura: Lyudina sposterіgaє in front of the ochima rukhomi points, lines and t. D.

Most cases of hemicrania occur in one half of the head, and grow in the area of ​​the head. Bil pulsuє, supravodzhuyuchis nudota and blues. For this, yak people virve, began to start. Trivaty attacks can be made from years to decilkoh days.

Features of paroxysmal form

If the patient is chronically paroxysmal hemikrania, it is possible to avoid such a sign that the triviality of the attack is low, which may be expected to be supervised hard nudota.

Paroxysmal hemikrania invite women to learn, and the first to attack will be seen by an adult. However, there are a number of descriptions of symptoms of hemicrania in children.

In case of paroxysmal form of ailment, the attack may appear as if it had developed for dob, and the stench from 2 chilin to pivgodini would be trivial. Zapobigti attack dopomagaє hourly reception of endometacin.

Hemikrania is not associated with any pathology of the human body, nor is it a manifestation of chronic ailments.

see chronicі epizodic formy get sick. at chronic form attack on a regular basis by stretching out rock with periods of remission, which last up to 1 month. Inodi hemicrania is susceptible to damage caused by neuralgic disorders.

Evil tongues are repeating that they will be localized in the area of ​​space or in the distance. Call the wine bile only from one side, with the whole localization, as a rule, do not change the stretching of the patient's life. More can be seen in the arm or shoulder.

hemіkranіya contіnuo

The qia form of hemicrania is designed to be fattening, moreover, in a large number of women. Bіl at a tseomu see either in the region of the eye, or in the skron. Do not pass more sightings; The intensity of the pain will be adjusted in an hour.

The frequency of attacks can vary from bagatorazovyh repetition of one duration up to 2-3 times per month. If the frequency of attacks on growth, increases and the intensity most of the views... For an hour to attack, you may be able to prevent additional symptoms, for example, pidvischene slosovidiennya, nasal congestion, drooping table from the affected side.

Qia form mіgrenі supervodzhutsya characteristic symptoms migraine: bluishness, tediousness and intolerance of bright light. The behavior of the patient can be very swollen and sick.

Before the hour I attack, the sick people have an aura and a healthy hallucination.

Persha dopoga

As a rule, patients, who suffer from hemicrania, at the first signs of an attack on their own, take antibiotic drugs. At the same time, leaks give less time and do not know the attack. However, the result is more pronounced, as I show the practice, it is allowed to covet folk ways of lіkuvannya ailments.

As soon as the patient is aware of the attack, the next step is to pinpoint the physical and intellectual performance. Guilty to fall and relax. It is necessary to put a cool compress on the forehead of the man and to tighten it tightly around the head.

For an hour to attack, it is important to be in a cool, well-groomed dark environment. Closely ill, in any case, it is not to blame for the noise: it is necessary to get a TV, radio, prikriti vіkna. Yak only ailments fall asleep, attack to cringe.

Help to lighten the camp with hemicrania teplikh compressor... You can put a cold compress in the forehead area, and warm it in the local area. Mini compresses slid skin 2 chilini. It is recommended to carry out the procedure 4 to 6 times throughout the day.

See the results and give you the ability to correct self-massage. Deyakim is sick to finish the decilkokh quilin self-massage in order to get an intolerable bile.

Lіkuvannya herbs and folk methods

ci simple methods allow zapobіgti big attacks and quickly turn to normal life. Have fun with the likare persh, not fix the likuvannya quietly in the folk way.