Intracranial hypertension

Content

  • The main symptoms of intracranial hypertension
  • Diagnosis of the disease
  • Treatment of increased intracranial pressure



  • The main symptoms of intracranial hypertension

    Increased pressure on the substance of the brain is able to disrupt the central nervous system. It is in violation of the central nervous system and there are characteristic symptoms of the disease:

    • heaviness in the head or headaches, growing in the morning or in the second half of the night
    • in severe cases, possible nausea and / or vomiting in the morning
    • vascular dystonia (sweating, a drop or increase in blood pressure, palpitations, presyncopal status, etc.).
    • fatigue, "dullness", easy exhaustion when at work or school stress
    • nervousness
    • "Bruising" under gases (if to tighten the skin under the eyes in "bruise" the field of advanced small visible veins)
    • may reduce sexual desire, potency

    If the human body is in a horizontalposition, liquor stands actively and absorbed more slowly, so the intracranial pressure and the symptoms tend to reach a peak in the second half of the night or in the morning. Intracranial pressure is higher, the lower the atmospheric pressure, so the deterioration is due to the change of weather.



    Diagnosis of the disease

    The diagnosis of intracranial hypertension and hydrocephalus established experts on the basis of typical symptoms and specific research data, up to brain imaging.

    Immediately measure the intracranial pressurepossible only by introducing fluid into the cranial cavity or spinal canal with a special needle manometer connected thereto. Therefore, direct measurement of intracranial pressure is almost never used today.

    About increase in intracranial pressure can say with confidence based on the following data:

    • extension, crimp veins fundus - indirect but reliable sign of increased intracranial pressure
    • expansion of liquid and brain cavitiesvacuum medulla along the edge of the brain ventricles, clearly visible under X-ray computed tomography (CT) or magnetic resonance imaging (MRI)
    • violation of the outflow of venous blood from the cranial cavity, to be ascertained by means of transcranial Doppler or rheoencephalography

    The gold standard of instrumental examination of patients - is an assessment of symptoms, these brain imaging and fundus picture.

    Echoencephalography (Echo EG) provides indirect andalways reliable data about the increased intracranial pressure, it is less reliable than computed tomography and magnetic resonance imaging, so this method is rarely used by us.



    Treatment of increased intracranial pressure

    Intracranial hypertensionLiving with increased intracranial pressure andunpleasant and unhealthy. The human brain is under the influence of excess pressure may not work properly, moreover, there is a slow atrophy of the cerebral white matter, and this leads to a slow decrease in intellectual ability, disturbance of the nervous regulation of the internal organs (hormonal disorders, hypertension, and others.). It is therefore necessary to take all measures for the speedy normalization of intracranial pressure.

    In the treatment of increased intracranial pressureit is important to reduce isolation and increase the absorption of CSF. Traditionally made for this purpose designate diuretics. However, the constant use of diuretics is not always acceptable to the patient.

    Today, used treatment methods directedon normalization of intracranial pressure without medication. This special exercises to reduce intracranial pressure (applied by the patient alone), individual drinking regime, and small changes in diet, venous unloading of the head with the help of special methods of soft manual therapy.

    This achieves a steady declineintracranial pressure without the continuous use of diuretic drugs, and then gradually decrease the unpleasant symptoms. Commonly occurs in the first week of treatment.

    In very severe cases (eg, cerebrospinal fluid flowafter neurosurgical operations or congenital cerebrospinal fluid flow), surgical treatment. In neurosurgery designed implantation tube technology (shunts) to remove an excess amount of liquor.

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