EVALUATION OF DIAGNOSTIC AND DIFFERENTIAL DIAGNOSTIC CHARACTERISTICS OF REVERSIBLE CEREBRAL VASОCONSTRICTIVE SYNDROME
Abstract
Aim: To study the diagnosis and differential diagnosis of recurrent cerebral vasoconstrictive syndrome.\n\nMaterials and methods: We selected 80 patients, aged 18-61 (average age 38.5 ± 11.1) of the Neurology Department in the Clinical Hospital of Andijan State Medical Institute. 26 (32%) were men and 54 (68%) were women. We performed MRI and MRI angiographic examination of the patient on a TOSHIBA (1.5T) MRI machine to study the blood flow rate in the brain, TCD or USDS, using the Lindegaard index to diagnose cerebral vascular vasospasm and laminar flow in the common carotid artery.\n\nObtained results: In the first group of patients (RCVS) patients complained of quick development (within a few minutes) of a severe headache (100%), nausea (90%), on brain MRI T1, T2, FLAIR and on the basis of " beads-shaped " vasoconstrictive changes (100%) in cerebral vessels in the study of vascular regimes the diagnosis was made. It was found that these vasoconstrictive changes persist for 3 months. In the second group (migraine) patients have been diagnosed according to the complaints (moderate or severe headache, the development of headache in a few hours, nausea), anamnesis, clinical manifestations, neuroimaging characteristics.\n\nConclusion: 1. RCVS secondary headache is a part of migraine primary headaches.