Headache caused by intracranial hypertension, characterized by the fact that she was most pronounced at night and morning, is reduced or terminated under the influence of dehydration therapy (glycerin, furosemide, mannitol, etc.), followed by vomiting, occurs independently of food intake, the presence of other signs of improving intracranial pressure, among which the most important is stagnant eyeground (hyperemia of the optic nerve papilla, stushevannost its borders, bulging papilla into the vitreous body hemorrhage in the course of vascular fundus). prolonged increase in intracranial pressure can be formed, changes in the skull. On the ECG it as thinning of the bones of the skull, deepening and expansion of vascular sulci, increased severity of digital impressions, the divergence of the skull bones (mostly children), flattening the bottom of the anterior cranial fossa extension of the entrance to the sella turcica.
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The presence of headache on the background of the symptoms of focal cerebral lesions (paresis, paralysis, disorders of sensation, etc.) characteristic of organic lesion (tumor, abscess or other).
Hydrocephalus characteristic increase in the cerebrospinal fluid in the ventricles of the brain and increased intracranial pressure (internal hydrocephalus). If the increase is observed in the cerebrospinal fluid subarachnoid space of the brain, then this is called external hydrocephalus. It occurs due to increased formation of cerebrospinal fluid (gipersekretorny variant), the stifling of its resorption (arezorbtivny option) or by a combination of these processes (mixed variant). Sometimes there is a noncommunicating hydrocephalus, which is due to violation of the circulation of the cerebrospinal fluid (eg, blockade of the aqueduct of Sylvius). The cause of it may be head injuries, meningitis, brain tumors, etc.
In brain tumors headaches caused by increased intracranial pressure, a violation of the circulation of the cerebrospinal fluid or by stretching and displacement of intracranial structures, sensitive to pain. Typically o6schemozgovyh combination of symptoms, increased intracranial pressure and focal symptoms, the originality of which depends on the localization of the tumor.
Closed head trauma is a frequent cause of headache, which is based on intracranial hemorrhage, violations likvorodivaM11, intracranial hypertension and damage to the skin of the head. Headache begins immediately after injury or after a few days, weeks and even months and may be due to direct trauma or its complications (post-traumatic hematoma, hydrocephalus, meningeal brain scar, etc.).
The most severe headaches inherent in SAH, which is also manifested marked by shell symptoms and the presence of blood in the cerebrospinal fluid.
Later, the emergence of head 6olsy recovering from traumatic brain injury may indicate the presence of hydrocephalus, arachnoiditis or chronic subdural hematoma.