International Medical Journal, Vol. 21., Iss. 3, 2015, P. 32−35.
PECULIARITIES OF VEGETATIVE DYSTONIA SYNDROME IN PATIENTS WITH POSTTRAUMATIC EPILEPSY
Kharkiv Medical Academy of Postgraduate Education, Ukraine
Central Clinical Hospital of Ukrainian Railroad, Kharkiv, Ukraine
It is known that vegetative disorders are often observed in patients with posttraumatic epilepsy. This paper reveals the relationship between autonomic disturbances and changes of the tone in the large vessels of the neck, which manifested by different headache types. Vegetative disorders were also identified in patients with cardiac disturbances, with more pronounced changes observed in patients with cardiac disturbances and headache compared with the patients with cardiac disturbances, but without the headache and those without cardiac disturbances. It was also noted that patients with cardiac disturbances significantly more often than patients without cardiac disturbances complained of headache. Higher frequency of seizures was observed in patients with cardiac disorders. In addition, patients in this group were significantly more likely to have generalized tonic−clonic seizures. According to heart rate variability (HRV) analysis sympathicotonia was significantly more frequent in patients with cardiac disorders. Reduction in the total power of HRV and the predominance of VLF component of HRV was significantly more common in patients of group 2, which may indicate the tension of compensatory mechanisms of autonomic regulation of cardiac activity/ Sympathicotonia was significantly more common in patients with headache and was accompanied by arterial spasm phenomenon according to Doppler ultrasound. Parasympathicotonia was observed significantly more frequently in patients with headache and impaired venous outflow according to Doppler ultrasound. In patients with cardiac disturbances and headache lowest quality of life in accordance with the scale QOLIE 31 was observed. The features of the vegetative status that are characteristic for patients with posttraumatic epilepsy, cardiac disturbances and headache were identified.
Key words: vegetative disorders, cardiac disturbances, headache, posttraumatic epilepsy.