Shilov G N
Republican Clinic Medical Center of the Presidential Administration, Belarus
Keynote: J Neurol Neurophysiol
Aim: The aim of the investigation was to study the dependence of neurological manifestations different
headache’s types: Migraine, cluster headache, chronic paroxysmal hemicrania and tension headache (as control
pathology) from the asymmetric of the cranial venous sinuses and magistral brainâ??s and neckâ??s venous.
Material & Method: During the period 2016-2019, we observed 48 patients with different types of headache
in which hemicranias headache prevailed among neurological manifestations. According to the MRI were
confirmed expressed asymmetry of the cranial venous sinuses (transverse and sigmoid sinuses) and magistral
venous brain’s and neck’s (first of all internal jugular vein) without any other vascular malformations nervous
system, and also vascular pathology of the CNS (like atherosclerosis of the arteries, etc.) and other diseases of
CNS, that can cause similar neurologic symptoms. In 28 patients (this group include only women) from the
given class of headaches were diagnosed classical migraine, in 6 patients - cluster headache (this group consist
of only men), and in 14 patients - chronic paroxysmal hemicranias (from them were 8 women and 6 men). In
a counterbalance hemicranial headache, as control group, we used tension headache, which was diagnosed in
14 patients (from them 7 were men and 7 were women).
Results: All of the 28 patients with migraine, were girls and women aged 18 to 40 years with the main complaint
of one side headache with accent in front-temporal region (from one side or another); in 17 from them were
revealed expressed asymmetria of transverse and sigmoid sinuses and internal jugular vein, 5 - middle, 3 - little
and 5 - without any kind assymetria. All of the patients with cluster headache were only men aged 35-40 years
with night periorbital hemicranial headache, where in 4 patients was diagnosed asymmetria of transverse and
sigmoid sinuses and internal jugular vein and other 2 men have normal. In 8 women with chronic paroxysmal
hemicranias in 4 cases was reveled moderate asymmetria of transverse and sigmoid sinuses and internal jugular
vein, in 2 cases â?? little and in other 2 was diagnosed normal. In 6 men with chronic paroxysmal hemicranias
in 4 cases was reveled moderate asymmetria of transverse and sigmoid sinuses and internal jugular vein and in
other 2 was diagnosed normal. In control group with tension headache we were diagnosed symmetrical quite
expression narrow diameter (5 men and 3 women) of transverse and sigmoid sinuses and internal jugular vein
and in other patients was normal.
Conclusion: In the manifestation of the hemicranial brainâ??s pain syndrome significant role plays failure of
the venous outflow of the brain (especially in migraine). MRI and MR- angiography was able become a key
method in the differential diagnosis and follow control of treatment of hemicranial headache.
Shilov G N is committed to highest standard of excellence at Republican Clinic Medical Center of the Presidential Administration in Belarus. His international experience includes various programs, contributions to reputed journals and participation in different international conferences in diverse fields of study.
E-mail: George_Shilau@mail.ru
