Hypertensive syndrome

There is a hypertensive syndrome due to various pathological conditions: inflammatory processes of the brain, viral infections, craniocerebral trauma, as well as in cases of brain development abnormalities. Hypertensive
Adult syndrome has a common characteristic neurological features, despite the variety of diseases that lead to increased intracranial pressure. The main manifestation of the syndrome are headaches that result from stimulation of the vagus and trigeminal nerve, sinuses of the brain and receptors of the brain envelope. Painful sensations occur paroxysmally, they have a diffusive diffusive character, intensify after active movements with head inclinations, as well as with prolonged exposure to the sun. In some cases, seizures are accompanied by vomiting, not related to eating. Vomiting occurs suddenly, due to irritation of the vestibular analyzer and the vomiting center.

Hypertensive syndrome in adults leads to emotional disorders and asthenization of the nervous system. There is a decrease in working capacity, lethargy, decreased attention and memory. Children often have attacks of psychomotor agitation and disinhibition. As a rule, the hypertensive syndrome is accompanied by haemolytic-dynamic crises, after which relief is observed. When the circulation of the cerebral circulation is restored, the general state of patients with hypertensive syndrome is normalized. The treatment is basically aimed at eliminating the causes of increased intracranial pressure.

Pathogenetic therapy includes dehydration with hypertonic solutions. Their action is based on increased blood pressure. This increases the excretion of fluid by the kidneys.

The maximum dehydration effect is possessed by a solution of mannitol and urea. They are used for edema of the brain and sudden increase
Intracranial pressure. A solution of mannitol lowers intracranial pressure by 60-90% and lasts for 4-7 hours. If there is a violation of filtration by the kidneys, the result from the administration of the solution may be absent, so it is necessary to follow the diuresis closely. Hypertensive syndrome is also treated with a mixture of fruit juices with gicerin, which is taken a few teaspoons per day. However, if you repeat the vomiting, you should stop taking the mixture. A solution of urea is rarely used, because after its use, there may be an increase in vascular insufficiency and hemorrhagic syndrome. Drugs of diuretic action were widely used in the treatment of the syndrome. An excellent effect gives the use of lasix (furosemide), which is used both inside, and intravenously and intramuscularly.

After intracranial hypertension is stopped , go to a softer dehydration with diacarb while doing one-day breaks every 2-4 days. The combination of a single dose of diacarb with magnesium sulphate is effective.

To normalize intracranial pressure, a very important point is
Compliance throughout the course of treatment for bed rest. Duration
The course of treatment is determined by the clinical picture of the disease. Usually,
Therapy is performed before the emergence of a stable compensation for hypertension syndrome.
After the treatment course, it is necessary to observe a sparing regimen and try to eliminate the causes leading to decompensation, such as emotional and physical overstrain. It is not recommended to engage in active sports, which include jumping, jogging, also should avoid long exposure to the sun, head inclinations.