Андрология и генитальная хирургия. 2022; 23: 85-92
Мигренозная цефалгия и тазовый конгестивный синдром. Существует ли связь?
Васильев А. Э., Жуков О. Б., Цай С. Т., Сулима А. Н.
https://doi.org/10.17650/2070-9781-2022-23-3-85-92Аннотация
В статье представлены результаты эндоваскулярной диагностики и лечения 76 женщин, страдающих мигренозной цефалгией, у которых в результате обследования также были выявлены признаки тазового конгестивного синдрома. Несостоятельность клапанного аппарата яичниковых вен и реверсированный кровоток по ним с формированием тазового полнокровия был выявлен в 100 % случаев. Результаты эндоваскулярной коррекции тазового венозного кровотока позволяют с высокой долей уверенности утверждать о наличии связи конгестивного синдрома с мигренозной цефалгией.
Список литературы
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2. Taylor H.C. Jr. Vascular congestion and hyperemia; their effect on function and structure in the female reproductive organs; the clinical aspects of the congestion-fibrosis syndrome. Am J Obstet Gynecol 1949;57(4):637–53. DOI: 10.1016/0002-9378(49)90704-8
3. Вейн А.М., Колосова О.А., Яковлев Н.А., Слюсарь Т.А. Мигрень. М., 1995. 180 с.
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6. Dimitriadou V., Rouleau A., Dam Trung Tuong M. et al. Functional relationship between mast cells and C-sensitive nerve fibres evidenced by histamine H3-receptor modulation in rat lung and spleen. Clin Sci (Lond) 1994;87(2):151–63. DOI: 10.1042/cs0870151
7. Maggi C.A. Therapeutic potential of capsaicin-like molecules: studies in animals and humans. Life Sci 1992;51(23):1777–81. DOI: 10.1016/0024-3205(92)90047-s
8. Васильев А.Э. Способ лучевой диагностики и эндоваскулярного лечения мигренозной цефалгии у женщин. Патент РФ № 2202281 от 19.04.2000.
9. Артымук Н.В., Руднева О.Д. Тазовая веноконгестия как одна из ведущих причин хронической тазовой боли. Status Praesens. Гинекология, акушерство, бесплодный брак 2015;4(27):42–9.
10. Mosnier H., Calmat A., Leguerrier A., Cabrol C. [Study of anastomoses between the left renal vein and the internal vertebral plexus (In French)]. Bull Assoc Anat (Nancy) 1977;61(173):237–41.
11. Scholbach T. From the nutcracker-phenomenon of the left renal vein to the midline congestion syndrome as a cause of migraine, headache, back and abdominal pain and functional disorders of pelvic organs. Medical Hypotheses 2007;68(6):1318–27. DOI: 10.1016/j.mehy.2006.10.040.
12. Berthelot J.-M., Douane F., Ploteau S. et al. Venous congestion as a central mechanism of radiculopathies. Joint Bone Spine 2022;89(2):105291. DOI: 10.1016/j.jbspin.2021.105291
13. Laborda A., Medrano J., de Blas I. et al. Endovascular treatment of pelvic congestion syndrome: visual analog scale (VAS) long-term follow-up clinical evaluation in 202 patients. Cardiovasc Intervent Radiol 2013;36(4):1006–14. DOI: 10.1007/s00270-013-0586-2
14. Nasser F., Cavalcante R.N., Affonso B.B. et al. Safety, efficacy, and prognostic factors in endovascular treatment of pelvic congestion syndrome. Int J Gynaecol Obstet 2014;125(1):65–8. DOI: 10.1016/j.ijgo.2013.10.008
15. Chung M.H., Huh C.Y. Comparison of treatments for pelvic congestion syndrome. Tohoku J Exp Med 2003;201(3):131–8. DOI: 10.1620/tjem.201.131
Andrology and Genital Surgery. 2022; 23: 85-92
Migraine and pelvic congestion syndrome. Is there a connection?
Vasilyev A. E., Zhukov O. B., Tsay S. T., Sulima A. N.
https://doi.org/10.17650/2070-9781-2022-23-3-85-92Abstract
The article presents the results of endovascular diagnosis and treatment of 76 women suffering from migraine cefalgia, which as a result of the survey also identified signs of a congenital disease. The failure of the ovarian vein valve apparatus and reversed blood flow on them with the formation of pelvic full-volume was detected in 100 % of cases. The results of the endovascular correction of pelvic venous blood flow make it possible to approve about the connection of the congenital syndrome with migraine cefalgia with a high propriety.
References
1. Richet M.A. [Treatise on practical medical-surgical anatomy (In French)]. Paris: Balliere et fils, 1857.
2. Taylor H.C. Jr. Vascular congestion and hyperemia; their effect on function and structure in the female reproductive organs; the clinical aspects of the congestion-fibrosis syndrome. Am J Obstet Gynecol 1949;57(4):637–53. DOI: 10.1016/0002-9378(49)90704-8
3. Vein A.M., Kolosova O.A., Yakovlev N.A., Slyusar' T.A. Migren'. M., 1995. 180 s.
4. Heyck H. [Critical contribution to the question of anatomical changes in the thalamus in schizophrenia (In German)]. Monatsschr Psychiatr Neurol 1954;128:106–28.
5. Olesen J., Lipton R.B. Migraine classification and diagnosis. International Headache Society criteria. Neurology 1994;44(6 Suppl 4):6–10.
6. Dimitriadou V., Rouleau A., Dam Trung Tuong M. et al. Functional relationship between mast cells and C-sensitive nerve fibres evidenced by histamine H3-receptor modulation in rat lung and spleen. Clin Sci (Lond) 1994;87(2):151–63. DOI: 10.1042/cs0870151
7. Maggi C.A. Therapeutic potential of capsaicin-like molecules: studies in animals and humans. Life Sci 1992;51(23):1777–81. DOI: 10.1016/0024-3205(92)90047-s
8. Vasil'ev A.E. Sposob luchevoi diagnostiki i endovaskulyarnogo lecheniya migrenoznoi tsefalgii u zhenshchin. Patent RF № 2202281 ot 19.04.2000.
9. Artymuk N.V., Rudneva O.D. Tazovaya venokongestiya kak odna iz vedushchikh prichin khronicheskoi tazovoi boli. Status Praesens. Ginekologiya, akusherstvo, besplodnyi brak 2015;4(27):42–9.
10. Mosnier H., Calmat A., Leguerrier A., Cabrol C. [Study of anastomoses between the left renal vein and the internal vertebral plexus (In French)]. Bull Assoc Anat (Nancy) 1977;61(173):237–41.
11. Scholbach T. From the nutcracker-phenomenon of the left renal vein to the midline congestion syndrome as a cause of migraine, headache, back and abdominal pain and functional disorders of pelvic organs. Medical Hypotheses 2007;68(6):1318–27. DOI: 10.1016/j.mehy.2006.10.040.
12. Berthelot J.-M., Douane F., Ploteau S. et al. Venous congestion as a central mechanism of radiculopathies. Joint Bone Spine 2022;89(2):105291. DOI: 10.1016/j.jbspin.2021.105291
13. Laborda A., Medrano J., de Blas I. et al. Endovascular treatment of pelvic congestion syndrome: visual analog scale (VAS) long-term follow-up clinical evaluation in 202 patients. Cardiovasc Intervent Radiol 2013;36(4):1006–14. DOI: 10.1007/s00270-013-0586-2
14. Nasser F., Cavalcante R.N., Affonso B.B. et al. Safety, efficacy, and prognostic factors in endovascular treatment of pelvic congestion syndrome. Int J Gynaecol Obstet 2014;125(1):65–8. DOI: 10.1016/j.ijgo.2013.10.008
15. Chung M.H., Huh C.Y. Comparison of treatments for pelvic congestion syndrome. Tohoku J Exp Med 2003;201(3):131–8. DOI: 10.1620/tjem.201.131
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