29 / 46
Pain Management 2019 & Internal Medicine 2019
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 67
JOINT EVENT
7
th
Edition of International Conference on
Pain Management
8
th
Edition of International Conference on
Internal Medicine &
Patient Care
&
March 25-26, 2019
Rome, Italy
Int J Anesth Pain Med 2019, Volume 5
DOI: 10.21767/2471-982X-C1-006
Neurophysiological features of chronic tension headache
Voitiuk A
1
, Litovchenko T
1
and
Markova T
2
1
Kharkiv Medical Academy of Postgraduate Education, Ukraine
2
Kharkiv Railway Clinical Hospital, Ukraine
Introduction:
The world epidemiology of pain puts
headacheon thefirst place in the frequency of occurrence
among episodic pain syndromes, as well as on the third
place after joint pain and dorsalgia. The headache of
tension in the General population is up to 70%, occurring
in 88% of women and 69% of men. The constant nature
and chronicity of these cephalgias significantly reduce
the quality of life of patients. The purpose of this study
was to study neurophysiological and neuropsychological
manifestations of headache of tension.
Materials & Methods:
We observed 25 patients with
chronic tension headache (17 women and 8 men).
The control group consisted of 20 healthy subjects.
The diagnosis of chronic tension headache was made
in accordance with the International classification of
headache, 3rd edition.The studies were conducted
on the basis of the analysis of clinical symptoms and
instrumental studies. EEG, EEG-videomonitoring andMRI
wereusedas thescreeningmethods.Neuropsychological
study was performed using the Spielger-Hanin self-
assessment scale, Hamilton depression scale, subjective
asthenia assessment scale (MFI-20), the intensity of
headache was assessed using a visual analogue scale
(VAS).
Results:
This study confirmed the existence of chronic
tension headaches with a predominance of asthenic
and anxious type of flow. Of the 25 patients with tension
headache, 18 patients were observed with asthenic
type of course and 7 patients with alarming. The level
of depression was somewhat higher in patients with
anxiety type than in patients with asthenic type of tension
headache. The patterns of these types were revealed
during electroencephalographic examination. In patients
with asthenic type, a decrease in α-rhythm in the occipital
and parietal leads was observed, in patients with an
anxious course of the course, an increase in the low-
frequency β-rhythmwas observed, against a background
of a decrease in the α-rhythm.
Conclusion:
Thus, the revealed changes on EEG in the
form of decrease of α-rhythm in occipital and parietal
leads in patients with asthenic type of chronic headache
of tension and increase of low-frequency β-rhythm,
on the background of decrease of α-rhythm in patients
with an alarming type of course confirm the presence of
neurophysiological differences in tension headache.
a_vojtyuk@yahoo.com