Cerebral hemodynamics in pregnant women with post-concussion syndrome

Abstract

Cerebral hemodynamics in pregnant women with post-concussion syndrome Simrok V. V., Tsyganenko I. V. Lugansk State Medical University named after St. Luke There is a functional insufficiency and exhaustion of the involved vascular control mechanisms on the background of a post-concussion syndrome (PCS) during pregnancy. The aim of the study was to research the dynamics of blood circulation in the cerebral vessels of pregnant women with PCS by the method of transcranial triplex scanning using Power Doppler Imaging and ultrasonic Doppler examination. Patients and Methods: 37 pregnant women with PCS (group of pregnant women after an open craniocerebral trauma (OCT)) and 26 healthy pregnant women (group HP) were examined. Results: of the study and their discussion. Comparative analysis of changes in the level of blood flow in the brain arteries in the OCT and HP groups revealed a significant difference between the values in both groups (increasing peak systolic blood flow velocity (Vps) and decreasing end-diastolic blood flow velocity (Ved) in the OCT group in comparison with the HP group). From 12 to 24 weeks of pregnancy a cerebral blood flow in pregnant women in the OCT group was characterized by an increased IR by a factor of 1.17 (p Conclusions: the ultrasonic Doppler examination revealed the violations of autoregulation of cerebral blood flow in pregnant women with PCS. The violations have a hyperconstrictive character and worsen from 12 to 24 weeks of pregnancy, which requires the appointment of therapeutic and preventive therapy to prevent the development of complications of pregnancy and improve the overall condition of pregnant women with PCS. Key words: pregnant women, post-concussion syndrome, transcranial triplex scanning, ultrasonic Doppler examination, cerebral blood flow. For citation: Simrok V.V., Tsyganenko I.V. Cerebral hemodynamics in pregnant women with post-concussion syndrome //  RMJ. 2018. № 2(I). P. 26–28.