Examination and treatment
Intracranial hypertension is an increase in pressure exerted by cerebrospinal fluid moving along the brain pathways.
This pathology is included in the list of the most common brain diseases and is a dangerous disease that has a destructive effect on its structures. More often, hypertension is a secondary disease that develops against the background of various factors, including traumatic or oncological etiology. According to statistics from neurologists around the world, representatives of the stronger sex are more susceptible to intracranial hypertension, although in children it is diagnosed with equal frequency in both boys and girls.
Important: high blood pressure can be provoked not only by cerebrospinal fluid, but also by arterial blood or the substrate of a brain tumor.
Get diagnosed with intracranial hypertension at Clinic No. 1:
- Fundus examination
- Ultrasound of cerebral vessels
- X-ray of the head
- EEG
- Angiography
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List of effective tablets for high blood pressure
To reduce intracranial pressure, complex therapy is prescribed.
Furosemide
The medicine is classified as a diuretic. The active substance of the same name has a diuretic and moderate antihypertensive effect. The effect of the drug is noticeable within an hour. Tablets are prescribed from ½ to 3 tablets per day. It is recommended to drink in 2 doses. For children, the dosage is calculated by weight.
Furosemide serves as a diuretic
Contraindications for use:
- hypotension;
- narrowing of the aorta and heart disease;
- hepatic and diabetic coma (hyperglycemic);
- narrowing of the urethra;
- high levels of uric acid in the blood;
- perinatal and lactation period.
- acute renal failure.
Pharmacy price of tablets is 35 rubles.
Piracetam
Belongs to the group of nootropic drugs. The name of the drug is identical to the active substance. Normalizes cerebral circulation, promotes activation of attention and memory function. Produced in tablets and capsules. Oral medications are prescribed to be taken 2-4 times a day, 200 mg.
Piracetam is taken to normalize blood circulation in the brain
Contraindicated for children under one year of age, pregnant and lactating women, patients with chronic renal failure.
The price of tablets and capsules varies from 50 to 150 rubles, depending on the manufacturer and dosage.
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Paracetamol
Non-narcotic analgesic. The active component corresponds to the name of the drug. Relieves headaches and reduces temperature. The maximum single dose of tablets in adults and children aged 12+ is 1 g; no more than 4 doses are allowed per day.
Paracetamol is a popular headache reliever.
Do not use for pathologies of the renal apparatus, liver diseases, alcoholism, or blood diseases.
Tablets are sold at prices ranging from 16 to 40 rubles.
Captopril
Represents a group of vasodilator drugs that lower intracranial pressure. The active substance is identical to the name of the drug. Effectively constricts blood vessels, the effect of the medicine is observed after a quarter of an hour. The tablets are placed under the tongue and held until completely dissolved. The maximum dose is 3 pcs., with an interval of 20 minutes.
Captopril constricts blood vessels and reduces intracranial pressure
Do not use during the perinatal and lactation period, in the treatment of children under 16 years of age, or with renal decompensation.
You can buy it for 145 rubles.
Picamilon
Nootropic, the active component is represented by a complex chemical compound N-nicotinoyl-gamma-aminobutyric acid sodium salt. Stabilizes blood circulation in the brain, helps improve cognitive functionality. Treatment is long-term, 1.5-2 months. Take 60-150 mg daily, 2-3 times a day.
- Allergen panels (by blood)
Picamilon improves cognitive function of the brain
Not prescribed for children under 3 years of age, women during pregnancy and breastfeeding, and patients with severe renal pathologies.
Cost from 90 to 120 rubles.
Glycine
Neuroprotector with active non-essential amino acid microencapsulated glycine. Stabilizes the psycho-emotional state, improves brain activity, and makes it easier to fall asleep. Available in the form of small sublingual tablets. Adults are prescribed 1-2 tablets 3 times a day, children ½-1 tablet. Approved for use from any age after consulting a doctor.
Glycine stabilizes the psyche and is used to restore sleep
Has no contraindications. Exception: individual reactions of the body to amino acids.
Can be purchased for 40 rubles.
Cavinton
Nootropic drug. The drug is based on active vinpocetine, synthesized from plant materials (minor periwinkle). Corrects blood circulation in the brain, moderately lowers blood pressure, stimulates memory. The tableted medicine is taken 1-2 tablets 3 times a day.
Cavinton improves blood circulation in the brain
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Not prescribed for all forms of arrhythmia, ischemia, and for women during the perinatal and lactation periods.
Price – 670 rub.
Magnesium (magnesium tablets)
It is a dietary supplement containing magnesium ascorbate (300 mg) and magnesium citrate (200 mg). Helps improve blood circulation in the brain, relieves spasmodic conditions, and has a calming effect on the nervous system. Produced in capsules. Take 1-2 pcs. 3 times/day during meals.
Magnesium is a biological additive that calms the nervous system
An absolute contraindication is an increased level of magnesium in the body. Relative (relative) – perinatal and lactation periods in women.
The price for 100 capsules ranges from 1200 to 1600 rubles.
Reasons for development
Under normal conditions, a healthy person's brain is surrounded by intracerebral fluid. This fluid moves non-stop at a certain speed, affecting the brain with a certain level of normal pressure. At the same time, an important point to understand is the “circulation” of the cerebrospinal fluid: part of the liquid is absorbed into the blood, while new cerebrospinal fluid is produced, replacing the total volume of fluid to a normal value. If the absorption of cerebrospinal fluid slows down, or its production becomes excessively active, the volume of liquid at some point begins to exceed the norm. An obvious consequence of this will be an increase in pressure during the movement of intracerebral fluid.
Intracranial hypertension can also develop in newborns. The reason for this, as a rule, is hydrocephalus of any etiology. Among newborns with fluid hypertension in the skull, a large percentage of premature babies.
In adult patients, intracranial hypertension can develop even against the background of swelling of the brain tissue, for example, as a result of traumatic brain injury, meningitis - an infection of the meninges, sarcoidosis, or other diseases of the brain or heart.
Also, long-term use of corticosteroids, hormonal contraceptives, and antibiotics can lead to an increase in cerebrospinal fluid pressure inside the skull.
Symptoms of the disease
Increased intracranial pressure can be recognized by various signs.
- Headache of varying intensity. More often at night, since in a supine position the production of cerebrospinal fluid is activated and its absorption slows down.
- With increased cerebral fluid pressure, a person suffers from nausea and frequent vomiting. Moreover, this is not related to the digestive process. What is typical only for this pathology is that even after vomiting, relief does not come, since the pressure in the brain does not change.
- Nervousness, irritability for no reason, sometimes bordering on aggression, fatigue, even if this condition was not preceded by significant physical activity. This symptomatology is explained by the negative impact of hypertension on a person’s psycho-emotional state.
- Fluctuations in blood pressure, increased sweating, tachycardia, fatigue, chills, short-term fainting, and other symptoms inherent in vegetative-vascular dystonia can also develop when cerebrospinal fluid puts excessive pressure on the brain.
- With chronic intracranial hypertension, a person's sexual desire decreases. This is typical for patients of any gender.
Get diagnosed with intracranial hypertension at Clinic No. 1:
- Fundus examination
- Ultrasound of cerebral vessels
- X-ray of the head
- EEG
- Angiography
For one-time payment for services - 20% discount
Call
Drug treatment
In most cases, medications are selected for the patient to normalize intracranial pressure. These include:
- osmodiuretics;
- diuretics;
- potassium preparations;
- detoxifying agents;
- antiviral agents and antibiotics to eliminate the infectious and inflammatory process;
- vascular drugs;
- neurometabolic agents.
Based on the results of a comprehensive diagnosis, the doctor may prescribe magnesium sulfate for injection or piracetam for injection.
Attention! The selection of drug treatment for intracranial pressure is made by the doctor based on the diagnosis and after the diagnosis is made. To normalize the condition, it is important for the patient to reconsider his lifestyle, adjust his daily routine, and avoid psycho-emotional overload. Moderate physical activity is beneficial: walking, swimming.
Prognosis for liquor-hypertensive syndrome directly depends on the cause of its occurrence. With timely treatment of neuroinfections and liquorodynamic disorders, good dynamics and results can be achieved.
Diagnosis of high cerebral pressure
Patients with suspected hypertension are immediately prescribed an MRI. Also carried out:
- Fundus examination is a painless diagnostic method that reveals papilledema, a characteristic sign of hypertension.
- Doppler ultrasound examination of cerebral vessels will reveal if there are “obstacles” in the path of cerebrospinal fluid flow.
- Head X-ray is a simple and accurate method for diagnosing the condition of the brain; it can be performed with or without contrast.
- An electroencephalogram (EEG) is a non-invasive test aimed at measuring the electrical activity of brain cells.
- Angiography.
Diagnostics
If there are signs of liquor-hypertensive syndrome, you should make an appointment with a neurologist. To make a diagnosis, the doctor prescribes a set of procedures:
- fundus examination;
- echoencephalography;
- X-ray of the skull;
- CT or MRI of the head
- Ultrasound of blood vessels supplying the brain;
- angiography.
In severe clinical cases, the doctor may prescribe a lumbar puncture, which helps determine accurate indicators of intracranial pressure.
The purpose of these procedures is primarily to identify the cause of hypertension. Based on the data obtained, the specialist determines a treatment regimen and prescribes additional diagnostics.
Treatment of high intracranial pressure
Living with increased intracranial pressure is quite difficult, and also dangerous. If the disease is not treated, the patient develops hormonal imbalance, the nervous regulation system is disrupted, and intellectual abilities decrease.
The basis of the treatment program is the use of drugs that reduce the production of cerebrospinal fluid and activate the process of its absorption. In severe cases, doctors decide on the need for surgical bypass surgery.
Make an appointment with a neurologist
Experienced specialists conduct consultations in the neurological department of the private Multidisciplinary Medical Hospital. Get rid of unpleasant symptoms and prevent complications caused by increased intracranial pressure by completing a course of treatment.
Information on prices for initial and repeated paid appointments with a neurologist is presented on our website. You can make an appointment with a specialist at a convenient time by phone or using the online form on our website.
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