Lecture of the specialization cycle on reflexotherapy "Headache: Clinic, Diagnosis and Treatment"
ARTICLE PDF (Українська)


pain, headache, nociceptive pain, pain pathogenesis, pain mechanism

How to Cite

Svyrydova, N., Chuprina, G., Parnikoza, T., Sereda, V., Cherednichenko, T., Svystun, V., & YelizarovaО. (2018). Lecture of the specialization cycle on reflexotherapy "Headache: Clinic, Diagnosis and Treatment". East European Journal of Neurology, (2(20), 12-18. https://doi.org/10.33444/2411-5797.2018.2(20).12-18


In order to find out the mechanisms of headache, the issue of innervations of craniocervical site structures is important, as irritation of any of them may cause headache. The parenchyma of the brain and the skull bones have only a small amount of nerve fibers that carry nociceptive information, whereas in the walls of the arteries, vascular and solid brain sines and sinuses, there is the largest number of nociceptors. Nerves of the orophacial region transmit nociceptive information to the trunk of the brain (through thistles, cranial and stony nodes), where through the trigeminal nuclear complex and the dorsal lemniscus system the transmission of pain information to the back of the thalamus is carried out (in addition, it is transmitted by the spinothalamic pathway and thalamic projections from caudal abider of the trigeminal nuclear complex). Thus, the important role of the trigeminal nerve system in the transmission of information to the central nervous system has been proved, the fact of innervation of the brain vessels of the trigeminal nerves is confirmed, which confirms the activity of the trimeric and vascular system, which is the main system that perceives pain impulse and leads to changes in the tone of the vascular wall of the head . This mechanism has the maximum value in the case of migraines headache, which made it possible to put forward the trigeminal vascular theory of migraine pathogenesis. Thalamic pain is a consequence of lesions of the lateral thalamus, including its posterior lateral ventral nucleus, and on the opposite side of the lesion there is a constant burning pain that is unclearly localized, amplified by attacks with emotional stress, sharp acoustic, visual, olfactory stimuli. The study of pathogenetic and diagnostic criteria of pain is an important component in the differential diagnosis of nociception, since this component is an important component in the practice and treatment of reflexology therapists in the selection of diagnostic criteria and therapeutic tactics / Considering the classification, clinical subtype, special characteristics of the pathogenesis of pain development has an important diagnostic importance for preventive measures in the practice of doctors.

ARTICLE PDF (Українська)


1. Beliakov V. V. (2002) Novyi vzghliad na mekhanyzmy formyrovanyia reflektornykh i kompressyonnykh syndromov osteokhondroza pozvonochnyka. [A new look at the mechanisms of the formation of reflex and compression syndromes of the osteochondrosis of the spine] Manualnaia terapyia, no 3, pp. 20-25.
2. Bolevye syndromy v nevrolohycheskoi praktyke (1999) [pain syndromes in neurological practice] [Vidp. red. A.M. Veina]. Moskow. pp.367.
3. Bolezni nervnoi systemy: Rukovodstvo dlia vrachei (2008) [nervous system diseases guide for doctors]: [Vidp. red. N.N.Iakhno, D.R.Shtulmana] (3nd ed.), pp 512.
4. Dovhyi I.L. (2016) Zakhvoriuvannia peryferychnoi nervovoi systemy [diseases of the peripheral nervous system] [Vidp. red. N.K. Svyrydova]. – B. Tserkva: PAT «Bilotserkivska knyzhkova fabryka». T. 1, pp 718.
5. Dovhyi I.L. Zakhvoriuvannia peryferychnoi nervovoi systemy / [Vidp. red. N.K. Svyrydova]. – B. Tserkva: PAT «Bilotserkivska knyzhkova fabryka». - 2016. - T. 2. – 522 s.
6. Dovhyi I.L. Zakhvoriuvannia peryferychnoi nervovoi systemy / [Vidp. red. N.K. Svyrydova]. – B. Tserkva: PAT «Bilotserkivska knyzhkova fabryka». - 2016. - T. 3. – 463 s.
7. Macheret Ye.L., Dovhyi I.L., Korkushko O.O (2006) Osteokhondroz poperekovoho viddilu khrebta, uskladnenyi hryzhamy dyskiv. // Pidruchnyk. Tom. 1, 2. – K.,– 256 s.
8. Svyrydova N.K. (2016) Neiroprotektornye svoistva arhynyna: dokazatelnost 2016 h. [neuroprotective properties of arginine, evidence of 2016] Skhidno-yevropeiskyi nevrolohichnyi zhurnal, no 4(10), pp. 70-77.
9. Svyrydova N.K. (2016) Novi mozhlyvosti terapii dorsalhii, asotsiiovanykh z miazevym spazmom [New possibilities for the treatment of dorsalgia associated with myasthenia spasm]. Skhidno-yevropeiskyi nevrolohichnyi zhurnal, no 2 (8), pp. 22-27.
10. Svyrydova N.K. (2015) Radykulopatyy i bessymptomnye hryzhy pozvonochnyka: dyfferentsyalnaia dyahnostyka i lechenye [Radiculopathy and asymptomatic backbone chrysomes: differential diannostics and treatment] Skhidno-yevropeiskyi nevrolohichnyi zhurnal, no 6 (6), pp. 4-12.
11. Svyrydova N.K., Inhula N.I. (2015) Osteokhondroz shyinoho viddilu khrebta ta yoho naslidky: diahnostyka ta likuvannia (klinichnyi vypadok) [Osteochondrosis of the cervical spine and its consequences: diagnosis and treatment (clinical case)]. Skhidno-yevropeiskyi nevrolohichnyi zhurnal, no 6 (6), pp. 31-37.
12. Svyrydova N.K., Fedash-Kyrsanov A.A., Kucheeva Y.S., Svystun V.Iu. (2015) Holovnye boly pry patolohycheskykh protsessakh v oblasty shey [Headaches in pathological processes in the field of necks]. Skhidno-yevropeiskyi nevrolohichnyi zhurnal, no 6 (6), pp. 23-28.
13. Svyrydova N.K. (2016) Bol v spyne, kak chastaia prychyna obrashchenyia k nevrolohu [Back pain is a common cause of a neurologist's call] Skhidno-yevropeiskyi nevrolohichnyi zhurnal, no 5(11), pp. 35-39. [in Russian].
14. E.L. Macheret, N.K. Murashko, A.V. Pysaruk (2000) Metodу dyahnostyky vehetatyvnoi dysfunktsyy [Methods of diagnosing vegetative dysfunction] Ukrainskyi medychnyi chasopys, no 2, pp. 16.
15. Svyrydova N.K. (2016) Kohnityvni ta emotsiyno-osobystisni porushennia u khvorykh na hipertenzyvnu entsefalopatiiu. Stan mozkovoho krovoobihu pry arterialnii hipertenzii (naukovyi ohliad ta osobysti sposterezhennia) [Cognitive and emotional-personal disorders in patients with hypertensive encephalopathy. Condition of cerebral circulation in arterial hypertension (scientific review and personal observations)] Mezhdunarodnыi nevrolohycheskyi zhurnal, no 1(79), pp. 123-130.
16. Murashko N.K. (2006) Dystsyrkuliatorna entsefalopatiia ta dementsiia: alhorytm diahnostyky i likuvannia [Discirculatory encephalopathy and dementia: an algorithm for diagnosis and treatment] Ukr. med. chasopys, no 55, pp. 33-37.