PECULIARITIES OF CEREBRAL HEMODYNAMIC IN CHILDREN WITH POSTTRAUMATIC EPILEPSY

Objectives: Our research was aimed at studying features of cerebral hemodynamic in children with posttraumatic epilepsy.

Methods: Methods: Twenty eight children aged from 7 to 12 with prolongation of cerebral trauma (CT) from 1 to 3 years have been examined. Ten practically health children of an analogous age formed a control group. To investigate cerebral hemodynamic the transcranial dopplerography of cerebral vessels was carried out. Maximum systolic and minimum diastolic, as well as an average velocity of blood stream was determined. Based on these estimates indexes of Purselo and Gosselin characterized a grade of vessels' spasm and venous flow disturbances were established.

Results: Results: Studies carried out showed that normotonic type of dopplerographs was characteristic for 10.7% of the examinees, hypotonic type – for 17.9% and hypertonic – for 71.4% respectively. The findings obtained evidence a spasm state of cerebral arteries and an availability of venous stasis in most children with posttraumatic epilepsy. Am increase of indexes Purselo and Gosselin confirm this state against a background of decreasing a mean velocity of cerebral blood flow.

Conclusion: Conclusion: Thus, it is necessary to take into consideration features of cerebral hemodynamic by administrating vasoactive preparations and check an efficacy of therapy using dopplerographic investigations.