CLINICAL SIGNIFICANCE OF CEREBRAL HEMODYNAMICS IN PATIENTS WITH SERIOUS MENINGITIS DURING RECONVALESCENCE

Abstract

Purpose of the study. To assess the clinical significance of transcranial triplex scanning (TTS) of the vessels of the Willis circle in patients with serous meningitis during the period of convalescence.Material and methods. 32 patients were examined. 22 patients with serous enteroviral meningitis during the period of convalescence and 10 patients in the control group. Patients with serous meningitis in the acute period in the first 10 days of hospitalization were assessed for the strength of headaches using a visual analogue 10-point scale. On the day of discharge from the hospital, a neurological examination was performed. After the end of hospitalization, the patients were prescribed TTS of the vessels of the Willis circle with an assessment of the velocity parameters and the resistance index (Pi) of the cerebral arteries.Results. Analysis of TTS indices of cerebral vessels in patients with serous meningitis during the period of convalescence revealed significant (in 100% of the subjects) deviations of hemodynamic indices in the arteries of the Willis circle and veins of Rosenthal.Conclusions. Transcranial triplex scanning of cerebral vessels in patients with serous meningitis is clinically significant during the period of convalescence and makes it possible to assess the dynamics of functional disorders in these neuroinfections.