Chronic cerebral venous dysfunction: diagnostic and treatment-and-prophylactic aspects


  • O.Ye. Kovalenko Shupyk National University of Public Health of Ukraine, Kyiv, Ukraine; State Scientific Institution “Scientific and Practical Center of Preventive and Clinical Medicine” of the Agency of State Affairs, Kyiv, Ukraine
  • N.G. Prityko State Scientific Institution “Scientific and Practical Center of Preventive and Clinical Medicine” of the Agency of State Affairs, Kyiv, Ukraine; Municipal Non-Profit Enterprise “Consulting and Diagnostic Center” of Sviatoshynskyi District, Kyiv, Ukraine



syndrome of chronic cerebral venous dysfunction, venous system of the brain, diagnosis, treatment


As a continuation of the topic of the article in the previous issue of the International Neurological Journal, which presents an analytical review of domestic and foreign studies on the syndrome of chronic cerebral venous dysfunction (SСCVD), this section discusses the classification of pathology, key issues of diagnosis and treatment. It is noted that in Ukraine and in most countries of the post-Soviet space, clinical classifications of M.Ya. Berdychevsky and A.V. Shemagonov are still used, where clinical forms, etiological factors, stages and types of the pathology were identified. In the ICD-10, venous cerebral insufficiency may correspond to the following chapters: G46, I87.8, I98, I99. Diagnosis of SCСVD, first of all, is based on a clinical assessment. Having quite characteristic general clinical symptoms, the pathology nevertheless differs in certain features of the course. Most often patients with SCСVD complain of chronic stabbing, monotonous headache, a feeling of heaviness in the head and so on. In addition, most patients have constant or intermittent noise in the head, ears, dizziness and vertigo. Additional verification methods are ultrasound examination of the vessels of the head and neck, plethysmography, magnetic resonance angiography. Since SCСVD is not an independent unit, the treatment of this pathology primarily requires the elimination of the underlying disease that provoked cerebral venous discirculation. As important preventive and curative measures, non-drug methods that reduce congestion in the body should be considered: regular physical activity, dosed exercises for the spine, various types of massage and physiotherapy, reflexology. It is important to adhere to a certain diet and quality of food. Among venotonic drugs, there are those of plant origin (flavonoids and saponins), synthetic agents, combined drugs.


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How to Cite

Kovalenko, O., & Prityko, N. (2021). Chronic cerebral venous dysfunction: diagnostic and treatment-and-prophylactic aspects. INTERNATIONAL NEUROLOGICAL JOURNAL, 17(2), 77–81.



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