Головная боль при ревматических заболеваниях

Головная боль – частый, но не всегда адекватно диагностируемый симптом ревматических болезней. Головная боль может быть проявлением внутричерепной патологии (воспалительный процесс, тромбоз и др.) или же экстракраниального заболевания, например воспалительного или дегенеративного процесса анатомически близких структур (орган зрения, шея, придаточные пазухи носа и др.). Кроме того, у пациентов с ревматическими болезнями могут быть такие же причины первичной головной боли, как и в популяции в целом. В то время как первичная головная боль обычно является доброкачественной по течению, другие варианты головной боли могут быть признаками дебюта болезни или ее прогрессирования, а также развития осложнений. Важным является понимание как причин головной боли, связанной с ревматическими болезнями, так и механизмов ее развития, что позволит улучшить диагностику и лечение ревматических болезней в целом.

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