Tension-type headache (ТТН) is the most frequent and at the same time the most difficult to diagnose type of primary headache. The clinical features of TTH are nonspecific, and a similar phenotype can be observed in migraines with a relatively mild course, psychogenic headache, and secondary headaches. Often associated with a misdiagnosis is treatment failure. Three generally accepted approaches to therapy are presented in the article: behavioral therapy, acute treatment that have a high level of evidence on the basis of randomized controlled trials, as well as preventive therapy. The place of ketoprofen was determined, including various dosage forms of the drug – injectable, oral (tablets, powders, capsules), which allows it to be used to quickly and effectively relieve acute attacks of TTH.

A clinical case of venous cerebral infarction in a patient with congenital thrombophilia without thrombosis of cerebral venous sinuses is presented. Etiology, diagnosis and treatment of venous heart attacks are considered. Particular attention is paid to methods of diagnosis and therapy.

This article presents the results of our study of the nutritional status of patients after cerebral stroke who were hospitalized to the medical rehabilitation unit. Among all patients, 16 % had an increased risk of nutritional deficiency by all scales with the highest numbers in patients over 65 (44 % had a risk of nutritional deficiency on all scales). Among patients with swallowing disorders, 100 % of patients had a risk of nutritional deficiency. Out of all anthropometric indicators, only the circumference of the shoulder muscles was significantly lower in patients with nutritional deficiency. Assessment and correction of malnutrition during rehabilitation after stroke is recommended during the acute treatment and follow-up. Special clinical nutrition products can be a good support for balanced feeding for more rapid rehabilitation.

Headaches are a common, but under-recognized symptom of rheumatic diseases. They can result from intracranial (inflammation, thrombosis, etc.) or extracranial pathology, such as irritation, or degeneration of anatomically related structures such as the eyes, neck, and sinuses. In addition, patients with rheumatologic disorders have the same tendencies as the general population to develop primary headaches. While the latter are benign in nature, the former type of headaches may signal disease manifestation, progression, or complication. Information on headache syndromes related to rheumatologic disorders as well as understanding of underlying disease processes and mechanisms is important. This will help to improve diagnostics and treatment of rheumatic diseases.

Acute vertigo is a severe condition that requires urgent treatment. Vertigo can be caused by peripheral or central vestibular disorders of various etiopathology. Whatever the reason of vestibular dizziness, it is characterized by severe attacks with imbalance, nausea and vomiting in the acute period. Symptomatic treatment consists of vestibular suppressants and antiemetic drugs. There are several key principles regarding management of patients with vertigo that includes combined use of vestibular suppressants and antiemetics, which allows potentiation of their effects, limitation the use of symptomatic therapy to 2–3 days and perhaps earlier initiation of vestibular rehabilitation which effectiveness can be improved with agents that stimulate central vestibular adaptation.

More than 60 % of all depressive syndromes are reactive depression, which occurs in response to internal and external influences. One of the variants of reactive depression is drug-induced (drug-induced) or iatrogenic depression, which is a possible side effect of a number of medications. Depressogenic effect is described in both psychotropic and somatotropic drugs. Depressions that occur when using psychotropic drugs are most often associated with the duration of administration and large doses of the drug. Some antihypertensive, antiarrhythmic, hypolipidemic drugs, antibiotics, hormones, antiparkinsonian drugs and antineoplastic agents are most often mentioned in the series of somatotropic drugs that have a depressogenic effect. Drug-induced depression is one of the most controversial issues. this article presents a systematization of available literature data on depression associated with taking various drugs.

Number of young people with ischemic stroke increases at the present. One of independent risk factors of stroke is hyperhomocysteinemia, wich can be caused by genetic disorders. Objective: to analyze frequency of gene polymorphism of methylentetrahydrofolate reductase C 677T and level of homocysteine among patients with stroke and people without one. Materials and methods. Data of 141 young patients with ischemic stroke, including 30 people with atherothrombotic stroke, 35 with cardioembolic, 36 with lacunar and 40 ones with cryptogenic stroke were analyzed. The control group included 40 young patients without stroke. Results. The frequency of polymorphism MTHFR C 677T (OR = 6,7; 95 % CI: 1,20–37,45: р = 0,027), allel T (OR = 2,29; 95 % CI: 1,10–4,74; р = 0,028) and the level of homocysteine are higher among stroke patients.