Cerebral vomiting – single vomiting scanty, odorless. At the same time, after vomiting, relief does not begin.
The reasons
Vomiting is often observed in the syndrome of intracranial hypertension. In this case, it is combined with a sharp headache, often occurs in the morning, provoked by the movement of the patient in bed, turning the head.
Symptoms
Vomiting is a constant component of occlusive paroxysms caused by blockade of the CSF pathways, more often in the area of the cerebral aqueduct. III or IV ventricle, caused by a tumor or adhesive processes. At the moment of occlusion, severe headache, pronounced vegetative reactions, blanching of the skin or flushing of the face, sweating, impaired cardiac activity, breathing, etc., sometimes loss of consciousness appear. The combination of these symptoms, accompanied by dizziness, is called the Bruns syndrome.
In patients with inflammation of the meninges (meningitis, encephalitis, meningoencephalitis), vomiting is combined with a sharp headache, fever and meningeal symptoms. Vomiting in combination with loss of consciousness, acute development of focal symptoms, hemiplegia can serve as a symptom of a cerebral stroke. The defeat of the vestibular apparatus is accompanied by systemic dizziness and vomiting. With Meniere’s disease, dizziness, hearing loss, and vomiting are noted.
With migraine, vomiting occurs at the height of the headache, usually covering half of the head, mainly in the temple and orbit.
Vomiting often occurs in the morning.
Additional symptoms of the disease:
- headache;
- dizziness;
- loss of consciousness;
- movement disorders (paralysis);
- sensitivity disorder.
Diagnostics
Vomiting is a relatively common symptom of a neurotic syndrome. However, its diagnosis is possible only after a thorough neurological and somatic examination.
Treatment
Treatment should be focused on eliminating the underlying disease. From the very beginning of the onset of vomiting, care must be taken to prevent aspiration of vomit into the respiratory tract, which can cause mechanical asphyxia and aspiration pneumonia. If the patient is in the supine position, the head should be turned to one side. To inhibit the vomiting center, antipsychotics are used intramuscularly: chlorpromazine – 1-2 ml of a 2.5% solution or propazine – 2 ml of a 2.5% solution, seduxen – 2 ml of a 0.5% solution. Products that affect the muscles of the digestive tract are also used: atropine subcutaneously, raglan (cerucal) 2 ml intramuscularly or intravenously.