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О гипертензии говорят, если уровень внутричерепного давления (ВЧД) превышает 150 мм водного столба [1](https://yandex.ru/medicine/disease/vnutricherepnaja-gipertenzija). \n\n**Важно**: внутричерепная гипертензия — не самостоятельное заболевание, а проявление других патологий [3](https://gosapteka.ru/ency/vnutricherepnaya_gipertenziya/)[8](https://Arbat25.ru/myi-lechim/gormonalnyie-rasstrojstva/povyishennoe-vnutricherepnoe-davlenie-i-kak-ego-snizit).\n\n\n\n## Причины\nНекоторые причины повышения ВЧД: \n* **Объёмные образования в головном мозге** (опухоль, абсцесс, гематома) [1](https://yandex.ru/medicine/disease/vnutricherepnaja-gipertenzija)[8](https://Arbat25.ru/myi-lechim/gormonalnyie-rasstrojstva/povyishennoe-vnutricherepnoe-davlenie-i-kak-ego-snizit). \n* **Воспалительные заболевания** головного мозга (менингит, энцефалит) и оболочек спинного мозга (миелит) [8](https://Arbat25.ru/myi-lechim/gormonalnyie-rasstrojstva/povyishennoe-vnutricherepnoe-davlenie-i-kak-ego-snizit). \n* **Гематомы** — кровоизлияния в мозг или пространства между его оболочками [8](https://Arbat25.ru/myi-lechim/gormonalnyie-rasstrojstva/povyishennoe-vnutricherepnoe-davlenie-i-kak-ego-snizit). \n* **Нарушение оттока спинномозговой жидкости** (например, из-за обструкции опухолью, кистой) [8](https://Arbat25.ru/myi-lechim/gormonalnyie-rasstrojstva/povyishennoe-vnutricherepnoe-davlenie-i-kak-ego-snizit). \n* **Сосудистые аномалии** — аневризмы и мальформации сосудов, сдавливающие ткани мозга и ликворные пути [8](https://Arbat25.ru/myi-lechim/gormonalnyie-rasstrojstva/povyishennoe-vnutricherepnoe-davlenie-i-kak-ego-snizit). \n\nСуществует также **идиопатическая внутричерепная гипертензия** — устойчивое повышение давления без установленной причины [5](https://doct.ru/diseases/vnutricherepnoye-davleniye-vnutricherepnaya-gipertenziya.html)[8](https://Arbat25.ru/myi-lechim/gormonalnyie-rasstrojstva/povyishennoe-vnutricherepnoe-davlenie-i-kak-ego-snizit).\n\n## Симптомы\nНекоторые симптомы внутричерепной гипертензии: \n* **Головная боль** — вначале слабая, возникает эпизодически, но со временем становится постоянной и интенсивной [11](https://mrtexpert.ru/articles/vnutricherepnaya-gipertenziya-priznaki-simptomy-diagnostika-i-lechenie). Особенность — усиление по утрам после сна [11](https://mrtexpert.ru/articles/vnutricherepnaya-gipertenziya-priznaki-simptomy-diagnostika-i-lechenie). \n* **Тошнота и рвота** — рвота может появляться на пике головной боли, но иногда возникает внезапно, без предшествующей тошноты [11](https://mrtexpert.ru/articles/vnutricherepnaya-gipertenziya-priznaki-simptomy-diagnostika-i-lechenie). \n* **Нарушение зрения** — размытость или «пелена» перед глазами из-за давления на зрительные нервы [2](https://baltclinic.ru/projects/stati/vnutricherepnaya-gipertenziya/). \n* **Изменения в сознании** — при прогрессировании состояния возможны спутанность сознания, сонливость, ухудшение памяти, а в тяжёлых случаях — потеря сознания [2](https://baltclinic.ru/projects/stati/vnutricherepnaya-gipertenziya/). \n\nПри комбинации двух и более симптомов (например, утренняя головная боль + рвота + сонливость) следует немедленно обратиться к врачу [11](https://mrtexpert.ru/articles/vnutricherepnaya-gipertenziya-priznaki-simptomy-diagnostika-i-lechenie).\n\n## Диагностика\nДля диагностики внутричерепной гипертензии используют, например: \n* **Неврологическое обследование** — проверку рефлексов, координации движений, зрения и других функций [2](https://baltclinic.ru/projects/stati/vnutricherepnaya-gipertenziya/). \n* **МРТ и КТ головного мозга** — позволяют визуализировать состояние головного мозга, определить наличие опухолей, гематом или других аномалий [2](https://baltclinic.ru/projects/stati/vnutricherepnaya-gipertenziya/). \n* **Люмбальную пункцию** — процедуру, при которой игла вводится в спинномозговой канал для забора ликвора [2](https://baltclinic.ru/projects/stati/vnutricherepnaya-gipertenziya/). \n* **Исследование глазного дна** — помогает выявить отёк диска зрительного нерва — достоверный признак высокого ВЧД [13](https://megamedic.ru/disease/vnutricherepnoe-davlenie/).\n\n## Лечение\nЛечение внутричерепной гипертензии зависит от причин, которые вызвали повышение давления, и степени тяжести заболевания [2](https://baltclinic.ru/projects/stati/vnutricherepnaya-gipertenziya/). Некоторые методы: \n* **Медикаментозное лечение** — при острых формах ВЧГ назначаются препараты, которые помогают снизить давление [2](https://baltclinic.ru/projects/stati/vnutricherepnaya-gipertenziya/). \n* **Хирургическое вмешательство** — проводится, когда медикаментозное лечение не даёт должного результата, и повышение давления угрожает жизни пациента [2](https://baltclinic.ru/projects/stati/vnutricherepnaya-gipertenziya/). 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