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Vegetative-vascular dystonia (VVD)


Vegetative-vascular dystonia (VVD)

When vegetative-vascular dystonia (VVD) in the first place as the most labile and vulnerable, suffering from cardio-vascular system. The clinical picture of disturbances at vegetal-vascular dystonia (VVD):

  • heartbeat
  • pain in the left side of chest
  • asthenia
  • irritability
  • sleep disorder
  • headaches
  • dizziness
  • paresthesias (tingling or itching) in the limbs.

Can be simultaneously autonomic skin disorders, diskineticheskih syndrome from gastrointestinal tract and breach of thermoregulatory (cold hands and feet from sweating).

"Objective symptoms" of vegetative-vascular dystonia (VVD) are: the lability of heart rate (tachycardia with little physical activity), a tendency to increase (hypertonic type) or decrease (hypotonic type) blood pressure lability vazomotorov (persistent red, or conversely, white dermographism, sharply positive or inverse ortoklinostaticheskie test), cold hands and feet.

In addition, there may be a so-called "respiratory syndrome", which is the sensation of "respiratory corset, shortness of breath, shallow breathing with the restriction of breathing. Hypertensive type of vegetative-vascular dystonia (VVD) is characterized by the rise of blood pressure to 140/90-170/95 mm Hg. Art. and is often expressed paroxysmal tachycardia, prevalence sympathadrenalic reactions, hypotonic type of vegetative-vascular dystonia (VVD) (or neurocirculatory dystonia) - BP reduction to 100/50-90/45 mm Hg. Art. dominated vagoinsulyarnyh reactions.

Clinical picture of vegetative-vascular dystonia (VVD) complement fatigue, decreased performance, fainting, and the presence of paroxysms (attacks). One of the main factors in the pathogenic mechanisms of vegetative-vascular dystonia (VVD) - is excessive formation of catecholamines and lactic acid. Accumulation of the latter plays an important role in cardiac syndrome and the development of seizures (paraksizmov) vegetative-vascular dystonia (VVD).

Considered to be more legitimate to consider vegetative-vascular dystonia (VVD) in the framework rather than an independent form of the disease, as the syndrome. Factors that cause disease vegetative-vascular dystonia (VVD), it's best to group as follows:

  • constitutional nature
  • endocrine adjustment of the organism
  • primary lesion of visceral organs
  • primary diseases of the peripheral endocrine glands
  • allergy
  • organic lesion of the brain
  • neuroses

Syndrome of vegetative-vascular dystonia (VVD), the constitutional nature manifests itself in early childhood and is characterized by instability of autonomic parameters. Patients marked:

  • rapid change of color of skin
  • sweating
  • fluctuations in heart rate and blood pressure
  • pain and dyskinesia of the gastrointestinal tract
  • propensity to subfebrilitet
  • nausea
  • poor tolerance of physical and mental stress
  • meteosensitivity

Often these disturbances in vegetative-vascular dystonia (VVD) are family-hereditary, and with proper education, patients with age, reaching a certain compensation, although all his life remain vegetatively astenizirovannymi.

To the syndrome of vegetative-vascular dystonia (VVD), occurs against a background of endocrine surgery of the body during adolescence, is the lack of vegetative software (typical manifestations of syndrome - a vegetative disturbances on the background light or expressed endocrine disorders, variations in blood pressure, orthostatic syndromes with predobmorochnymi and fainting states, emotional instability, disturbances in thermoregulation) and during the climax - the emotional dysfunction with characteristic tides, feeling of heat and profuse sweating may occur, and autonomic-vascular paroxysms.

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A typical complaint with vegetative-vascular dystonia (VVD) - is a headache, pain in the heart, the fear of ideas that could be bad.


Types of crises in the vegetative-vascular dystonia (VVD)

Sympathoadrenal (sympathetic) crisis in the vegetative-vascular dystonia (VVD) develops suddenly, there are heartaches or headaches, and sometimes a feeling of shock, heart beat, feeling cold, fever, a deadly concern. Objectively marked pallor and dryness of the skin, tachycardia, increased blood sugar, body temperature and predominantly systolic blood pressure levels. At the height of attack (paroxysmal), vegetative-vascular dystonia (VVD) - numbness of extremities, chills, seizure ends polyuria and release a large number of light incontinence with low density, after the attack (paroxysmal), vegetative-vascular dystonia (VVD) - the general weakness, duration which corresponds to its severity.

Vagoinsulyarny (parasympathetic) crisis in the vegetative-vascular dystonia (VVD), begins with a sense of bated breath, nausea, chest tightness, shortness of breath, dizziness, falling through, feeling the heat. Objectively at osmtotre patient with vascular dystonia (VVD), marked hyperaemia, relative humidity and red spots on the skin, the pulse slows down and becomes weak, blood pressure decreases. During the attack in vegetative-vascular dystonia (VVD) enhanced intestinal peristalsis, in the end - the urge to defecate. Mixed crises in vegetative-vascular dystonia (VVD) are distinguished succession of symptoms characteristic of the sympathoadrenal and vagoinsulyarnogo crises.

Syndrome of vegetative-vascular dystonia (VVD) in the primary lesion of the internal organs include gall-and kidney disease, chronic pancreatitis and appendicitis, diaphragmatic hernia. Mechanisms causing autonomic disorders, are reduced to the annoyance of autonomic receptors that are present in internal organs. In the case of a chronic disease course vegetative-vascular dystonia (VVD), initially as local reflex, and then generalized autonomic disorders. Cure the underlying disease of internal organ is often accompanied by improvement in or disappearance of autonomic dysfunction.

Syndrome of vegetative-vascular dystonia (VVD) in primary diseases of the peripheral endocrine glands (thyroid, adrenals, ovaries, hormonally active parts of the pancreas) - increase or decrease the secretion of these glands results in a violation of the autonomic-endocrine equilibrium. Increased blood levels of hormones (thyroxine, catecholamines, steroids, insulin) or decrease their secretion of a factor contributing to the emergence of autonomic disorders.

Syndrome of vegetative-vascular dystonia (IRR) for allergies - allergies in the autonomic nervous system is involved in the pathogenesis of autonomic disorders. Known role in this regard belongs sympathadrenalic influences. Part became allergic to accompany distinct autonomic dysfunction in the form of detailed sympathadrenalic paroxysms.

Syndrome of vegetative-vascular dystonia (VVD) in the pathology of the segmental apparatus of the autonomic nervous system observed in the case of destruction of parasympathetic and sympathetic nuclear formations of the brainstem, the lateral horns of the spinal cord, sympathetic chain, pre-and postganglionic fibers prevertebralnyh and intramural ganglion. Most often involved in the process of preganglionic fibers on the level of the anterior roots of the spinal cord in spinal osteochondrosis and vegetative plexus of vertebral artery (posterior cervical sympathetic nerve) with cervical osteochondrosis and defeat the sympathetic chain (ganglionity, truntsity, simpatoganglionity) due to influenza infection, chronic tonsillitis malaria, in addition, for cervical lymphadenitis.

Syndrome of vegetative-vascular dystonia (VVD) in organic brain damage - any form of cerebral pathology is accompanied by autonomic disorders. They are most pronounced in lesions of deep structures: stem, hypothalamus and limbic brain.

If you are interested caudal parts of the brain stem are often determined by autonomic-vestibular crises, starting with dizziness, and in the paroxysm of dominate vagoinsulyarnye manifestations.

In the case of pathology of the structures of the diencephalon, which are in topographical proximity and close functional relationship with the hypothalamus, the main syndromes following:

  • neuroendocrine (excluding the primary lesion of the peripheral endocrine glands)
  • motivational (hunger, thirst, libido)
  • violation of the thermoregulatory
  • Pathological sleepiness paroxysmal nature
  • autonomic-vascular crises (often sympathadrenalic)

The defeat of the limbic brain (the internal division of the temporal lobe of the brain), manifested primarily syndrome, temporal lobe epilepsy. Autonomic dysfunction in this case may be part of the aura. The most characteristic abdominal (pain and discomfort in the epigastric region) or cardiovascular (unpleasant sensations in the heart arrhythmia) state. Autonomic disorders are often subjective, but their symptoms similar to that in vagoinsulyarnyh paroxysms.

Syndrome of vegetative-vascular dystonia (VVD) in neuroses - a special relationship of autonomic and emotional spheres of human has been observed that long ago. This is reflected in the characteristic of psycho-vegetative syndrome. The formation of mental and emotional conflict entails neurotic disorders, the most common manifestations of which - vegetative, dissomnicheskie and emotional disturbances.

Autonomic disorders with hysterical, phobic, neurotic neurosis obligate, undifferentiated. They affect all functional systems (cardiovascular, respiratory, digestive, urinary, etc.). Feature of autonomic disorders - polisistemnost. React, usually several systems, depending not only on the form of neurosis, but also on the individual patient. On the background of the permanent violations often occur, and autonomic-vascular paroxysms expanded character. Dominated sympathadrenalic and mixed, rarely observed parasympathetic.

Often, however, vegetative-vascular dystonia (VVD) serves not as a syndrome, as well as an independent nosological form with various features of the flow. In contrast to the syndrome of this form does not have an intimate connection with etiotropic factors and its development is more conducive to an innate inferiority of the autonomic nervous system. In many cases, revealed several factors: some of them - predisposing, others - realize the disease.

Clinical symptoms of vegetative-vascular dystonia (VVD) are diverse, characterized by a predominance of subjective manifestations of the objective.


Diagnosis of vegetative-vascular dystonia (VVD)

Minimally Invasive Neurosurgery Clinic, the only clinic that offers a unique method of complex treatment of IRR. To help, we have set ourselves the task of finding and treating the causes of vegetative-vascular dystonia. Therefore, treatment at our clinic brings results. Treatment of IRR involves two stages: a diagnostic and therapeutic.

Syndrome of vegetative-vascular dystonia (VVD) in the neuroses occurs in 50% of cases. Neurosis as a disease related to border states, and are qualified psychiatrists. Meanwhile, patients with vegetative-vascular dystonia (VVD), especially during the first call, go to a neurologist, who shall promptly and properly solve the question of ownership of syndrome of vegetative-vascular dystonia (VVD) to a particular disease, including the form of neurosis.

Diagnosis of vegetative-vascular dystonia (VVD) consists of three stages:

1. A full neurological examination and psychotherapeutic and evaluation performed by your previous studies, if any, were made.

2. In the course of treatment will be carried out diagnostics of functional systems of the body, which allows you to: determine the level of reserves and the cardiovascular, autonomic and central regulation, and to evaluate the deviation of these parameters from the norm in the IRR:

  • assess the level of compensation of the energy resources of the body at different levels of regulation;
  • evaluate the effectiveness of various therapies during the treatment and prevention;
  • give a comprehensive medical report and appropriate recommendations for the IRR;
  • choose a scheme and optimize the various methods of treatment;
  • monitoring and forecast of functional status during rehabilitation;
  • identify patients needing further clinical examination in specialized medical institutions;
  • identification of cancer patients, including those in the early stages of the disease;
  • monitoring and prediction of psychophysical state in terms of neuro-emotional stress and repetitive work;
  • individual choice of the optimal recovery of fatigue and chronic overexertion: vitamin balance, normalization of sleep, etc.;
  • assess the level of self-regulation of the body at the IRR.

3. Diagnostic Consultation psychotherapist.

We strive to reduce the cost of our patients, but do not save on diagnostic and therapeutic procedures, if they are really needed.

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Vegetative-vascular dystonia (VVD) in the complex treatment may require the use of homeopathic remedies.


If you often have the following symptoms:

  • dry skin or sweating
  • paroxysmal states and crises
  • "panic attacks", accompanied by palpitations, difficulty breathing / exhaling
  • unmotivated high blood pressure
  • pale skin
  • a strong sense of fear
  • feeling of suffocation
  • sleep disorder
  • fever
  • syncope, followed by a feeling of heat, nausea, slow heartbeat, changes in blood pressure, red spots on the skin, etc. then you should consult a neurologist and psychotherapist.


Treatment of vegetative-vascular dystonia (VVD)

Patients with vascular dystonia (VVD) are under the supervision of a therapist or a neurologist, an endocrinologist or psychiatrist, depending on the leading syndrome and defeats the relevant authorities. A specialist should be considered major, others - consultants.

Treatment of vegetative-vascular dystonia (VVD) is carried out in complex: etiological, pathogenetic and symptomatic. Appointment of glucocorticoids, antibiotics, sulfonamides and other antimicrobial agents is shown only at the beginning of the disease when it is possible to establish a direct connection with the transfer of general infection (SARS, influenza, etc.) or after exacerbations of chronic hearth (tonsillitis, otorinogennye processes, cholecystitis, etc.).

Treatment of vegetative-vascular dystonia (VVD) should be of short duration courses. In the residual period to use these drugs is inappropriate. With traumatic brain injury (in acute and remote periods) must use a dehydrating and absorbable.

Importance in the treatment of vegetative-vascular dystonia (VVD) is a rational therapy. It should be an individual and seeks to excuse the patient from the excitement of his fortune, to overcome feelings of "doom and fear. In addition, it should acquaint the patient with the methods of autogenic training, a general hardening of psycho-physical exercise, self-massage.

To eliminate the polymorphic vegetative-vascular disorders, prescribed tranquilizers. The positive effect of vegetative-vascular dystonia (VVD) give amfotropnye means normalizing function. Due to the high meteosensitivity patients with vascular dystonia (VVD) is recommended to take stugeron (cinnarizine) having antiserotoninovoe effect.

When cardialgia and respiratory syndrome advisable to appoint valokordin, validol, valerian, tinctures lily, hawthorn, adonis. Showing a small dose of beta-blockers and sredneterapevticheskie dose of antidepressants. They help to improve sleep, mood, reduce the increased excitability.

In the complex treatment of vegetative-vascular dystonia (VVD) that include physiotherapy treatment:


If you have any questions about the diagnosis or treatment of vegetative-vascular dystonia (VVD), you can specify them with our therapist or neurologist on the phone: (499) 130–08–09




Neurology, Neurosurgery
(499) 130-08-09
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