To the clinic and pathogenesis of reflected headaches in diseases of the lungs and pleura

We observed patients with upper quadrant reflected syndrome, which arose in connection with lung pathology. 45 of them (40.9%) had reflected headaches in addition to other algic signs of repercussive syndrome (pain in the upper arm, shoulder joint, arm, chest, etc.). In 60%, they resembled hemicrania and coincided with the side of the pleuro-pulmonary process with its unilateral localization, in the rest they were diffuse, but clearly dominated in intensity on the side of the affected lung. By nature, they were pulsating, aching, aching; they usually occurred in the occipital region and spread anteriorly to the parietal, less often the frontal region; sometimes they were given to the eye or ear. In half of the patients, they intensified with sudden head movements or, conversely, with prolonged forced head position. In 32 patients, kefalgia was combined with noise in the head or ears (according to the type of objective ear noise). In addition, 12 patients complained of dizziness, but only 2 had systemic dizziness, the rest experienced a feeling of nausea, uncertainty when walking, etc. 12 patients with headache companions had visual disturbances, expressed in periodic darkening in the eyes, a feeling of shroud or fog in front of the eyes, flickering of flies or black dots. Soreness of typical vegetative algic points on the head and neck was noted: supraorbital [7], vertebral artery [22]. As a rule, the temporal reflex of S. S. Vermel (1929) turned out to be positive. Thus, the violations listed above were clearly of vegetative-vascular origin.