T. V. Sorokovikova, A. M. Morozov, A. N. Kryukova, S. A. Naumova
Headache is currently one of the most common disorders of the nervous system, and such type of headache as migraine significantly reduces the quality of life and working capacity of the population, which affects healthcare, economy, and social sphere of the country. A competent approach to the diagnosis of migraine implements further timely therapeutic and preventive measures. For an integrated approach to diagnosis, it is necessary to resort to international standards and criteria, which are explained in this review. It is important to note that migraine can be mistaken for other conditions and cephalgic syndromes with similar clinical manifestations. The doctor's attention should first of all be aimed at a clinical study, according to the results of which it is already possible to make a diagnosis. Neuroimaging methods should not be used routinely in all patients, but only if there are indications. Based on the analysis of the literature, we have identified the key signs of migraine with and without aura, chronic migraine, as well as provided the information necessary for differential diagnosis with other pathologies.
{"title":"A modern approach to migraine diagnosis","authors":"T. V. Sorokovikova, A. M. Morozov, A. N. Kryukova, S. A. Naumova","doi":"10.33920/med-01-2310-10","DOIUrl":"https://doi.org/10.33920/med-01-2310-10","url":null,"abstract":"Headache is currently one of the most common disorders of the nervous system, and such type of headache as migraine significantly reduces the quality of life and working capacity of the population, which affects healthcare, economy, and social sphere of the country. A competent approach to the diagnosis of migraine implements further timely therapeutic and preventive measures. For an integrated approach to diagnosis, it is necessary to resort to international standards and criteria, which are explained in this review. It is important to note that migraine can be mistaken for other conditions and cephalgic syndromes with similar clinical manifestations. The doctor's attention should first of all be aimed at a clinical study, according to the results of which it is already possible to make a diagnosis. Neuroimaging methods should not be used routinely in all patients, but only if there are indications. Based on the analysis of the literature, we have identified the key signs of migraine with and without aura, chronic migraine, as well as provided the information necessary for differential diagnosis with other pathologies.","PeriodicalId":495560,"journal":{"name":"Вестник неврологии, психиатрии и нейрохирургии","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135665744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. S. Litvintsev, D. P. Konstantinov, V. L. Reinuk, M. V. Ardashev, A. V. Belskaya
Among the existing addictions, the greatest medical and social problems are created by chemical dependencies associated with the use of alcohol, narcotic drugs and psychotropic substances. Neurological disorders in alcoholism are distinguished by the multifactorial nature of their genesis. Pharmacological correction of potential neurological disorders in alcohol users should be considered from the perspective of prescribing drugs with polymodal effects, which justifies the search for the most promising and effective means of pharmacological correction of mental and somatoneurological consequences of alcoholism. The aim of the study was to analyze the dynamics of neurological symptoms under the control of laboratory indicators of toxic liver damage to assess the effectiveness of complex pharmacotherapy of alcohol withdrawal syndrome. 40 patients (average age 43.2±7.2 years) who are being treated for alcohol withdrawal syndrome were examined. A neurological examination and a study of blood biochemical parameters were carried out to assess the functional state of the liver. Neurological organic symptom complex was detected in all observed patients and was a diffuse focal symptomatology associated with cerebral and polyneuritic disorders. Laboratory indicators of the functional state of the liver in patients taking morpholinium- methyl-triazolyl-thioacetate orally showed a statistically significant difference before and after therapy, in the absolute majority of cases positive hemodynamic dynamics and regression of neurological symptoms were observed. Morpholinium-methyl-triazolyl-thioacetate has polymodal effects and can be used not only for alcoholic hepatitis, but also for the correction of cardiological and neurological disorders associated with alcoholic liver damage. It is advisable to consider Thiotriazoline® as a means of choice in the complex therapy of alcoholic liver damage in the outpatient unit.
{"title":"Pharmacological correction of neurological disorders in the relief of alcohol withdrawal syndrome","authors":"B. S. Litvintsev, D. P. Konstantinov, V. L. Reinuk, M. V. Ardashev, A. V. Belskaya","doi":"10.33920/med-01-2310-09","DOIUrl":"https://doi.org/10.33920/med-01-2310-09","url":null,"abstract":"Among the existing addictions, the greatest medical and social problems are created by chemical dependencies associated with the use of alcohol, narcotic drugs and psychotropic substances. Neurological disorders in alcoholism are distinguished by the multifactorial nature of their genesis. Pharmacological correction of potential neurological disorders in alcohol users should be considered from the perspective of prescribing drugs with polymodal effects, which justifies the search for the most promising and effective means of pharmacological correction of mental and somatoneurological consequences of alcoholism. The aim of the study was to analyze the dynamics of neurological symptoms under the control of laboratory indicators of toxic liver damage to assess the effectiveness of complex pharmacotherapy of alcohol withdrawal syndrome. 40 patients (average age 43.2±7.2 years) who are being treated for alcohol withdrawal syndrome were examined. A neurological examination and a study of blood biochemical parameters were carried out to assess the functional state of the liver. Neurological organic symptom complex was detected in all observed patients and was a diffuse focal symptomatology associated with cerebral and polyneuritic disorders. Laboratory indicators of the functional state of the liver in patients taking morpholinium- methyl-triazolyl-thioacetate orally showed a statistically significant difference before and after therapy, in the absolute majority of cases positive hemodynamic dynamics and regression of neurological symptoms were observed. Morpholinium-methyl-triazolyl-thioacetate has polymodal effects and can be used not only for alcoholic hepatitis, but also for the correction of cardiological and neurological disorders associated with alcoholic liver damage. It is advisable to consider Thiotriazoline® as a means of choice in the complex therapy of alcoholic liver damage in the outpatient unit.","PeriodicalId":495560,"journal":{"name":"Вестник неврологии, психиатрии и нейрохирургии","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135665745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The dependence of clinical manifestations of non-psychotic depressive disorders on social factors has been studied. In the treatment of patients with non-psychotic depression, it is necessary to take into account the degree of violation of social symptomatically significant components for rational pharmacotherapy.
{"title":"Social factors and their effect on clinical manifestations of depressive disorders","authors":"A. V. Kuchaeva, M. L. Maksimov, E. B. Mikhailova","doi":"10.33920/med-01-2310-03","DOIUrl":"https://doi.org/10.33920/med-01-2310-03","url":null,"abstract":"The dependence of clinical manifestations of non-psychotic depressive disorders on social factors has been studied. In the treatment of patients with non-psychotic depression, it is necessary to take into account the degree of violation of social symptomatically significant components for rational pharmacotherapy.","PeriodicalId":495560,"journal":{"name":"Вестник неврологии, психиатрии и нейрохирургии","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135665757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To date, the effectiveness and safety of reconstructive surgery for steno-occlusive lesions of the internal carotid artery (ICA) have been proven by multicenter cooperative studies Despite this, the indications and tactics of surgical treatment of patients with extra-intracranial tandem stenotic lesions of the ICA remain controversial. In the period 2010-2020, 32 patients with symptomatic (15 cases) and asymptomatic tandem ICA lesions were hospitalized for surgical treatment. The distribution of tandem lesions was as follows: 10 patients had bicarotid hemodynamically significant stenotic and occlusive lesions of the ICA ostium in combination with stenosis of more than 50% of the petrous (4 cases), cavernous (8 cases), and clinoid segments (5 cases), of these, four had bilateral intracranial stenosis; 22 patients with hemodynamically significant lesions of the ICA and vertebral artery (VA) in combination with stenosis of more than 50% of the petrous (10 cases), foramen lacerum (2 cases), cavernous (16 cases), clinoid (14 cases), and ophthalmic segments (1 cases), of these, six had bilateral intracranial stenosis of the ICA. All patients underwent staged surgical interventions on the arteries of the carotid and vertebrobasilar systems. In the postoperative period, there was one case of repeated ischemic stroke in the territory of the reconstructed artery after the application of extra-intracranial microanastomosis (EICMA). There were no relapses of restenosis or acute cerebrovascular accident (CVA) in the follow-up. Staged reconstructive and revascularization treatment is safe and effective for tandem extra-intracranial lesions of the ICA. It is necessaryto continue further study of this issue in order to develop unified tactics and methods of surgical treatment.
{"title":"Experience in surgical treatment of extra-intracranial tandem ICA stenosis at the National Medical Research Center for High Medical Technologies named after A. A. Vishnevsky of the Ministry of Defense of the Russian Federation","authors":"A.V. Fedyanin, G.I. Antonov, E.G. Chmutin, G.E. Chmutin, E.R. Miklashevich, S.Yu. Gladyshev, I.I. Shumakov, S.V. Melnichuk, M.M. Muminzhonova","doi":"10.33920/med-01-2310-07","DOIUrl":"https://doi.org/10.33920/med-01-2310-07","url":null,"abstract":"To date, the effectiveness and safety of reconstructive surgery for steno-occlusive lesions of the internal carotid artery (ICA) have been proven by multicenter cooperative studies Despite this, the indications and tactics of surgical treatment of patients with extra-intracranial tandem stenotic lesions of the ICA remain controversial. In the period 2010-2020, 32 patients with symptomatic (15 cases) and asymptomatic tandem ICA lesions were hospitalized for surgical treatment. The distribution of tandem lesions was as follows: 10 patients had bicarotid hemodynamically significant stenotic and occlusive lesions of the ICA ostium in combination with stenosis of more than 50% of the petrous (4 cases), cavernous (8 cases), and clinoid segments (5 cases), of these, four had bilateral intracranial stenosis; 22 patients with hemodynamically significant lesions of the ICA and vertebral artery (VA) in combination with stenosis of more than 50% of the petrous (10 cases), foramen lacerum (2 cases), cavernous (16 cases), clinoid (14 cases), and ophthalmic segments (1 cases), of these, six had bilateral intracranial stenosis of the ICA. All patients underwent staged surgical interventions on the arteries of the carotid and vertebrobasilar systems. In the postoperative period, there was one case of repeated ischemic stroke in the territory of the reconstructed artery after the application of extra-intracranial microanastomosis (EICMA). There were no relapses of restenosis or acute cerebrovascular accident (CVA) in the follow-up. Staged reconstructive and revascularization treatment is safe and effective for tandem extra-intracranial lesions of the ICA. It is necessaryto continue further study of this issue in order to develop unified tactics and methods of surgical treatment.","PeriodicalId":495560,"journal":{"name":"Вестник неврологии, психиатрии и нейрохирургии","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135665754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Temporary clipping (TC) of the parent artery is a standard procedure in cerebral aneurysm surgery. According to a number of studies, TC lasting up to 5 minutes is safe in terms of the development of ischemic complications. In cases where a longer TC is required, it is recommended to alternate vessel shutdown with periods of reperfusion, which allows the procedure to be repeated many times without the risk of ischemia. The article presents a review of current scientific publications on TC in cerebral aneurysm surgery, showing that this is a very unpredictable procedure in terms of the development of complications, even when performed within the recommended time parameters. There are cases of ischemia with TC lasting less than 5 minutes and the opposite situation, when TC lasting more than 10–20 minutes does not lead to the development of complications. The review also presents current ideas on how to improve the safety of TC, including the use of intraoperative neurophysiological monitoring.
{"title":"On temporary clipping in cerebral aneurysm surgery (literature review).","authors":"P. G. Shnyakin, A. V. Botov, A. S. Loseva","doi":"10.33920/med-01-2310-02","DOIUrl":"https://doi.org/10.33920/med-01-2310-02","url":null,"abstract":"Temporary clipping (TC) of the parent artery is a standard procedure in cerebral aneurysm surgery. According to a number of studies, TC lasting up to 5 minutes is safe in terms of the development of ischemic complications. In cases where a longer TC is required, it is recommended to alternate vessel shutdown with periods of reperfusion, which allows the procedure to be repeated many times without the risk of ischemia. The article presents a review of current scientific publications on TC in cerebral aneurysm surgery, showing that this is a very unpredictable procedure in terms of the development of complications, even when performed within the recommended time parameters. There are cases of ischemia with TC lasting less than 5 minutes and the opposite situation, when TC lasting more than 10–20 minutes does not lead to the development of complications. The review also presents current ideas on how to improve the safety of TC, including the use of intraoperative neurophysiological monitoring.","PeriodicalId":495560,"journal":{"name":"Вестник неврологии, психиатрии и нейрохирургии","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135665746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. I. Batyrev, A. E. Bryukhin, M. B. Sologub, K. S. Shikhgafizova
The article is devoted to the study of laxative and diuretic abuse among patients with anorexia nervosa (AN) and bulimia nervosa (BN). The medical records of 152 patients with AN and NB, who were hospitalized in a specialized clinic for the treatment of eating disorders, were studied. Of 152 patients, 52 % (N=79) had restricting anorexia nervosa, 29.6 % (N=45) had purgative anorexia nervosa, and 18.4 % (N=28) had bulimia nervosa. The number of people abusing laxatives and diuretics in the groups with AN purgative type and BN did not differ significantly. Laxative abuse accounted for 42.2 % (N=19) and 42.9 % (N=12) in AN purgative type and BN, respectively. Diuretics abuse accounted for 20 % (N=9) and 17.9 % (N=5) in AN purgative type and BN, accordingly. The total number of laxative and diuretic abusers among the patients with eating disorders was 20.4 % (N=31) and 9.2 % (N=14), respectively.
{"title":"The prevalence of laxative and diuretic abuse in patients with anorexia nervosa and bulimia nervosa","authors":"E. I. Batyrev, A. E. Bryukhin, M. B. Sologub, K. S. Shikhgafizova","doi":"10.33920/med-01-2310-04","DOIUrl":"https://doi.org/10.33920/med-01-2310-04","url":null,"abstract":"The article is devoted to the study of laxative and diuretic abuse among patients with anorexia nervosa (AN) and bulimia nervosa (BN). The medical records of 152 patients with AN and NB, who were hospitalized in a specialized clinic for the treatment of eating disorders, were studied. Of 152 patients, 52 % (N=79) had restricting anorexia nervosa, 29.6 % (N=45) had purgative anorexia nervosa, and 18.4 % (N=28) had bulimia nervosa. The number of people abusing laxatives and diuretics in the groups with AN purgative type and BN did not differ significantly. Laxative abuse accounted for 42.2 % (N=19) and 42.9 % (N=12) in AN purgative type and BN, respectively. Diuretics abuse accounted for 20 % (N=9) and 17.9 % (N=5) in AN purgative type and BN, accordingly. The total number of laxative and diuretic abusers among the patients with eating disorders was 20.4 % (N=31) and 9.2 % (N=14), respectively.","PeriodicalId":495560,"journal":{"name":"Вестник неврологии, психиатрии и нейрохирургии","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135665749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article provides the results of treatment of patients with degenerative lumbar stenosis; a detailed analysis of the main components of pain syndrome, neurogenic intermittent claudication, and factors of patient disability has been carried out. The efficacy of volley and tonic neurostimulation has been compared, factors of the effectiveness of neurostimulation have been identified, and an algorithm for managing patients with degenerative lumbar stenosis with severe concomitant diseases that prevent decompressive surgery has been developed.
{"title":"Results of treatment of patients with degenerative lumbar stenosis using spinal epidural neurostimulation","authors":"A.S. Nikitin, R.M. Nanaev, O.V. Levchenko","doi":"10.33920/med-01-2310-05","DOIUrl":"https://doi.org/10.33920/med-01-2310-05","url":null,"abstract":"The article provides the results of treatment of patients with degenerative lumbar stenosis; a detailed analysis of the main components of pain syndrome, neurogenic intermittent claudication, and factors of patient disability has been carried out. The efficacy of volley and tonic neurostimulation has been compared, factors of the effectiveness of neurostimulation have been identified, and an algorithm for managing patients with degenerative lumbar stenosis with severe concomitant diseases that prevent decompressive surgery has been developed.","PeriodicalId":495560,"journal":{"name":"Вестник неврологии, психиатрии и нейрохирургии","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135665750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The problem of antisocial (delinquent) human behavior has existed since ancient times. According to literary sources, adolescents are the most susceptible to this form of behavior, however, this does not always reflect the reality. In psychiatry, it is customary to pay attention not only to age, gender, or nosological aspects, but also to personal characteristics when behavioral disorders occur. This article analyzes predictors of delinquent disorders in patients with organic personality disorder. The age parameters of the disorders presented in the sample are considered: behavioral deviations characteristic of childhood and adolescence, as well as of adults, are described. In addition, personal characteristics influencing the occurrence of delinquent behavior have been studied. It is proposed to introduce a new parameter — locus of control, which allows for a comprehensive assessment of the condition of subjects in different spheres of life.
{"title":"Study of some predictors of delinquent disorders in patients with organic personality disorder","authors":"Yu. S. Khudina, N. V. Tkachenko, V. G. Zaika","doi":"10.33920/med-01-2310-08","DOIUrl":"https://doi.org/10.33920/med-01-2310-08","url":null,"abstract":"The problem of antisocial (delinquent) human behavior has existed since ancient times. According to literary sources, adolescents are the most susceptible to this form of behavior, however, this does not always reflect the reality. In psychiatry, it is customary to pay attention not only to age, gender, or nosological aspects, but also to personal characteristics when behavioral disorders occur. This article analyzes predictors of delinquent disorders in patients with organic personality disorder. The age parameters of the disorders presented in the sample are considered: behavioral deviations characteristic of childhood and adolescence, as well as of adults, are described. In addition, personal characteristics influencing the occurrence of delinquent behavior have been studied. It is proposed to introduce a new parameter — locus of control, which allows for a comprehensive assessment of the condition of subjects in different spheres of life.","PeriodicalId":495560,"journal":{"name":"Вестник неврологии, психиатрии и нейрохирургии","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135665758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zh. R. Gardanova, V. I. Esaulov, V. A. Sotnikov, M. Yu. Kazaryan, D. N. Chernov, A. A. Gavisova, K. A. Uporov, V. V. Novikov, A. K. Gardanov, V. I. Ilgov, D. Kh. Gubaidullin, D. A. Nakhapetyan, K. A. Mikirtumova
Psychosomatic disorders are becoming increasingly common among neurotic disorders in the practice of doctors of various profiles. The history of studying psychosomatic disorders goes back to the past, and even in ancient times, doctors paid attention to a special group of diseases, the cause of which was related to the mental state of the patient, while complaints were in the nature of somatic diseases. At the present stage, psychosomatic disorders prevail in the practice of internists, as well as obstetricians and gynecologists. Irritable bowel syndrome, as one of the psychosomatic disorders, currently attracts the attention of many researchers. The article presents the results of a study of pregnant women with irritable bowel syndrome and the peculiarities of their emotional response. The aim of the study was to identify the level of anxiety in pregnant women with IBS, depending on the IBS clinical form. The feeling of anxiety was revealed at an equally high level in all subjects in the experimental and control groups. Tension was more pronounced in the patients with diarrhea predominant irritable bowel syndrome, while depressive states were more often detected in the patients with IBS-D and less pronounced in the subjects with abdominal pain.
{"title":"Psychosomatic causes of the gastrointestinal tract functional disorders: historical aspects and modern assessment","authors":"Zh. R. Gardanova, V. I. Esaulov, V. A. Sotnikov, M. Yu. Kazaryan, D. N. Chernov, A. A. Gavisova, K. A. Uporov, V. V. Novikov, A. K. Gardanov, V. I. Ilgov, D. Kh. Gubaidullin, D. A. Nakhapetyan, K. A. Mikirtumova","doi":"10.33920/med-01-2310-06","DOIUrl":"https://doi.org/10.33920/med-01-2310-06","url":null,"abstract":"Psychosomatic disorders are becoming increasingly common among neurotic disorders in the practice of doctors of various profiles. The history of studying psychosomatic disorders goes back to the past, and even in ancient times, doctors paid attention to a special group of diseases, the cause of which was related to the mental state of the patient, while complaints were in the nature of somatic diseases. At the present stage, psychosomatic disorders prevail in the practice of internists, as well as obstetricians and gynecologists. Irritable bowel syndrome, as one of the psychosomatic disorders, currently attracts the attention of many researchers. The article presents the results of a study of pregnant women with irritable bowel syndrome and the peculiarities of their emotional response. The aim of the study was to identify the level of anxiety in pregnant women with IBS, depending on the IBS clinical form. The feeling of anxiety was revealed at an equally high level in all subjects in the experimental and control groups. Tension was more pronounced in the patients with diarrhea predominant irritable bowel syndrome, while depressive states were more often detected in the patients with IBS-D and less pronounced in the subjects with abdominal pain.","PeriodicalId":495560,"journal":{"name":"Вестник неврологии, психиатрии и нейрохирургии","volume":"188 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135665752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. V. Amelina, L. S. Korostovtseva, M. V. Bochkarev, I. V. Sakovskiy, M. S. Golovkova-Kucheryavaya, Yu. V. Sviryaev, A. N. Alekhin
Ischemic stroke is a crucial medical and social issue, and the study of factors influencing the development and prognosis of rehabilitation of motor, cognitive, and emotional disorders is of great importance. The presence of concomitant diseases is among these factors. This study examined the impact of sleep-disordered breathing, common in patients after acute cerebrovascular accident, on the prognosis of rehabilitation of cognitive dysfunctions in the early recovery period. The duration of hypoxemia has been found to act as a key factor determining the severity of cognitive impairment. NIHSS stroke severity was a predictor of poor prognosis and can be considered as a general nonspecific marker of decompensation.In addition, it has been found that increasing age, cerebral atherosclerosis, and coronary heart disease, as well as the night time of stroke development are associated with an unfavorable prognosis for the development of cognitive dysfunction in patients after stroke.
{"title":"Impact of sleep-disordered breathing on the dynamics of cognitive dysfunction in patients after ischemic stroke","authors":"V. V. Amelina, L. S. Korostovtseva, M. V. Bochkarev, I. V. Sakovskiy, M. S. Golovkova-Kucheryavaya, Yu. V. Sviryaev, A. N. Alekhin","doi":"10.33920/med-01-2310-01","DOIUrl":"https://doi.org/10.33920/med-01-2310-01","url":null,"abstract":"Ischemic stroke is a crucial medical and social issue, and the study of factors influencing the development and prognosis of rehabilitation of motor, cognitive, and emotional disorders is of great importance. The presence of concomitant diseases is among these factors. This study examined the impact of sleep-disordered breathing, common in patients after acute cerebrovascular accident, on the prognosis of rehabilitation of cognitive dysfunctions in the early recovery period. The duration of hypoxemia has been found to act as a key factor determining the severity of cognitive impairment. NIHSS stroke severity was a predictor of poor prognosis and can be considered as a general nonspecific marker of decompensation.In addition, it has been found that increasing age, cerebral atherosclerosis, and coronary heart disease, as well as the night time of stroke development are associated with an unfavorable prognosis for the development of cognitive dysfunction in patients after stroke.","PeriodicalId":495560,"journal":{"name":"Вестник неврологии, психиатрии и нейрохирургии","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135665748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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