Autor: |
Zakharov VV; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia., Vakhnina NV; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia., Gromova DO; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia., Tarapovskaya AV; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia. |
Jazyk: |
ruština |
Zdroj: |
Terapevticheskii arkhiv [Ter Arkh] 2016; Vol. 88 (4), pp. 93-99. |
DOI: |
10.17116/terarkh201688493-99 |
Abstrakt: |
Chronic cerebral circulatory insufficiency (CCCI) is a result of cerebral microangiopathy, most commonly due to uncontrolled hypertension. In this case, the brain is affected due to recurrent silent infarcts and/or microbleedings without clinical manifestations of stroke and chronic brain ischemia. Progressive cognitive impairments with a preponderance of inadequate attention and lower rates of cognitive performance, with impaired planning and control abilities in relative preservation of memory serve as the main manifestation of chronic progressive non-stroke vascular lesion in the brain. The above impairments are generally associated with emotional changes as affective lability and depression. The paper gives an account of a characteristic clinical case of CCCI, analyzes the mechanisms for the development of neurological symptoms, and sets forth current approaches to managing these patients. |
Databáze: |
MEDLINE |
Externí odkaz: |
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