nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2023-5-13-19nnp-2100Research ArticleLECTURESЛЕКЦИЯDifferential diagnosis of ischemic stroke in the arteries of the vertebrobasilar systemДифференциальная диагностика ишемического инсульта в артериях вертебробазилярной системыhttps://orcid.org/0000-0001-6061-8118КулешА. А.KuleshA. A.

Алексей Александрович Кулеш - кафедра неврологии и медицинской генетики.

614990, Пермь, ул. Петропавловская, 26

Aleksey Aleksandrovich Kulesh - Department of neurology and medical genetics.

26, Petropavlovskaya St., Perm 614990

aleksey.kulesh@gmail.comhttps://orcid.org/0000-0003-2670-4172ДеминД. А.DeminD. A.

414011, Астрахань, ул. Покровская Роща, 4

4, Pokrovskaya Roscha St., Astrakhan 414011

https://orcid.org/0000-0002-3847-9366ВиноградовО. И.VinogradovO. I.

125167, Москва, ул. Планетная, 29

29, Planetnaya St., Moscow 125167

ФГБОУ ВО «Пермский государственный медицинский университет им. акад. Е.А. Вагнера» Минздрава РоссииРоссияAcad. E.A. Vagner Perm State Medical University, Ministry of Health of RussiaRussian FederationФГБУ «Федеральный центр сердечно-сосудистой хирургии» Минздрава РоссииРоссияFederal Center for Cardiovascular Surgery, Ministry of Health of RussiaRussian FederationАНО «Общество доказательной неврологии»РоссияAutonomous Non-for-profit Organization “Society for Evidence-Based Neuroscience”Russian Federation2023231020231551319Copyright © Kulesh A.A., Demin D.A., Vinogradov O.I., 20232023Кулеш А.А., Демин Д.А., Виноградов О.И.Kulesh A.A., Demin D.A., Vinogradov O.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/2100

Stroke in the arteries of the vertebrobasilar system is characterized by a variety of nonspecific symptoms, many mimickers, and often atypical clinical presentation, which, together with the low sensitivity of CT and MRI of the brain, leads to incorrect and untimely diagnosis. This article addresses in detail the issues of differential diagnosis of this disease with Guillain–Barre syndrome, myasthenic crisis, central pontine myelinolysis, multiple sclerosis, Wernicke encephalopathy, vestibular neuronitis, Meniere's disease, and vestibular migraine.

Инсульт в артериях вертебробазилярной системы характеризуется разнообразием неспецифических симптомов, множеством имитаторов и зачастую атипичной клинической картиной, что в совокупности с низкой чувствительностью КТ и МРТ головного мозга обусловливает его неправильную и несвоевременную диагностику. В статье подробно разбираются вопросы дифференциальной диагностики заболевания с синдромом Гийена–Барре, миастеническим кризом, центральным понтинным миелинолизом, рассеянным склерозом, энцефалопатией Вернике, вестибулярным нейронитом, болезнью Меньера и вестибулярной мигренью.

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The authors declare that there are no conflicts of interest present.