References

nnp

Neurology, Neuropsychiatry, Psychosomatics

Неврология, нейропсихиатрия, психосоматика

2074-27112310-1342

"IMA-Press", LLC

10.14412/2074-2711-2018-2-88-94

nnp-891

Research Article

CLINICAL OBSERVATIONS

КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ

Poststroke cognitive impairment: diagnosis and treatment

Диагностика и лечение постинсультных когнитивных нарушений

Головачева

В. А.

Golovacheva

V. A.

Контакты: Вероника Александровна Головачева

Кафедра нервных болезней и нейрохирургии лечебного факультета

119021, Москва, ул. Россолимо, 11

Contact: Veronika Aleksandrovna Golovacheva

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine

11, Rossolimo St., Moscow 119021

xoxo.veronicka@gmail.com

Головачева

А. А.

Golovacheva

A. A.

Кафедра нервных болезней и нейрохирургии лечебного факультета

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine

11, Rossolimo St., Moscow 119021

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)» Минздрава РоссииРоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation

2018

24062018

1028894

2018

Головачева В.А., Головачева А.А.

Golovacheva V.A., Golovacheva A.A.

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/891

The socially significant problems in patients with prior stroke include post-stroke cognitive impairment (PCI), the prevalence of which is high (from 24 to 70%). The causes of disability in these patients are that the role of cognitive impairment is often underestimated and attention is paid only to motor defects. The pathogenesis of PCI may include not only vascular, but also neurodegenerative (due to Alzheimer's disease) mechanisms of brain damage. The diagnosis of early PCI is of great practical importance, as it is most effective to treat mild PCI. The paper considers current approaches to preventing and treating PCI. The authors give their own experience in treating a patient with moderate PCI.

К социально значимым проблемам у пациентов, перенесших инсульт, относятся постинсультные когнитивные нарушения (ПКН), распространенность которых высока (от 24 до 70%). Среди причин нетрудоспособности у таких пациентов часто недооценивается роль когнитивных расстройств и уделяется внимание только двигательным дефектам. Патогенез ПКН может включать не только сосудистые, но и нейродегенеративные (вследствие болезни Альцгеймера) механизмы повреждения головного мозга. Диагностика ПКН на ранних стадиях имеет большое практическое значение, так как наиболее эффективно лечение легких ПКН. В статье рассматриваются современные подходы к профилактике и лечению ПКН. Представлен собственный опыт лечения пациента с умеренными ПКН.

постинсультные когнитивные нарушенияпостинсультная деменцияэкстракт Гинкго Билоба (EGb 761®)

poststroke cognitive impairmentpoststroke dementiaGinkgo Biloba extract (EGb 761®)

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