References

nnp

Neurology, Neuropsychiatry, Psychosomatics

Неврология, нейропсихиатрия, психосоматика

2074-27112310-1342

"IMA-Press", LLC

10.14412/2074-2711-2018-3-141-149

nnp-963

Research Article

REVIEWS

ОБЗОРЫ

Cognitive impairment in patients with migraine: causes, principles of effective prevention and treatment

Когнитивные нарушения у пациентов с мигренью: причины, принципы эффективного предупреждения и лечения

Головачева

В. А.

Golovacheva

V. A.

Кафедра нервных болезней и нейрохирургии лечебного факультета

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

xoxo.veronicka@gmail.com

Пожидаев

К. А.

Pozhidaev

K. A.

Кафедра нервных болезней и нейрохирургии лечебного факультета

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

Головачева

А. А.

Golovacheva

A. A.

Кафедра нервных болезней и нейрохирургии лечебного факультета

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

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

2018

09112018

103141149

2018

Головачева В.А., Пожидаев К.А., Головачева А.А.

Golovacheva V.A., Pozhidaev K.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/963

Cognitive impairment (CI) is common in patients with migraine; its causes and pathogenesis continue to be discussed. Some authors consider that migraine proper does not lead to decreased cognitive functions, neuroimaging changes in the brain white matter are asymptomatic in migraine; and CI in patients with this condition is caused by comorbidities (depression, anxiety disorder) and/or concurrent cerebrovascular and neurodegenerative diseases. Other authors report the pathogenetic role of migraine in the development of CI and the importance of the frequency of headache attacks and neuroimaging changes in the brain matter in migraine. The paper reviews clinical trials dealing with the prevalence, causes, and pathogenesis of CI in patients with migraine. It sets forth the current principles of prevention and treatment of CI in patients with this condition.

У пациентов с мигренью распространены когнитивные нарушения (КН), при этом их причины и патогенез продолжают обсуждаться. Одни авторы считают, что собственно мигрень не приводит к снижению когнитивных функций, нейровизуализационные изменения белого вещества головного мозга при мигрени бессимптомны, а КН у пациентов с мигренью вызваны коморбидными расстройствами (депрессия, тревожное расстройство) и/или сочетанными цереброваскулярными, нейродегенеративными заболеваниями. Другие авторы сообщают о патогенетической роли мигрени в развитии КН, о значимости частоты приступов головной боли и нейровизуализационных изменений вещества головного мозга при мигрени. Представлен обзор клинических исследований, посвященных оценке распространенности, причин и патогенеза КН у пациентов с мигренью. Изложены современные принципы предупреждения и лечения КН у пациентов с мигренью.

мигренькогнитивные функциикогнитивные нарушениядеменциянейропсихологическое исследованиепамятьвниманиемагнитно-резонансная томографиялечениепрофилактика

migrainecognitive functionscognitive impairmentdementianeuropsychological examinationmemoryattentionmagnetic resonance imagingtreatmentprevention

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