Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Differential diagnosis of dyscirculatory encephalopathy in outpatient practice

Full Text:


The differential diagnosis of dyscirculatory encephalopathy is one of the topical problems in Russian neurology. Forty-seven patients diagnosed with dyscirculatory encephalopathy and followed up in the polyclinic were examined. Only in 9 (19.2%) of them, the diagnosis was confirmed. Most patients were established to have other diseases, among which there were primary depressive and/or anxiety disorders (34%), primary headache (23.4), benign paroxysmal positional vertigo (BPPV) (8.5%), and Alzheimer’s disease (10.6%). The paper describes patients with migraine and BPPV, in whom the detection and treatment of these diseases have yielded a positive effect. The examination of patients diagnosed with dyscirculatory encephalopathy with investigations of their cognitive and emotional functions, otoneurological examination, and psychiatric consultation (if indicated) makes it possible to identify other diseases presenting with the symptoms similar to dyscirculatory encephalopathy and to prescribe effective treatments.

About the Authors

D V Neverovsky

S F Sluchevskaya

Vladimir Anatolyevich Parfenov

Department of Nervous System Diseases


1. <div><p>Максудов Г.А. Дисциркуляторная энцефалопатия. В кн.: Сосудистые заболевания нервной системы. Под ред. Е.В. Шмидта. М.: Медицина, 1795;501—12.</p><p>Шмидт Е.В. Классификация сосудистых поражений головного и спинного мозга. Журн невропатол психиатр 1985;9:1281-8.</p><p>Дамулин И.В., Парфенов В.А., Скоромец А.А., Яхно Н.Н. Нарушения кровообращения в головном и спинном мозге. В кн.: Болезни нервной системы. Руководство для врачей. Под ред. Н.Н. Яхно. Т. 1. М.:Медицина, 2005; 231-302.</p><p>Яхно Н.Н. Когнитивные расстройства в неврологической клинике. Неврол журн 2006;11(Прил. 1): 4-12.</p><p>Hachinski V., Bowler J. Vascular dementia. Neurology 1993;43:2159-60.</p><p>Hachinski V., Iadekola C., Petersen R.C. et al. National Institute of Neurological Disorders and Stroke — Canadian Stroke Network Vascular Cognitive Impairment Harmonization Standards. Stroke 2006;37:2220-41.</p><p>Diener H.C., Putzki N. Lietlinien fü r Diagnostik und Theraie in der Neurologie. Georg Thieme Verlag, 2005; 945-52.</p><p>Rockwood K., Bowler J., Erkinjuntti T. et al. Subtypes of vascular dementia. Alzheimer Dis Assoc Disor 1999;13:S59-S65.</p><p>Cummings J.L. Frontal-subcortical circuits and human behavior. Arch Neurol 1993;50:873-80.</p><p>Abas M.A., Sahakian B.J., Levy R. Neropsychological deficits and CT scan changes in erderly depressives. Psychol Med 1990;20:507-20.</p><p>Beats B.C., Sahakian B.J., Levy R. Cognitive performance in tests sensitive to frontal lobe dysfunction in the elderly depressed. Psychol Med 199626:591—603.</p><p>Goldberg T.E., Weinberger D.R., Berman K.F. et al. Futher evidence for dementia of the pre-fronal type in schizophrenia? A controlled study of teaching the Wisconsin Card Sorting Test. Arch Gen Psychiatry 1987;44:1008-14.</p><p>McAllister T.W. Neuropsychiatric sequelae of head injures. Psychiatric Clin N Am 1992;15:395-413.</p><p>Cerebrovascular disease, cognitive imрairеment and dementia. In: Cerebrovascular disease and dementia. J. O'Brien, D. Ames, L. Gustafson et al. (eds). London: Martin-Dunitz, 2004.</p><p>Knopman D.S. Dementia and cerebrovascular disease. Mayo Clin Proc 2006;81:223-30.</p><p>Erkinjuntti T., Ostbye T., Steenhuis R., Hachinski V. The effect of different diagnostic criteria on the prevalence of dementia. N Engl J Med 1997;337(23):1667—74.</p></div><br />


For citations:

Neverovsky D.V., Sluchevskaya S.F., Parfenov V.A. Differential diagnosis of dyscirculatory encephalopathy in outpatient practice. Neurology, Neuropsychiatry, Psychosomatics. 2013;5(2):38-42. (In Russ.)

Views: 3230

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)