Роль лобно-подкорковых связей в развитии обсессивно-компульсивных расстройств
https://doi.org/10.14412/2074-2711-2016-2-107-112
Аннотация
Представлен краткий обзор исследований, посвященных роли нарушений лобно-подкорковых связей в развитии обсессивно-компульсивного расстройства (ОКР). Приведены данные о частоте неврозоподобных симптомов спектра ОКР при неврологических заболеваниях.
Развитие ОКР связано с нарушением баланса между активностью прямого (активирующего) и непрямого (тормозящего) путей корково-стрио-таламо-корковой петли обратной связи. Эти данные подтверждаются результатами нейровизуализационных и нейропсихологических исследований пациентов с ОКР. Высока частота симптомов ОКР при органических поражениях головного мозга. ОКР могут быть проявлением неврологических заболеваний, поэтому их своевременное выявление – важный аспект работы невролога. Лечение пациентов с неврозоподобными расстройствами спектра ОКР в рамках неврологических заболеваний требует мультдисциплинарного подхода с участием невролога, психиатра/психотерапевта, психолога. Необходимо сочетание патогенетического лечения основного заболевания и его неврозоподобных проявлений.
Об авторе
М. А. Кутлубаев
Республиканская клиническая больница им. Г.Г. Куватова, Уфа;
ГБОУ ВПО «Башкирский государственный медицинский университет» Минздрава России, Уфа
Россия
Россия
Отделение неврологии
кафедра неврологии с курсами нейрохирургии и медицинской генетики
450005, ул. Достоевского,132, Уфа, Башкортостан
450000, Республика Башкортостан, Уфа, ул. Ленина, 3
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Рецензия
Для цитирования:
Кутлубаев МА. Роль лобно-подкорковых связей в развитии обсессивно-компульсивных расстройств. Неврология, нейропсихиатрия, психосоматика. 2016;8(2):107-112. https://doi.org/10.14412/2074-2711-2016-2-107-112
For citation:
Kutlubaev MA. The role of frontal-subcortical circuits in the development of obsessive-compulsive disorders. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2016;8(2):107-112. (In Russ.) https://doi.org/10.14412/2074-2711-2016-2-107-112
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