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Diagnosis and treatment of chronic cerebrovascular disease, use of pentoxifylline

https://doi.org/10.14412/2074-2711-2016-3-4-9

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Abstract

Chronic cerebrovascular disease (CCVD) is one of the most common  iagnoses in Russian neurology, by which is meant vascular cognitive impairment (VCI) in modern foreign literature. There are data available in the literature on the diagnosis and treatment of CCVD (VCI). Theresults of the author’s studies show that CCVD often masks other diseases (anxiety and depressive disorders, primary headache, peripheral vestibulopathy, and Alzheimer's disease) that are unfortunately poorly diagnosed in our country, so patients do not receive effective treatment. To modify risk factors for stroke (smoking and alcohol cessation, sufficient exercise), to normalize blood pressure (the use of antihypertensivemedications), to reduce blood cholesterol levels (statins), to perform antithrombotic therapy (antiplatelet agents and anticoagulants), and to use cognitive enhancers are of key importance when treating patients with CCVD (VCI). There are data on the use of pentoxifylline in patients with CCVD, vascular dementia.

About the Author

V. A. Parfenov
Department of Nervous System Diseases and Neurosurgery, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia 11, Rossolimo St., Moscow 119021
Russian Federation


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For citation:


Parfenov V.A. Diagnosis and treatment of chronic cerebrovascular disease, use of pentoxifylline. Neurology, Neuropsychiatry, Psychosomatics. 2016;8(3):4-9. (In Russ.) https://doi.org/10.14412/2074-2711-2016-3-4-9

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