Vascular cognitive impairment, no dementia: diagnosis, prognosis, treatment, and prevention
Abstract
The paper considers the concept of vascular cognitive impairment (CI), no dementia, their epidemiology, risk markers and pathological basis.
It describes in detail the neuropsychological characteristics of CI, relevant diagnostic criteria, and clinical and neuroimaging diagnostic techniques. In addition to stroke, cerebral small vessel disease, which is characterized in the article in a modern light, is shown to play an important role in the development of moderate vascular CI. The course, prognosis of vascular cognitive impairment, and their determinants are discussed. Approaches to the treatment of the disease, including nicergoline therapy, and preventive measures with emphasis on physical activity are presented.
About the Authors
A. A. Kulesh
Acad. E.A. Vagner Perm State Medical University, Ministry of Health of Russia
Russian Federation
26, Petropavlovskaya St., Perm, Perm Territory 614990
Russian Federation
26, Petropavlovskaya St., Perm, Perm Territory 614990
V. V. Shestakov
Acad. E.A. Vagner Perm State Medical University, Ministry of Health of Russia
Russian Federation
26, Petropavlovskaya St., Perm, Perm Territory 614990
Russian Federation
26, Petropavlovskaya St., Perm, Perm Territory 614990
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Kulesh A.A., Shestakov V.V. Vascular cognitive impairment, no dementia: diagnosis, prognosis, treatment, and prevention. Neurology, Neuropsychiatry, Psychosomatics. 2017;9(3):68-75. (In Russ.) https://doi.org/10.14412/2074-2711-2017-3-68-75
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