CHRONIC CEREBROVASCULAR DISEASES CAUSED BY ARTERIAL HYPOTENSION IN YOUNG ADULTS
DOI:
https://doi.org/10.11603/1811-2471.2019.v.i3.10442Keywords:
chronic cerebrovascular diseases, arterial hypotension, dyscirculatory encephalopathyAbstract
SUMMARY. In the structure of cerebrovascular diseases, chronic forms of vascular lesions of the brain, which are traditionally interpreted as dyscirculatory encephalopathy (DE), have significant weight in the domestic literature. In recent years cerebrovascular disorders have a tendency to increase the incidence among people of middle and young age.
The aim – to study the clinical and neurological parameters of chronic cerebrovascular diseases caused by arterial hypotension in young adults.
Materials and Methods. 130 young patients with arterial hypotension were involved. All patients were examined (standard clinical examination and anamnesis, neurological status, biochemical analysis of blood and urine, blood glucose, coagulogram, lipid profile, creatinine, blood urea etc.), ECG, heart ultrasound, arterial pressure daily monitoring, neurophysiological status, EEG.
Results and Discussion. In adults with DE of stage I, caused by arterial hypotension, neurotic and asthenic syndromes prevailed, stage II – vestibular, cephalgia and cognitive impairment observed. Dynamic observation for 5 years demonstrated aggravation of next syndromes namely vestibular, insomnia and cognitive impairments. Asthenia and cephalghia symptoms were reduced at the same time. Local neurologic symptoms were in DE stage II more frequently. All clinical symptoms had tight connection with the arterial pressure rhythm. Vestibular syndrome prevailed in clinical groups II and IV, dyscoordination and neurotic – in II, III and IV, asthenic in clinical group IV.
Conclusions. Our research involved problems of diagnosis and treatment of cerebrovascular pathology in young patients. It is a problem of high importance because of the pathology develops slowly and patients often seek medical care at times when treatment options are already limited.
References
Vorobyeva, O.V., & Tamarova, E.S. (2010). Effektivnost vintropila v terapii nachalnykh proyavleniy tserebrovaskulyarnoy patologii [Vinpotropil efficacy in therapy of primary signs of cerebrovascular pathology]. Zhurn. nevrologii i psikhiatrii – Journal of Neurology and Psychiatry, 110 (9), 39-42 [in Russian].
Zakharov, V.V. (2010). Umerennye kognitivnye narusheniya kak multidistsiplinarnaya problema [Light cognitive impairments as multidisciplinary problem]. Nevrologiya, neyropsikhiatriya, psikhosomatika – Neurology, Neuropsychiatry, Psychosomatics, (2), 5-10 [in Russian].
Katunina, E.A. (2011). Kognitivnye narusheniya pri khronicheskoy nedostatochnosti mozgovogo krovoоbrashcheniya [Cognitive disorders in chronic cerebral circulation insufficiency]. Consilium Medicum, (1), 9-12 [in Russian].
Damulin, I.V. (2006). Legkie cognitivnye narusheniya [Light cognitive disorders]. Consilium Medicum, 8 (8), 80-85 [in Russian].
Voznesenskaya, T.G. (2012). Depressiya pri tserebrovaskulyarnykh zabolevaniyakh [Depression in cerebral vascular diseases]. Nevrologiya, Neyropsikhiatriya, Psikhosomatika – Neurology, Neuropsychiatry, Psychosomatics, (2), 9-12 [in Russian].
Kerola, T., Kettunen, R., & Nieminen, T. (2011). The complex interplay of cardiovascular system and cognition: how to predict dementia in the elderly? International Journal of Cardiology, 150 (2), 123-129. DOI: https://doi.org/10.1016/j.ijcard.2010.10.018
Sharp, S. I., Aarsland, D., Day, S., Sonnesyn, H., Alzheimer's Society Vascular Dementia Systematic Review Group, & Ballard, C. (2011). Hypertension is a potential risk factor for vascular dementia: systematic review. International Journal of Geriatric Psychiatry, 26 (7), 661-669. DOI: https://doi.org/10.1002/gps.2572
