Strategies for patient therapy with chronic brain ischemia

The article is devoted to the analysis of various pathogenetic mechanisms involved in the formation of chronic brain ischemia. The authors discuss current trends in society, leading to a wide spread of cerebrovascular diseases: an increase in life expectancy and a constantly increasing level of psyc...

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Main Authors: O. V. Kurushina, A. E. Barulin, Yu. S. Vorobjeva
Format: Article
Language:Russian
Published: Remedium Group LLC 2020-01-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/5479
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author O. V. Kurushina
A. E. Barulin
Yu. S. Vorobjeva
author_facet O. V. Kurushina
A. E. Barulin
Yu. S. Vorobjeva
author_sort O. V. Kurushina
collection DOAJ
description The article is devoted to the analysis of various pathogenetic mechanisms involved in the formation of chronic brain ischemia. The authors discuss current trends in society, leading to a wide spread of cerebrovascular diseases: an increase in life expectancy and a constantly increasing level of psychosocial stresses. The paper considers the variety of clinical manifestations, course options, the pace of development of this pathology, diagnostic and therapeutic difficulties encountered by doctors treating this category of patients. Particular attention is paid to symptoms that prevent a full course of treatment and prevention of chronic cerebral ischemia, such as asthenia and impaired statolocomotor function. The leading pathogenetic mechanisms that play a role in the formation of these syndromes are discussed. Various approaches to the treatment of this pathological condition are considered. The possibility of using drugs with a multimodal effect is discussed. An analysis of a clinical case involving a patient with a long history of chronic brain ischemia is presented. The main factors that are obstacles to a full pathogenetically directed treatment are identified and ways to solve this therapeutic problem are given. The authors conclude that it is necessary to formulate a wellthought- out therapy strategy for this pathological condition, including timely, well-considered use of drugs with a neurotrophic, neuromodulating effect, which allows further measures, including non-pharmacological approaches. Particular attention is paid to the role of social support and physical activity for the prevention of cerebrovascular diseases.
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spelling doaj.art-234f58bf9d574ef1ab5d7dca4d54bfd32023-04-23T06:56:57ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902020-01-01021869310.21518/2079-701X-2019-21-86-934988Strategies for patient therapy with chronic brain ischemiaO. V. Kurushina0A. E. Barulin1Yu. S. Vorobjeva2Volgograd State Medical UniversityVolgograd State Medical UniversityVolgograd State Medical UniversityThe article is devoted to the analysis of various pathogenetic mechanisms involved in the formation of chronic brain ischemia. The authors discuss current trends in society, leading to a wide spread of cerebrovascular diseases: an increase in life expectancy and a constantly increasing level of psychosocial stresses. The paper considers the variety of clinical manifestations, course options, the pace of development of this pathology, diagnostic and therapeutic difficulties encountered by doctors treating this category of patients. Particular attention is paid to symptoms that prevent a full course of treatment and prevention of chronic cerebral ischemia, such as asthenia and impaired statolocomotor function. The leading pathogenetic mechanisms that play a role in the formation of these syndromes are discussed. Various approaches to the treatment of this pathological condition are considered. The possibility of using drugs with a multimodal effect is discussed. An analysis of a clinical case involving a patient with a long history of chronic brain ischemia is presented. The main factors that are obstacles to a full pathogenetically directed treatment are identified and ways to solve this therapeutic problem are given. The authors conclude that it is necessary to formulate a wellthought- out therapy strategy for this pathological condition, including timely, well-considered use of drugs with a neurotrophic, neuromodulating effect, which allows further measures, including non-pharmacological approaches. Particular attention is paid to the role of social support and physical activity for the prevention of cerebrovascular diseases.https://www.med-sovet.pro/jour/article/view/5479chronic brain ischemiapathogenetic therapyastheniaataxiaprophylactics
spellingShingle O. V. Kurushina
A. E. Barulin
Yu. S. Vorobjeva
Strategies for patient therapy with chronic brain ischemia
Медицинский совет
chronic brain ischemia
pathogenetic therapy
asthenia
ataxia
prophylactics
title Strategies for patient therapy with chronic brain ischemia
title_full Strategies for patient therapy with chronic brain ischemia
title_fullStr Strategies for patient therapy with chronic brain ischemia
title_full_unstemmed Strategies for patient therapy with chronic brain ischemia
title_short Strategies for patient therapy with chronic brain ischemia
title_sort strategies for patient therapy with chronic brain ischemia
topic chronic brain ischemia
pathogenetic therapy
asthenia
ataxia
prophylactics
url https://www.med-sovet.pro/jour/article/view/5479
work_keys_str_mv AT ovkurushina strategiesforpatienttherapywithchronicbrainischemia
AT aebarulin strategiesforpatienttherapywithchronicbrainischemia
AT yusvorobjeva strategiesforpatienttherapywithchronicbrainischemia