Chronic cerebral ischemia is a common condition associated with progressive brain damage that manifests itself in various neurological disorders, including cognitive impairment. One of the etiologic factors vascular disorders arterial hypertension. The article discusses types impairment and pathogenetic mechanisms their formation. role glymphatic system brain, neuroinflammation implementation are discussed. described clinical case shows need to supplement basic therapy patients hypertension...

Anxiety disorders are often found in the practice of doctors all specialties and cause difficulties making a diagnosis, which is associated with variety clinical manifestations. Traditionally, anxiety considered within framework neuroses include conditions such as adjustment disorders, generalized disorder, number somatoform disorders. The article gives distinction between concepts “anxiety” “anxiety disorders”. It should be noted that cannot isolation from concept “stress”. Chronic...

To evaluate the efficacy and safety of combination therapy for post-COVID asthenic syndrome with multicomponent bioregulatory drugs Traumeel S, Ubichinon compositum Coenzyme compositum.The study included 104 patients (averaged age 39.5 [30.8; 48] years) after COVID-19, clinically recovered from an acute infectious process, lasting 2 weeks to 6 months; severity on asthenia VAS scale was at least 30 points. Before start study, in addition a physical examination, patient's condition assessed...

Purpose of the study to determine effectiveness Anvifen in case insomnia and meteosensitivity as comorbid stress-induced disorders.

Alpha lipoic acid (ALA) is an essential cofactor for mitochondrial enzymes, a powerful antioxidant, and important component of many metabolic processes. Most research on ALA has focused specifically its antioxidant properties. A number conditions – aging, atherosclerosis, liver cirrhosis, diabetes mellitus, various types polyneuropathy, psoriasis others can significantly reduce the level in body. The article analyzes modern literature (107 sources, including 17 systematic reviews...

A significant problem of modern medicine is the presence several diseases in same patient, which complicates not only diagnosis each them, but also therapy. It necessary to distinguish between terms “comorbidity”, “multimorbidity” and “polymorbidity”. The principles therapy for comorbid patients differ from those with mononosology. А large number Russian foreign studies have shown that chronic pain syndromes, including back pain, often a conditions. In particular, osteoarthritis, one most...

Disturbances in the formation of connective tissue lead to significant pathological changes both individual organs and tissues, at organismal level. The complexity diagnostics is also connected with fact that there no single terminology, a view diagnostic criteria, approach among doctors different specialties. prevalence external phenotypic signs dysplasia quite high, which can overdiagnosis. On other hand, insufficient attention manifestations delayed diagnosis, cause adverse complications....

Back and neck pain is widespread in the population. Preferably, patients of working age are sick, which leads to serious economic losses. The transition from acute chronic increases financial costs, so effective treatment back an important medical, social problem. Musculoskeletal (MSP) prevails among all types pain. source MSP can be various structures musculoskeletal system: bones, joints, muscles, fascia, tendons, ligaments, intervertebral discs. provoking factors for development static...

Acute cerebrovascular accident (ACV) is an important medical and social problem, which associated with high morbidity, mortality frequent disability. The current system for providing specialized care to patients stroke has shown its effectiveness, as evidenced by a decrease in hospital increase the number of returning work. However, incidence remains high, also COVID-19 pandemic. Every third patient had neurological symptoms, pathomorphological study brain deceased showed signs hypoxic...

The article deals with the diagnosis of dizziness as one most common reasons for contacting primary care system. term “vertigo” refers to illusory sensation rotational movement objects around patient or himself. Traditionally, clinic distinguishes “systemic” and “non-systemic” dizziness. However, use these two terms (rotational) (presyncope, imbalance caused by a violation neural mechanisms maintaining balance body postural phobic) can make it difficult diagnose etiological factor due...

Myofascial pain syndrome is one of the most common manifestations musculoskeletal pain, and it manifested not only by but also localized highly sensitive areas sensitivity changes. Clinical isolated trigger zones have been described in literature. However, practice, has to deal with myofascial caused multiple muscles or several neighboring regions. In this case, patterns overlap change clinical picture and, some cases, lead misdiagnosis. order illustrate such a course syndrome, article...

Introduction. Radiculopathy is one of the causes neuropathic pain. Among back pain, lumbar radiculopathy ranks second after non-specific musculoskeletal Patients with have a marked decrease in quality life, tendency to disability, which large amount diagnostic and therapeutic measures associated economic losses. There no unified view on pathogenesis radiculopathy, pain syndrome includes nociceptive components. The proposed treatment regimens for differ are recommendatory nature. purpose...

As defined in the WHO Bulletin (1999), low back pain (LBP) is pain, muscle tension or stiffness localized between XII pair of ribs and lower gluteal folds, with without irradiation limbs. The LBP syndrome not a nosological unit, but due to its high prevalence, social economic importance, it has separate heading ICD-10 – (M 54.5). Various structures can be source LBP: intervertebral discs, facet sacroiliac joints, muscles, ligaments, tendons, fascia, spinal cord roots, peripheral nerves, etc....

Neck pain is widespread in the population and reaches 60%. Women age group under 60 are more likely to be affected than men. Acute typical for young people, chronic – patients of older group. can nonspecific, neural or mixed, depending on involvement various anatomical structures pathological process.Nonspecific (nociceptive, musculoskeletal) accounts about 80–90% all cases. The clinical picture may also include limited range motion cervical spine (CS), changes muscle tone region. With...

Introduction. According to the data of various authors Cervicogenic headache (CH) is met in 2.5 70% population. Diagnostic criteria are described at The International classification (3d revision). CH represents a heterogeneous group headaches based on functional and organic changes anatomical structures cervical spine. There no clinical recommendations for treatment patients with date. purpose this study assessment effectiveness use Traumeel® S cervicogenic treatment. Materials methods. 60...

Treatment of musculoskeletal back pain is an essential problem for doctors many specialties, including neurologists. In some cases, the chronic course syndrome accompanied with complaints and clinical manifestations characteristic neuropathic in absence significant damage to neural structures, which explained by mechanism central sensitization. this case, there may be diagnostic errors determining nature pain, entails inadequate therapy that does not lead desired result.The presented case...

In accordance with modern concepts, pain is divided into neuropathic and nonspecific (nociceptive). Often the syndrome of a mixed nature, combining features both options, each which requires separate approach to treatment. The main task therapy its effective rapid relief relative safety prescribed message devoted analysis clinical case treatment acutely developed in patient cervical spine as result inadequate physical activity, led damage intervertebral disc complicated radiculopathy....

Neuropathic pain (NP) is not uncommon in clinical practice. NP can occur when various neural structures are damaged, such as peripheral nerves, spinal roots, cord, and brain structures. Depending on the level of damage, divided into central peripheral. At same time, more common. When diagnosing NP, results a physical examination patient most valuable. In order to study state neuromotor apparatus, patients undergo stimulation electromyography with an analysis conduction along motor fibers...

The article discusses various aspects of chronic pain syndrome in general and back elderly patients. frequency occurrence the elderly, according to different authors, is up 83.8%, ranges from 27 86%. negative impact on life quality patients was shown. Correlations were found between such conditions as an increased risk falls, fractures, development dementia. Chronic people over 60 y. o. contributes a mortality increase by 57%. reasons for are not only degenerative-dystrophic changes spine,...