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1.
Article in Russian | MEDLINE | ID: mdl-38639153

ABSTRACT

Autoimmune diseases of the nervous system are characterized by the formation of pronounced neurological deficiency and often lead to disability. Complementary medicine as an adjuvant or preventive therapy of various diseases, including autoimmune ones, is increasingly attracting the attention of doctors and researchers. Traditional Chinese medicine (TCM) has a complex of treatment methods, including acupuncture, phytotherapy, nutrition, physical exercises and other methods that are often used in common with the recognized approaches of the official medical science. The article describes the TCM methods application in autoimmune diseases of nervous system, presents the practical experience of using acupuncture, phytotherapy, diet, physical exercises. It was concluded that TCM is important and frequently underestimated health care resource, especially in prevention and treatment of autoimmune diseases of nervous system.


Subject(s)
Acupuncture Therapy , Autoimmune Diseases , Humans , Medicine, Chinese Traditional/methods , Phytotherapy , Nervous System , Autoimmune Diseases/therapy
2.
Zh Nevrol Psikhiatr Im S S Korsakova ; 122(8. Vyp. 2): 5-10, 2022.
Article in Russian | MEDLINE | ID: mdl-36036137

ABSTRACT

Dissection of cerebral arteries is a rare cause of stroke in the general population. The article describes 5 clinical cases of patients with ischemic stroke after dissection, discusses the issues of etiology, diagnosis and treatment tactics. The possibility of using high-tech methods of treatment for this subtype of stroke is emphasized. The diagnostic method of choice is neuroimaging, including cerebral angiography.


Subject(s)
Brain Ischemia , Ischemic Stroke , Stroke , Cerebral Angiography , Cerebral Arteries , Humans
3.
Article in Russian | MEDLINE | ID: mdl-32356629

ABSTRACT

AIM: To study the factors, affecting the effectiveness of acute period rehabilitation in patients after ischemic stroke (IS). MATERIAL AND METHODS: We examined 72 patients (average age 63.8 ± 1.3 years) in the acute period of IS who were treated in the neurological department for patients with acute cerebrovascular accident of the State Budgetary Institution of Healthcare of the Republic of Bashkortostan «Emergency Hospital¼ (Ufa). All patients underwent clinical, instrumental and laboratory examination. The following scales were used: NIHSS, Rankin, Barthel, Rivermead, Montreal Cognitive Assessment, Spielberg - Hanin situational and personal anxiety scale, Beck's Depression Inventory, A.M. Vain questionnaire for assessment of the severity of autonomic dysfunction, T. Ehlers test and A.M. Schubert's method of determination of the state of the motivational sphere and risk preparedness. Assessment of the rehabilitation potential was carried out by analyzing the data of the Rehabilitation List. According to the severity of neurological deficit, the patients were divided into 2 groups: 38 (52.7%) patients with mild IS were included in the Group 1 and 34 (47.2%) patients with moderate IS - in Group 2. RESULTS: By the end of the treatment, significant changes in the number of patients with cognitive and depressive disorders, qualitative changes in the levels of personal and situational anxiety in the direction of their reduction were registered. In the vast majority of patients in both groups at the stages of treatment, one or another degree of autonomic nervous system dysfunction was found. Most patients (82.9%) at the beginning of the treatment had an average and high degree of motivation to achieve success in treatment, along with a low and medium level of risk preparedness, which is characteristic of a person aimed at success. According to the complex of factors, 78% of patients had an average and high level of rehabilitation potential. CONCLUSION: A comprehensive and individual approach to the correction of pathological disorders in patients in the acute period of IS, taking into account the rehabilitation potential, is the key to the effectiveness of rehabilitation treatment at the stages of rehabilitation.


Subject(s)
Depressive Disorder , Stroke Rehabilitation , Stroke , Aged , Anxiety , Humans , Middle Aged , Motivation , Stroke/psychology , Treatment Outcome
4.
Article in Russian | MEDLINE | ID: mdl-26525616

ABSTRACT

OBJECTIVE: To analyze clinical characteristics of pain syndrome in patients with dorsalgia. MATERIAL AND METHODS: Authors studied 43 patients (mean age 41.9±1.2 years), 34 women and 9 men, with acute and subacute chronic back pain. The study included neurological examination, MRI and/or CT of the spine, measurement of anxiety and depression with the Hospital Anxiety and Depression Scale (HADS), The Brief Pain Inventory (BPI) and the McGill Pain Inventory. RESULTS AND CONCLUSION: Chronic myofascial pain syndrome (MFPS) was frequently associated with anxiety-depressive disorders found in patients with cervical and cervical/pectoral pain, fibromyalgia with minimal neurological symptoms and no signs of neural structure compression according to MRI and CT. The results of the study of chronic MFPS should be taken into account in the choice of tactics of treatment of MFPS patients. The use of amelotex in the combination with compligam B in patients with dorsopathy and MFPS is effective together with correction of emotional disorders and treatment with chondroprotectors.


Subject(s)
Acute Pain/physiopathology , Back Pain/physiopathology , Chronic Pain/physiopathology , Myofascial Pain Syndromes/physiopathology , Acute Pain/complications , Acute Pain/drug therapy , Adult , Anxiety Disorders/diagnosis , Anxiety Disorders/drug therapy , Anxiety Disorders/etiology , Back Pain/complications , Back Pain/drug therapy , Chest Pain/complications , Chest Pain/drug therapy , Chest Pain/physiopathology , Chronic Pain/complications , Chronic Pain/drug therapy , Depressive Disorder/diagnosis , Depressive Disorder/drug therapy , Depressive Disorder/etiology , Female , Fibromyalgia/complications , Fibromyalgia/drug therapy , Fibromyalgia/physiopathology , Humans , Male , Middle Aged , Myofascial Pain Syndromes/complications , Myofascial Pain Syndromes/drug therapy , Neck Pain/complications , Neck Pain/drug therapy , Neck Pain/physiopathology , Pain Measurement , Psychiatric Status Rating Scales , Young Adult
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