The characterization of headache in patients with dyscirculatory encephalopathy of different genesis.

OBJECTIVE: The aim of the study was to study the headache features in patients with dyscirculatory encephalopathy of different genesis. PATIENTS AND METHODS: Materials and methods: Clinical-neurological and clinical-instrumental examination of 90 persons aged 40 to 68 was performed. The first group consisted of 60 patients with dyscirculatory encephalopathy and arterial hypertension (DE and AH), the second group - 30 patients with dyscirculatory encephalopathy and cerebral atherosclerosis (DE and CA). RESULTS: Results: In the study of headache in patients with DE + AH and DE + CA, the frequency of detection, the intensity on the VAS scale, and the nature of the headache, no significant difference was found between study groups. CONCLUSION: Conclusions: According to the results of the study, it was proved that patients with DE + CA had headache in the root area, with the circumstances of headache being significantly outweighed «for no apparent reason¼ (p = 0.007) and with changing weather conditions (р = 0.001). Arterial hypertension was a major factor in headache (p = 0.008) and in patients with DE + AH.

Cognitive disorders in persons of working age with dyscirculatory encephalopathy.

OBJECTIVE: The aim of the study was to study the neuropsychological features of cerebrovascular disorders in persons of working age at the outpatient clinic stage. PATIENTS AND METHODS: Materials and methods: 90 persons of working age were surveyed. Clinical neurological and clinical instrumental examination. RESULTS: Results: The first group consisted of patients with dyscirculatory encephalopathy on the background of arterial hypertension - 60 people, the second with dyscirculatory encephalopathy on the background of cerebral atherosclerosis - 30. Assessment of cognitive function was examined using the MMSE Mental Status Scale, Anxiety, and Depression Scale using the DASS-21 scale. CONCLUSION: Conclusions: According to the results of the study, significant memory impairment on the MMSE scale (p <0.003) was found in patients with dyscirculatory encephalopathy without arterial hypertension. In patients with dyscirculatory encephalopathy on the background of hypertension, anxiety (p <0.001) and depressive disorders (p = 0.033) were significantly more prevalent compared with patients with dyscirculatory encephalopathy without arterial hypertension. The increase in depressive disorders and anxiety in patients with dyscirculatory encephalopathy on the background of arterial hypertension decreases orientation and memory.