Saratov JOURNAL of Medical and Scientific Research


Clinical and neurological features in patients with venous cerebral dysfunction

Year: 2019, volume 15 Issue: №2 Pages: 241-245
Heading: Neurology Article type: Original article
Authors: Gafurov B.G., Nazarova Zh.A.
Organization: Tashkent Institute of Postgraduate Medical Education,

Objective: to study the clinical and neurological features in patients with chronic cerebral ischemia, depending on the presence of venous cerebral dysfunction. Material and Methods. 168 patients sufering from chronic cerebral ischemia took part in the study (mean age 61.2±3.8 yrs; 45.2 % — men). The control group comprised 20 healthy subjects comparable in age and sex distribution. All patients with chronic cerebral ischemia underwent rheoencephalographya for detection of cerebral venous dysfunction, as well as standard clinical and neurological examination (patient»s complaints, past history, neurological status assessment). Clinical features of headache were evaluated using the original questionnaire. The intensity of headache were determined using a ten-point visual-analog scale. Cognitive function was assessed in all study groups by means of evoked potential method with using P300 technique. Results. In patients with chronic cerebral ischemia in 46.4 % of cases revealed venous cerebral symptoms. In such patients, headache syndrome is most pronounced, both by clinical criteria and by visual-analog scale score: 6.8 points against 5.1 points in patients with chronic cerebral ischemia without venous cerebral dysfunction (p<0.05). In patients with chronic cerebral ischemia with concomitant cerebral palsy revealed more pronounced comorbid background and cognitive defcits, manifested in violation of sensory integration, diferentiation of stimuli, memory and decision-making as compared with patients with chronic cerebral ischemia without venous cerebral dysfunction and healthy subjects. Conclusion. Venous cerebral dysfunction aggravated the course of chronic brain ischemia predominantly due to the presence of cognitive defciency.

Headache features in persons with anxiety disorders

Year: 2016, volume 12 Issue: №2 Pages: 270-273
Heading: Neurology Article type: Original article
Authors: Lukina E.V., Rusanova A.M., Makarov N.S.
Organization: Saratov State Medical University

The aim of the article is to estimate the impact of anxiety on personality characteristics of headache in young adults studying full-time. Material and Methods. We observed 92 people aged from 15 to 25 years old, socially adapted, students in schools, colleges and universities on a full-time offices. Results. The perception of headache strongly depends on the emotional state of the individual, so it is very important to take this into account in the analysis of complaints and anamnesis of patients. Conclusion. Anxiety personality disorders hinder objectifying cephalgia, leading to misdiagnosis and incorrect treatment tactically with the possible development of abuse headaches. Therefore, it is necessary to convey to the patient the importance of reducing the impact of modifiable risk factors to explain the relationship of his condition with these factors and create a positive attitude to treatment.

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Franceschetti syndrome (mandibulo-facial dysostosis) at a newborn

Year: 2015, volume 11 Issue: №4 Pages: 551-553
Heading: Pediatrics Article type: Case report
Authors: Nechaev V.N., Tereshenko V.A., Stasova Yu.V., Chernenkov Yu.V.
Organization: Saratov State Medical University

The aim of the article is to present the clinical experience of conducting the patient with a congenital disease (mandibulo-facial dysostosis) resulting from defeat of the structures proceeding from the first branchial arch. The pathological state is inherited on autosomno-dominanttype. The disease can be observed in two or even three generations. The supervision represents a great interest from the clinical point of view as it rarely occurs in daily practice. Early diagnostics of difficult genetic syndromes and the clinical supervision described represent significant difficulties. According to the research, in similar situations statement of the syndromal diagnosis with specification of anomalies of development on the basis of the analysis of clinical data, additional methods of inspection, with the subsequent surgical correction of the broken functions has been justified.

2015_04_551-553.pdf247.91 KB

Headache in pediatric practice: multifactor analysis of clinical and social predictors

Year: 2015, volume 11 Issue: №4 Pages: 548-551
Heading: Pediatrics Article type: Original article
Authors: Akhmadeeva L.R., Valeeva D.S., Veytsman B.A., Akhmadeeva E.N.
Organization: Bashkir State Medical University of the Russian Health Care

The purpose of this work is to define the clinical and social predictors of headaches in children and adolescents. Material and Methods. We performed clinical examination of children and adolescents, which included studying their symptoms, anamnesis, somatic and neurological objective signs, survey using our original questionnaire and survey in the framework of an international project to study headaches «World Children and Adolescent Headache Project». The type of headache was diagnosed using international diagnostic criteria of the International Classification of Headache Disorders, 3rd edition (beta release). As a result of our study, we obtained the data about the most significant lifestyle factors (among those studied) influencing the number of days with headache per month, calculated linear coefficients and a predicting mathematical model for children. The sensitivity of the model for the prognosis of chronic tension type headache is 63%, specificity — 81 %. Conclusion. In this paper we describe criteria for the prognosis of primary headaches in patients aged from 8 to 18 years old.

2015_04_548-551.pdf305.92 KB

Indicators of quality of life and adaptation to chronic tense headaches

Year: 2012, volume 8 Issue: №2 Pages: 533-535
Heading: Neurology Article type:
Authors: Slyusar T.A., Serebrova T.V., Zueva G.A., Selyankina Y.N., Abramenko Y.V.
Organization: Tver State Medical University of the Ministry of Russia

The goal of the research is the comparative analysis of a quality of life and quantitative characteristics of a chronic tense headache as well as the studying of adaptive reactions. 123 women (middle age 42,6±2,3) with initiatory stages of chronic tense headaches have been examined using diagnostic criteria of the International classifcation of headache disorders (ICDH — II, 2003), headache diary and the McGill Pain Questionnaire. Headache intensity was estimated by the Visual Analog Scale. Monitoring quality of life (QOL) was organized in a form of a questionnaire SF-36. An adaptive reactions type was analizing by L. Kh. Garkavi. Clinical implications and quantitative characteristics of a chronic tense headache, condition of vegetative and emotional sphere, and also quality of life and adaptive reactions are studied. Infuence of chronic headache on various components quality of life was investigated. Monitoring of physical, psychological and social functioning of patients with reception of differential and integrated quantity indicators of QOL, and also the analysis of adaptic reactions will give the chance to the doctor to develop a complex of practical references on treatment chronic tense headache at patients with poor quality of life and adverse adaptive reactions.

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