2012, volume 8

At 49 patients, engaged intensive brainwork, clinically and by heart rate variability method investigates a condition of vegetative nervous system. Initially at the majority of patients normal parameters were recorded. To 30 patients of the basic group has been followed a course of color therapy with the purpose to study infuence of a color therapy of a vegetative regulation at the given patients. Green, yellow, orange and red colors were used. 19 persons have made a check-group. They were the patients who did not have a course of color therapy, the parameters of a condition of vegetative nervous system improved or were the same. In group of the control there was an attrition of a vegetative regulation. There is a long intensive intellectual activity exhausts a vegetative regulation related in the research. The 10-days course of color therapy authentically promotes maintenance of a condition of vegetative nervous system at a level of due functioning.

Aim of the study: to evaluate the effciency of detection for HIV-infection in patients of neurological departments of Saratov. Materials and methods. We retrospectively analyzed 25 250 medical histories of patients hospitalized into neurological departments of Saratov hospitals between January 2007 and April 2012. Results. Blood samples of 2010 patients (7,96 %) were tested for the presence of HIV-antibodies. 37 patients were HIV-positive (1,84 % of examined patients and 0,15 % of the total number of patients). Conclusion. Increasing popularity and variety of clinical manifestations of HIV-infection requires the expansion of neurological patients whom serum test for antibodies against HIV is needed.

Aim of the study. The authors assessed the state of the nervous system in patients with primary hypothyroidism before and after the treatment. Materials and methods. In 115 patients studied in detail the neurological and neuro-psychological status, to assess the status of the peripheral nervous system was performed electroneuromyography. Results. These results indicate that obligate the defeat of the nervous system in primary hypothyroidism, for the correction of which can be successfully used by neurotrophic agents. Conclusion. The study assessed the condition of the nervous system in patients with primary hypothyroidism before and after the treatment. The goal set at the beginning of the study, has been achieved.

Aim of the study. To identify the frequency of subclinical neuropathy in patients with diaphyseal fractures of the hu-merus in different periods of treatment. Materials and methods. Held clinical-following systems survey of 122 patients with diaphyseal fractures of the shoulder bone. Results. At 57 after neurological examination and electromyographic diagnosed with post-traumatic neuropathy. Conclusion. As a result of research implemented its purpose. Revealed the frequency of post-traumatic neuropathy, as complications of fractures of the shoulder bone. Not always the defeat of the peripheral nerves of the manifest clinically, which complicates the diagnosis. Give a description of the locations and forms of damage, describes in detail the dynamics of the violations identifed in the course of treatment. Considered are the questions of diagnostics of latent forms of neuropathy and stages of their manifestations.

Research Goal was to study infuence of treatment seance time, disease duration, and age on effcacy of straight electrostimulation of spinal cord. Materials. Biorhythmological characteristics of optimal time choice for electrostimula-tion séance were studied based on the sample of 32 patients with cervical osteochondrosis, who were subjected to paracentetic electrodes placement on posterior part of spinal cord. Results. Group of patients used morning séance, demonstrated change of clinical manifestations severity in accordance to JOA scale from 8,4±0,2 to 12,8±0,3 points that formed 46,6 %. Séance during daylight hours helped to decrease clinical manifestations severity by 25,1 %; evening séance promoted reduction by 22,1 %. In patients under 40 the average percentage of decrease of posttreatment neurological symptomatology consisted 83,6±3,6 %, in patients aged 60 and upwards this index was 74,6±3,2 %. Decrease of myelopathy severity was marked in the following way: 1 – 4 years of disease duration — by 73,6±4,8 %, more than 10 years — 63,7±2,1 %; estimation was carried out using JOA scale. Conclusion. Maximum effect of straight elec-trostimulation of spinal cord was observed in the morning hours. Clinical effect of isolated use of straight electrostimula-tion of spinal cord in the complex of treating neurological symptoms of cervical vertebrae osteochondrosis decreases while disease duration extends. Effect of electrostimulation reduces in accordance with patients’ age; maximum positive results of this method can be achieved in 1 – 4 years of disease duration.

Research Goal was to study features of psychoemotional status of pregnant women with chronic fetoplacental insuffciency. Materials. 112 pregnant women with chronic fetoplacental insuffciency; 73 women with physiological course of pregnancy and delivery. Research of personal psychological characteristics was carried out by Minnesota multidimensional personal index (MMPI), adapted by F. B. Berezina and V. P Miroshnikova (1989). Personal and reactive anxiety was defned by method of self-appraisal according to D. Spilberger and Yu. L. Khalin. Results. Psychoveg-etative changes lead to unequal mobilization of various visceral systems, which can promote development of different complications of pregnancy course along with other factors, including fetoplacental insuffciency. Pregnant women with increased level of reactive anxiety more often have isolated decrease of uteroplacental blood fow; at hyperdepression combined disturbance of uteroplacental and fetoplacental blood fow was revealed; at hypochondria disturbance of uteroplacental and fetoplacental blood fow was also marked. Conclusion. Pregnant women with fetoplacental insuf-fciency demonstrated increase of anxiety and psychasthenia. As gestation period extended, patients with fetoplacental insuffciency marked high level of lability and reactivity of vegetative nervous system in combination with increased anxiety and presence of depression. Taking into consideration psychovegetative basis of occurrence of functional disturbances in the system mother-placenta-fetus, determination of personal psychoemotional features and state of vegetative nervous system, with future correction of reveled disturbances, should be obligatory.

The paper presents aliterature review of domestic and foreign sources of modern methods of diagnostics imaging for traumatic brain injury. Information of the magnetic resonance imaging and computed tomography in the of this disease

The goal of the research was to investigate some non-motor disorders at patients with Parkinson disease (PD) and to determine their relations to the main manifestations of the disease. 68 patients with PD without dementia were studied. Duration of disease was 4 (2-6) years. The following scales were used: Modifed Fatigue Impact Scale (MFIS), Unifed Parkinson Disease Rating Scale (UPDRS, part 3), Hospital Anxiety and Depression Scale (HADS), A. M. Veyn Questionnaire for autonomic disturbances and the Epworth Sleepiness Scale (ESS). The results of this study have revealed the presence of emotional disorders, fatigue, autonomic dysfunction and dyssomnia at patients with PD. Non-motor symptom severity does not depend on age and sex of the patients, as well as the main motor symptoms of the disease. The relationships of the examined non-motor symptoms were revealed.

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.

Today we can state that in spite of a considerable number of cervical osteochondrosis studies, there is a lack of research devoted to analysis of its course. There is no correlation between initial expert evaluations of cervical osteo-chondrosis cases and further course of pathological process. Goal of the research is to develop system of course prognosis of cervical osteochondrosis taking into account environmental infuence, heredity, living conditions, psychological profle of patient’s personality. Materials and methods. Dynamics of degenerative-dystrophic changes progressing of cervical vertebrae in 236 patients was analyzed. Results. Received data demonstrated that probability of stage I changing to stage II, III and IV depended on patients’ sex, age and type of labour activity, frequent supercooling and stress. Probability of fast progression of cervical osteochondrosis (5-year cycle of stage I changing to stage III and IV) was to a great extent associated with heredity, urban living, presence of endocrine system diseases, syndrome of nonspecifc dysplasia of connective tissue and low indices of quality of life. Conclusion. Proposed system allows making prognosis of morphologic changes in spinal cord, and is based on radiation methods of verifcation without taking into consideration dynamics of neurological symptomatology.