Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova最新文献

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[Activity of the telomerase complex before and after CPAP therapy in patients with obstructive sleep apnea syndrome]. [阻塞性睡眠呼吸暂停综合征患者CPAP治疗前后端粒酶复合物的活性]。
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Pub Date : 2023-01-01 DOI: 10.17116/jnevro2023123052110
I M Madaeva, N A Kurashova, O N Berdina, E V Titova, N V Semenova, V V Madaev, S I Kolesnikov, L I Kolesnikova
{"title":"[Activity of the telomerase complex before and after CPAP therapy in patients with obstructive sleep apnea syndrome].","authors":"I M Madaeva,&nbsp;N A Kurashova,&nbsp;O N Berdina,&nbsp;E V Titova,&nbsp;N V Semenova,&nbsp;V V Madaev,&nbsp;S I Kolesnikov,&nbsp;L I Kolesnikova","doi":"10.17116/jnevro2023123052110","DOIUrl":"10.17116/jnevro2023123052110","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate changes in the activity of the telomerase complex in patients with obstructive sleep apnea (OSA) before and after continuous positive airway pressure (CPAP) therapy.</p><p><strong>Material and methods: </strong>In accordance with the objectives of the stages of the study of telomers-telomerase relationships, we maintained the unified design of the study described earlier. The main group 1 (MG<sub>1</sub>), <i>n</i>=35, consisted of men, aged 53.4 [45.5-60.1] years with characteristic complaints indicating of OSA. The main group 2 (MG<sub>2</sub>) included the same patients before and after 6 months of CPAP therapy. Blood sampling was performed after the first diagnostic polysomnography (PSG) and after 6 months of CPAP in the morning after the second PSG. The control group (CG) consisted of 26 men, comparable in age and the presence of chronic diseases. Questionnaire, PSG and blood sampling were conducted in CG as well. All participants signed an informed consent.</p><p><strong>Results: </strong>As a result of the STOP-BANG questionnaire conducted before PSG, all patients in the MG1 had scores from 5 to 8. The scores on the Epworth scale were more than 5 points. In the MG<sub>2</sub> apnea-hypopnea index decreased from 20.1 to 6.4 ev/hour, the desaturation index decreased from 15.6 to 7.1 ev/hour after 6 months of CPAP. Statistically significant differences in changes in the activity of the telomerase complex were revealed, which after treatment significantly exceed the values of these indicators before treatment. So, telomerase reverse transcriptase value was 0.04 (0.009; 0.06) in the MG<sub>1</sub>, after treatment it was 0.07 (0.06; 0.09) in the MG<sub>2</sub> and 0.134 (0.009; 0.18) in the CG. Telomerase RNA subunit TER1 values were 0.06 (0.03; 0.09), 0.07 (0.05; 0.09) and 0.136 (0.04; 0.17), respectively. However, despite the activation of the telomerase complex during CPAP therapy in patients with OSA, in the CG its activity is significantly higher in comparison with the MG<sub>1</sub> and MG<sub>2</sub>.</p><p><strong>Conclusion: </strong>In OSA accompanied by intermittent hypoxia, a decrease in the activity of the telomerase complex was shown. Elimination of nocturnal hypoxia and improvement of breathing during sleep is accompanied by an increase in the activity of the components of the telomerase complex.</p>","PeriodicalId":24030,"journal":{"name":"Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9588426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The effectiveness of remote methods of cognitive behavioral therapy for chronic insomnia and the possibilities of combined interventions]. [远程认知行为治疗慢性失眠症的有效性及联合干预的可能性]。
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Pub Date : 2023-01-01 DOI: 10.17116/jnevro202312305258
A O Golovatyuk, M G Poluektov
{"title":"[The effectiveness of remote methods of cognitive behavioral therapy for chronic insomnia and the possibilities of combined interventions].","authors":"A O Golovatyuk,&nbsp;M G Poluektov","doi":"10.17116/jnevro202312305258","DOIUrl":"https://doi.org/10.17116/jnevro202312305258","url":null,"abstract":"<p><p>Chronic insomnia is one of the most common sleep disorders in the world. The representation of chronic insomnia in the general population reaches 10-20% according to various sources. The most effective method of treating chronic insomnia with a sustained effect is cognitive behavioral therapy of insomnia (CBT-I). Among the disadvantages of CBT-I is its low availability (due to the lack of specialists) and high cost. Methods of delivered CBT-I are becoming increasingly relevant. The advantage of such type of CBT-I is the possibility of its use by a wide group of people. There are different ways of conducting delivered CBT, including those that do not require the direct participation of a specialist. The effectiveness of this method of treatment is comparable to full-time CBT-I.</p>","PeriodicalId":24030,"journal":{"name":"Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9588427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Acetylsalicylic acid in primary and secondary prevention of atherosclerotic cardiovascular disease]. [乙酰水杨酸在动脉粥样硬化性心血管疾病一级和二级预防中的作用]。
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Pub Date : 2023-01-01 DOI: 10.17116/jnevro202312305158
O Sh Oynotkinova, S T Matskeplishvili, O M Maslennikova, A I Pavlov, A G Poberezhskaya
{"title":"[Acetylsalicylic acid in primary and secondary prevention of atherosclerotic cardiovascular disease].","authors":"O Sh Oynotkinova,&nbsp;S T Matskeplishvili,&nbsp;O M Maslennikova,&nbsp;A I Pavlov,&nbsp;A G Poberezhskaya","doi":"10.17116/jnevro202312305158","DOIUrl":"https://doi.org/10.17116/jnevro202312305158","url":null,"abstract":"<p><p>The article is devoted to an urgent problem - primary and secondary prevention of atherosclerotic cardiovascular diseases. Modern approaches to management tactics depending on age and the appointment of antiplatelet therapy with acetylsalicylic acid in low doses from 75 to 150 mg/day are presented. At the same time, the relatively high effectiveness of the use of ASA for primary prevention in men 40-69 years old without an increased risk of bleeding from the gastrointestinal tract is shown. Low doses of ASA provide little benefit in reducing the risk of CVD in people 40 years and older, when there is no history of CVD, but at the same time they are at increased risk of CVD.</p>","PeriodicalId":24030,"journal":{"name":"Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9692942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Cerebellar degeneration associated with HIV infection]. [与HIV感染相关的小脑变性]。
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Pub Date : 2023-01-01 DOI: 10.17116/jnevro2023123051123
E P Nuzhnyi, L A Brsikyan, E Yu Fedotova, S N Illarioshkin
{"title":"[Cerebellar degeneration associated with HIV infection].","authors":"E P Nuzhnyi,&nbsp;L A Brsikyan,&nbsp;E Yu Fedotova,&nbsp;S N Illarioshkin","doi":"10.17116/jnevro2023123051123","DOIUrl":"https://doi.org/10.17116/jnevro2023123051123","url":null,"abstract":"<p><strong>Objective: </strong>To describe the features of the clinical presentation and evaluate the incidence of HIV-associated cerebellar degeneration in patients with progressive cerebellar ataxia.</p><p><strong>Material and methods: </strong>Three hundred and seventy-seven patients with progressive cerebellar ataxia were studied. Brain MRI study, assessment by the Scale for the Assessment and Rating of Ataxia (SARA), screening for cognitive impairment by the Montreal Cognitive Assessment Scale (MoCA) were performed. In patients with HIV infection, autoimmune, deficient and other causes of ataxia, as well as opportunistic infections, multiple system atrophy and frequent forms of hereditary spinocerebellar ataxias were excluded.</p><p><strong>Results: </strong>Five patients (1.3%) were identified with a combination of cerebellar ataxia and HIV infection (2 men, 3 women, aged 31 to 52 years). The median duration of HIV infection was 5 years, the duration of ataxia was 1 year. In the clinical findings, in addition to progressive ataxia, pyramidal signs, dysphagia, less often ophthalmoparesis, dystonia, postural hand tremor, affective and mild cognitive impairment were observed. In three patients, brain MRI revealed signs of olivopontocerebellar atrophy, two patients had isolated cerebellar degeneration (mainly of the vermis). All patients received combination of antiretroviral therapy in various regimens, but despite this, ataxia was progressive.</p><p><strong>Conclusion: </strong>HIV infection is a rare cause of cerebellar degeneration. This diagnosis remains a diagnosis of exclusion to this day. Cerebellar degeneration can occur and progress even after achieving a stable remission of HIV infection while taking highly active antiretroviral therapy.</p>","PeriodicalId":24030,"journal":{"name":"Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9692943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Efficacy and safety of the drug Cellex for the treatment of patients with cognitive impairment with chronic cerebral ischemia - results of a multicenter randomized double-blind placebo-controlled clinical trial]. 【Cellex治疗认知功能障碍伴慢性脑缺血患者的疗效和安全性——多中心随机双盲安慰剂对照临床试验结果】。
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Pub Date : 2023-01-01 DOI: 10.17116/jnevro2023123051108
I A Shchukin, I A Koltsov, M S Fidler, V I Chubykin
{"title":"[Efficacy and safety of the drug Cellex for the treatment of patients with cognitive impairment with chronic cerebral ischemia - results of a multicenter randomized double-blind placebo-controlled clinical trial].","authors":"I A Shchukin,&nbsp;I A Koltsov,&nbsp;M S Fidler,&nbsp;V I Chubykin","doi":"10.17116/jnevro2023123051108","DOIUrl":"https://doi.org/10.17116/jnevro2023123051108","url":null,"abstract":"OBJECTIVE To evaluate the efficacy and safety of using Cellex for the treatment of cognitive impairment as part of the complex therapy of patients with chronic cerebral ischemia (CCI) compared with placebo. MATERIAL AND METHODS The study randomized 300 patients with a reliable diagnosis of CCI stage 1-2, all participants were divided into two groups, 150 participants in each - main and control. The study drug Cellex or placebo was administered as two 10-day treatment courses, 1 ml once a day. The duration of the study was 90±5 days for each participant. The primary end point for evaluating the effectiveness of the therapy was the degree of improvement in the state of cognitive functions relative to the initial state according to the Montreal Cognitive Dysfunction Scale (MoCA) on the 31st and 60th days from the start of therapy in the compared groups. Secondary endpoints were the assessment of the degree of improvement in the state of cognitive functions according to psychometric testing scales (MoCA, Correction Test, Frontal Dysfunction Test Battery) relative to the initial state on the 31st, 60th and 90th days from the start of therapy. Also, a dynamic assessment of the systemic concentration of markers of brain damage - S100β, GFAP, MMP9 and neurotrophins - BDNF and GDNF was carried out. RESULTS The primary endpoint of the study was achieved-the MoCA score in each group increased uniformly after baseline. However, in the main group, this indicator was significantly higher starting from visit 3 - 23.4±2.8 points in the main group, in the placebo group 22.7±2.3 (p<0.001), a statistically significant difference also remained at visit 5 (p<0.001). When analyzing the secondary endpoints according to the battery of frontal dysfunction tests and the correction test, a more pronounced positive trend was also noted in the main group. Changes in the emotional sphere in both groups remained within the normal range. The dynamics of the systemic concentration of markers of brain damage and neurotrophins was multidirectional, the assessment of which was possible only at the trend level. CONCLUSION Based on the statistical analysis of the results of the study, Cellex was confirmed to be superior to Placebo in the degree of improvement in cognitive functions measured by the MoCA scale after the 1st and 2nd treatment courses.","PeriodicalId":24030,"journal":{"name":"Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9692946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Chronic cerebral ischemia in therapeutic hospital patients]. 慢性脑缺血在医院治疗中的应用
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Pub Date : 2023-01-01 DOI: 10.17116/jnevro202312303250
I T Murkamilov, K A Aitbaev, Zh A Murkamilova, V V Fomin, F A Yusupov, I O Kudaibergenova, T I Maanaev, K A Gassanov
{"title":"[Chronic cerebral ischemia in therapeutic hospital patients].","authors":"I T Murkamilov,&nbsp;K A Aitbaev,&nbsp;Zh A Murkamilova,&nbsp;V V Fomin,&nbsp;F A Yusupov,&nbsp;I O Kudaibergenova,&nbsp;T I Maanaev,&nbsp;K A Gassanov","doi":"10.17116/jnevro202312303250","DOIUrl":"https://doi.org/10.17116/jnevro202312303250","url":null,"abstract":"<p><strong>Objective: </strong>To study the features of clinical and functional manifestations of the syndrome of chronic cerebral ischemia (CCI) in therapeutic patients.</p><p><strong>Material and methods: </strong>Patients (<i>n</i>=577) in therapeutic departments were selected by random sampling. Of these, 277 patients had verified CCI.</p><p><strong>Results: </strong>Patients with CCI, compared with the control group, were older (61.7±9.6 years and 43.3±12.2 years, <i>p</i><0.05), had a significant increase in body mass index (28.5±5.1 and 26.9±5.7 kg/m<sup>2</sup>, <i>p</i><0.05), systolic level (140±20 and 127±17 mmHg, <i>p</i><0.05) and diastolic blood pressure (87±10 and 82±11 mm Hg, <i>p</i><0.05), platelet count in peripheral blood (278.0±70.7·10<sup>9</sup>/l and 259.1±80.8·10<sup>9</sup>/l, <i>p</i><0.05), venous blood glucose (7.11±3.8 and 5.31±1.7 mmol/l, <i>p</i><0.05), triglycerides (1.37 (1.01; 1.97) mmol/l and 1.34 (0.96; 1.96) mmol/l, <i>p</i><0.05), uric acid (0.425±0.12 and 0.374±0.14 mmol/l, <i>p</i><0.05), creatinine (82.7 (68.0; 114.0) µmol/l and 72.3 (61.8; 93.0) µmol/l, <i>p</i><0.05) and cystatin C (1.24 (1.08;1.62) mg/l and 1.01 (0.87; 1.32) mg/l, <i>p</i><0.05). Statistically significant decrease in the concentration of high-density lipoprotein cholesterol (1.0±0.28 mmol/l and 1.2±0.32 mmol/l, <i>p</i><0.05), serum magnesium (0.90±0.15 and 0.94±0.13 mmol/l, <i>p</i><0.05) and estimated GFR (57.9±24 and 72.6±26.8 ml/min, <i>p</i><0.05) were characteristic of patients with CCI. Elevated levels of C-reactive protein and anemia were significantly more common in these patients. A close correlation was found between the concentrations of uric acid (<i>r</i>=0.786; <i>p</i><0.001) and cystatin C (<i>r</i>=0.587; <i>p</i><0.005) in blood serum and the thickness of the intima-media complex of the carotid arteries.</p><p><strong>Conclusion: </strong>In patients of a therapeutic hospital, CCI is associated with older age, weight gain, arterial hypertension, dyslipidemia, anemia, inflammation, hypomagnesemia, hyperuricemia, thickening of the intima-media complex of the carotid arteries, and a decrease in the functional state of the kidneys.</p>","PeriodicalId":24030,"journal":{"name":"Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9175091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Cerebrolysin Treatment Reduces the Risk of Mild Cognitive Decline to Dementia in 1st-Degree Relatives of Alzheimer's Patients: A Prospective Comparative Study]. [脑溶素治疗降低阿尔茨海默病患者一级亲属轻度认知能力下降至痴呆的风险:一项前瞻性比较研究]。
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Pub Date : 2023-01-01 DOI: 10.17116/jnevro202312308190
N D Selezneva, S I Gavrilova
{"title":"[Cerebrolysin Treatment Reduces the Risk of Mild Cognitive Decline to Dementia in 1st-Degree Relatives of Alzheimer's Patients: A Prospective Comparative Study].","authors":"N D Selezneva,&nbsp;S I Gavrilova","doi":"10.17116/jnevro202312308190","DOIUrl":"https://doi.org/10.17116/jnevro202312308190","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the long-term effects of annual course therapy with Cerebrolysin on cognitive functioning and the risk of transition to dementia in relatives of patients with Alzheimer's disease (AD) with amnestic-type mild cognitive decline syndrome (aMCI) in comparison with the same group untreated relatives.</p><p><strong>Material and methods: </strong>The cohort included 88 first-degree relatives of BA patients with aMCI syndrome aged 50 to 82 years (mean age 65.0±9.9 years) of which 46 people received course therapy with Cerebrolysin and 42 people were not treated. Clinical, neuropsychological, statistical methods were used. Conducted annual course therapy with Cerebrolysin (a total of 3 courses of infusion therapy: for a course of 20 intravenous infusions of 20 ml of Cerebrolysin in 100 ml of isotonic saline) followed by a follow-up study after 3 months after the end of the therapeutic period. The dynamics of cognitive functioning in the therapeutic group was compared with the corresponding dynamics in the comparison group over the same period. The assessment was carried out on day 0, by the end of 1, 14, 27 and 30 months research.</p><p><strong>Results: </strong>In the therapeutic group, according to the CGI-I scale, by the end of the 3rd course of therapy, in 95.7% of cases, a pronounced or moderate improvement was achieved after each of the courses on all scales and tests. In this group, by the end of the therapeutic period, a significant improvement in the initial mean group scores was established. According to the all scales and tests, a significant improvement of the initial average group scores was found after each course of therapy (<i>p</i><0.05). In the comparison group there was a significant deterioration (<i>p</i><0.05) of the average group scores of most of the cognitive scales and test by the end of the observation. The annual conversion from aMCI to dementia due to probable AD was 9.5% only in the comparison group. The average group indicators of all scales and tests significantly worsened starting from the 14th month of observation in the comparison group.</p><p><strong>Conclusion: </strong>The absence of cases of aMCI conversion to dementia in the treated patients for 2.5 years of observation can serve as confirmation of a disease-modifying effect in Cerebrolysin. These results indicate the need for more extensive clinical studies of the preventive effects of Cerebrolysin and to explore the possibility of including such therapy in drug prevention programs for AD in people at high risk for this disease.</p>","PeriodicalId":24030,"journal":{"name":"Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10185765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Inflammatory markers in organic nonpsychotic disorders]. [器质性非精神障碍的炎症标志物]。
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Pub Date : 2023-01-01 DOI: 10.17116/jnevro202312303188
L V Androsova, T P Vetlugina, V B Nikitina, S A Zozulya, I N Otman, M F Belokrylova, T P Klyushnik
{"title":"[Inflammatory markers in organic nonpsychotic disorders].","authors":"L V Androsova,&nbsp;T P Vetlugina,&nbsp;V B Nikitina,&nbsp;S A Zozulya,&nbsp;I N Otman,&nbsp;M F Belokrylova,&nbsp;T P Klyushnik","doi":"10.17116/jnevro202312303188","DOIUrl":"https://doi.org/10.17116/jnevro202312303188","url":null,"abstract":"<p><strong>Objective: </strong>To determine the indicators of systemic inflammation in peripheral blood samples of patients with organic non-psychotic disorders.</p><p><strong>Material and methods: </strong>The study included 60 patients, aged 56.9±7.7 years, with a disease duration of 7.3±5.55 years, with a verified ICD-10 diagnosis «Organic emotionally labile (asthenic) disorder» (F06.6) and «Organic Anxiety Disorder» (F06.4). Patients with organic asthenic disorder were divided into two groups according to the prevailing symptoms: 36 patients with asthenic-cephalgic syndrome (AC); 10 patients with astheno-dysthymic syndrome (AD); the third group (<i>n</i>=14) included patients with organic anxiety disorder (AND). The control group consisted of 65 people matched for age and sex with patients. The activity of leukocyte elastase (LE) and α1-proteinase inhibitor (α1-PI) was determined by the spectrophotometric method, the levels of aAB to S100b and MBP were determined by ELISA. The protease-inhibitory index (PII), i.e., the ratio of LE activity to α1-PI, was calculated.</p><p><strong>Results: </strong>A significant increase in LE (235.4 [216.4; 258.1] nmol/min*ml, <i>p</i><0.001), the functional activity of α1-PI (43.1 [38.7; 47.6] u/ml, <i>p</i><0.001), the level of aAB to S100b (0.78 [0.70; 0.89] opt.units, <i>p</i><0.05) and a decrease in PII (6.19 [5.32; 6.9], <i>p</i><0.05) in the group of patients with organic non-mental disorders compared with controls were shown. Deviations from the normal values of immune markers of inflammation in blood samples were also found in various syndromes. Clustering of the total group of patients by LE activity made it possible to identify 2 immunotypes with a balanced and unbalanced inflammatory process, confirming the clinical diversity of the disease: 60% of patients with AC syndrome belong to the 1st cluster, in which the ratio of immune markers characterizes a balanced inflammatory process aimed at restoration of homeostasis; 80% of patients with organic AND belong to the second cluster, which characterizes low proteolytic activity and imbalance of inflammation, which is an unfavorable prognostic factor in terms of the further course of the disease and therapy.</p><p><strong>Conclusion: </strong>The results confirm the importance of the inflammatory link in the neuroprogression of organic non-psychotic disorders. The identified features of the immune response can serve as an additional paraclinical criterion for differential diagnosis and evaluation of the prognosis of the further development of the disease.</p>","PeriodicalId":24030,"journal":{"name":"Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9161608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[A tool to assess functional communication skills and its correspondence with traditional language testing in patients with brain tumors]. [一种评估脑肿瘤患者功能性沟通技能及其与传统语言测试相对应的工具]。
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Pub Date : 2023-01-01 DOI: 10.17116/jnevro202312303175
A A Surova, M S Nelyubina, M V Khudyakova, N Y Antonova, A Sh Minnigulova, K S Yashin, I A Medyanik, A A Zuev, N E Gronskaya, O V Dragoy, M V Ivanova, E V Zorina
{"title":"[A tool to assess functional communication skills and its correspondence with traditional language testing in patients with brain tumors].","authors":"A A Surova,&nbsp;M S Nelyubina,&nbsp;M V Khudyakova,&nbsp;N Y Antonova,&nbsp;A Sh Minnigulova,&nbsp;K S Yashin,&nbsp;I A Medyanik,&nbsp;A A Zuev,&nbsp;N E Gronskaya,&nbsp;O V Dragoy,&nbsp;M V Ivanova,&nbsp;E V Zorina","doi":"10.17116/jnevro202312303175","DOIUrl":"https://doi.org/10.17116/jnevro202312303175","url":null,"abstract":"<p><strong>Objective: </strong>To identify the relationship between speech impairment as measured by the Russian Aphasia Test (RAT) and functional communication as assessed by the Communicative Effectiveness Index (CETI).</p><p><strong>Material and methods: </strong>RAT and CETI were administered to 87 patients at two time points, before surgery and in 3 months after brain tumor resection surgery.</p><p><strong>Results: </strong>There were significant correlations between CETI and the total scores on RAT subtests for speech comprehension and production before surgery but not in the follow-up period.</p><p><strong>Conclusion: </strong>The present research is the first to present the Russian version of CETI and to confirm the relationship between speech disorders measured by the comprehensive standardized battery for evaluating speech function RAT and functional communication as measured by CETI.</p>","PeriodicalId":24030,"journal":{"name":"Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9161606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Post-traumatic pain mononeuropathies]. [创伤后疼痛单神经病变]。
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Pub Date : 2023-01-01 DOI: 10.17116/jnevro202312304114
A S Nikitin, E V Kudryavtseva, P R Kamchatnov
{"title":"[Post-traumatic pain mononeuropathies].","authors":"A S Nikitin,&nbsp;E V Kudryavtseva,&nbsp;P R Kamchatnov","doi":"10.17116/jnevro202312304114","DOIUrl":"https://doi.org/10.17116/jnevro202312304114","url":null,"abstract":"<p><p>Neuropathic pain syndrome (NPS) caused by peripheral nerve (PN) injury is a serious clinical problem due to its prevalence, complexity of pathogenesis, significant impact on the quality of life of patients. The issues of epidemiology, pathogenesis and treatment of patients with NBS with PN injury are considered. Modern possibilities of invasive treatment of such patients are discussed.</p>","PeriodicalId":24030,"journal":{"name":"Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9423751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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