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Постинсультный когнитивный дефицит: основные особенности и факторы риска
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Kovalenko E.A., Bogolepova A.N. Post-stroke cognitive decline: the main features and risk factors. Consilium Medicum. 2017; 19 (2): 14–18.
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Ключевые слова: инсульт, постинсультные когнитивные нарушения, факторы риска постинсультного когнитивного дефицита.
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Key words: stroke, post-stroke cognitive impairment, risk factors of post-stroke cognitive decline.
2. Ярош А.С., Пирогова Л.А., Филина Н.А. Современное состояние проблемы острых нарушений мозгового кровообращения. Журн. Гродненского ГМУ. 2014; 3: 17–20. / Yarosh A.S., Pirogova L.A., Filina N.A. Sovremennoe sostoyanie problemy ostrykh narusheniy mozgovogo krovoobrashcheniya. Zhurn. Grodnenskogo GMU. 2014; 3: 17–20. [in Russian]
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4. Дамулин И.В. Дифференциальная диагностика и терапия деменций. Consilium Medicum. 2003; 5 (12): 721–6. / Damulin I.V. Differentsial'naia diagnostika i terapiia dementsii. Consilium Medicum. 2003; 5 (12): 721–6. [in Russian]
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7. Захаров В.В., Вахнина Н.В. Когнитивные нарушения при цереброваскулярных заболеваниях. Неврология и психиатрия. 2014; 1: 36–43. / Zakharov V.V., Vakhnina N.V. Kognitivnye narusheniia pri tserebrovaskuliarnykh zabolevaniiakh. Nevrologiia i psikhiatriia. 2014; 1: 36–43. [in Russian]
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9. Вахнина Н.В., Никитина Л.Ю., Парфенов В.А. Постинсультные когнитивные нарушения. Журн. неврологии и психиатрии им. С.С.Корсакова. Инсульт (Прил.). 2008; 22: 16–21. / Vakhnina N.V., Nikitina L.Iu., Parfenov V.A. Postinsul'tnye kognitivnye narusheniia. Zhurn. nevrologii i psikhiatrii im. S.S.Korsakova. Insul't (Pril.). 2008; 22: 16–21. [in Russian]
10. Парфенов В.А., Чердак М.А., Вахнина Н.В. и др. Когнитивные расстройства у пациентов, перенесших ишемический инсульт. Неврология, нейропсихиатрия, психосоматика. 2012; 4 (2): 17–22. / Parfenov V.A., Cherdak M.A., Vakhnina N.V. i dr. Kognitivnye rasstroistva u patsientov, perenesshikh ishemicheskii insul't. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2012; 4 (2): 17–22. [in Russian]
11. Leśniak M, Bak T, Czepiel W et al. Frequency and prognostic value of cognitive disorders in stroke patients. Dement Geriatr Cognitive Disord 2008; 4 (26): 356–63.
12. Курушина О.В., Барулин А.Е. Жизнь после инсульта: как быть и что делать? Рус. мед. журн. 2013; 16 (21): 826–30. / Kurushina O.V., Barulin A.E. Zhizn' posle insul'ta: kak byt' i chto delat'? Rus. med. zhurn. 2013; 16 (21): 826–30. [in Russian]
13. Дамулин И.В. Когнитивные расстройства сосудистого генеза: патогенетические, клинические и терапевтические аспекты. Нервные болезни. 2012; 4: 14–20. / Damulin I.V. Kognitivnye rasstroistva sosudistogo geneza: patogeneticheskie, klinicheskie i terapevticheskie aspekty. Nervnye bolezni. 2012; 4: 14–20. [in Russian]
14. Pasquier F, Leys D. Why are stroke patients prone to develop dementia? J Neurol 1997; 244 (3): 135–42.
15. Gorelick PB, Scuteri A, Black SE et al.Vascular contributions to cognitive impairment and dementia: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011; 42: 2672–713.
16. Pendlebury ST, Rothwell PM. Prevalence, incidence and factors associated with prestrike and post-stroke dementia: a systematic review and meta-analysis. Lancet Neurol 2009; 8 (11): 1006–18.
17. Левин О.С. Диагностика и лечение умеренных когнитивных нарушений в пожилом возрасте. Журн. неврологии и психиатрии. 2006; 8: 42–9. / Levin O.S. Diagnostika i lechenie umerennykh kognitivnykh narushenii v pozhilom vozraste. Zhurn. nevrologii i psikhiatrii. 2006; 8: 42–9. [in Russian]
18. Яхно Н.Н., Левин О.С., Дамулин И.В. Сопоставление клинических и МРТ-данных при дисциркуляторной энцефалопатии. Сообщение 2: когнитивные нарушения. Неврол. журн. 2001; 3 (6): 10–9. / Iakhno N.N., Levin O.S., Damulin I.V. Sopostavlenie klinicheskikh i MRT-dannykh pri distsirkuliatornoi entsefalopatii. Soobshchenie 2: kognitivnye narusheniia. Nevrol. zhurn. 2001; 3 (6): 10–9. [in Russian]
19. Gorelick PB. Status of risk factors for dementia associated with stroke. Stroke 1997; 28: 459–63.
20. Khedr EM, Hamed SA, El-Shereef HK et al. Cognitive impairment after cerebrovascular stroke: Relationship to vascular risk factors. Neuropsychiatr Dis Treat 2009; 2 (5): 103–16.
21. Дайникова Е.И., Пизова Н.В. Когнитивный резерв и когнитивные нарушения: лекарственные и нелекарственные методы коррекции. Неврология, нейропсихиатрия, психосоматика. 2014; 2S: 62–8. / Dainikova E.I., Pizova N.V. Kognitivnyi rezerv i kognitivnye narusheniia: lekarstvennye i nelekarstvennye metody korrektsii. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2014; 2S: 62–8. [in Russian]
22. McDowell I, Xi G, Lindsay J, Tierney M. Mapping the connections between education and dementia. J Clin Exp Neuropsychol 2007; 29: 127–41.
23. Ngandu T, von Strauss E, Helkala EL et al. Education and dementia: what lies behind the association? Neurology 2007; 69: 1442–50.
24. Zhou DH, Wang JY, Li J et al. Frequency and risk factors of vascular cognitive impairment three months after ischemic stroke in china: the Chongqing stroke study. Neuroepidemiol 2005; 1–2 (24): 87.
25. Zhang Y, Zhang Z, Yang B et al. Incidence and risk factors of cognitive impairment 3 months after first-ever stroke: a cross-sectional study of 5 geographic areas of China. J Huazhong University Sci Technol 2012; 6 (32): 906–11.
26. Ihara M, Okamoto Y, Hase Y, Takahashi R. Association of physical activity with the visuospatial/executive functions of the montreal cognitive assessment in patients with vascular cognitive impairment. J Stroke Cerebrovasc Dis 2013; 7 (22): 146–51.
27. Васенина Е.Е. Ингибиторы холинэстеразы в лечении смешанной деменции. Журн. неврологии и психиатрии им. C.C.Корсакова. 2013; 7 (113): 98–103. / Vasenina E.E. Ingibitory kholinesterazy v lechenii smeshannoi dementsii. Zhurn. nevrologii i psikhiatrii im. C.C.Korsakova. 2013; 7 (113): 98–103. [in Russian]
28. Wagle J, Farner L, Flekkøy K et al. Cognitive impairment and the role of the ApoEε4-allele after stroke – a 13 months follow-up study. Int J Geriatric Psychiatry 2010; 25: 833–42.
29. Гусев Е.И., Боголепова А.Н. Депрессивные расстройства у больных с цереброваскулярной патологией. М.: МЕДпресс-информ, 2014. / Gusev E.I., Bogolepova A.N. Depressivnye rasstroistva u bol'nykh s tserebrovaskuliarnoi patologiei. M.: MEDpress-inform, 2014. [in Russian]
30. Дамулин И.В. Особенности депрессии при неврологических заболеваниях. Журн. неврологии и психиатрии им. С.С.Корсакова. 2005; 10: 55–6. / Damulin I.V. Osobennosti depressii pri nevrologicheskikh zabolevaniiakh. Zhurn. nevrologii i psikhiatrii im. S.S.Korsakova. 2005; 10: 55–6. [in Russian]
31. Гераскина Л.А. Артериальная гипертензия и инсульт: кардионеврологические аспекты вторичной профилактики. Неврология, нейропсихиатрия, психосоматика. 2014; Спецвып. 2: 56–61. / Geraskina L.A. Arterial'naia gipertenziia i insul't: kardionevrologicheskie aspekty vtorichnoi profilaktiki. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2014; Spetsvyp. 2: 56–61. [in Russian]
32. Шпрах В.В., Суворова И.А. Роль факторов риска в развитии постинсультной деменции. Сиб. мед. журн. 2009; 7 (90): 23–7. / Shprakh V.V., Suvorova I.A. Rol' faktorov riska v razvitii postinsul'tnoi dementsii. Sib. med. zhurn. 2009; 7 (90): 23–7. [in Russian]
33. Qiu C, Winblad B, Fratiglioni L. The age-dependent relation of blood pressure to cognitive function and dementia. Lancet Neurol 2005; 8 (4): 487–99.
34. Serrano S, Domingo J, Rodrigez-Garcia E et al. Frequency of cognitive impairment without dementia in patients with stroke: a two-year follow-up study. Stroke 2007; 38: 105–10.
35. Beeri MS, Goldbourt U, Silverman JM et al. Diabetes mellitus inmidlife and the risk of dementia three decades later. Neurology 2004; 10 (63): 1902–7.
36. Meneilly GS, Cheung E, Tessier D et al. The effect of improved glycemic control on cognitive functions in the elderly patient with diabetes. J Gerontol 1993; 4 (48): 117–21.
37. Мохорт Е.Г., Холодова Е.А., Мохорт Т.В. Когнитивные нарушения при сахарном диабете 2-го типа. Здравоохранение. 2014; 7: 23–9. / Mokhort E.G., Kholodova E.A., Mokhort T.V. Kognitivnye narusheniia pri sakharnom diabete 2-go tipa. Zdravookhranenie. 2014; 7: 23–9. [in Russian]
38. Altieri M, Di Piero V, Pasquini M. Delayed poststroke dementia: a 4-year follow up study. Neurology 2004; 62: 2193–7.
39. Мхитарян Э.А., Преображенская И.С. Болезнь Альцгеймера и цереброваскулярные расстройства. Неврол. журн. (Прил.). 2006; 1: 4–12. / Mkhitarian E.A., Preobrazhenskaia I.S. Bolezn' Al'tsgeimera i tserebrovaskuliarnye rasstroistva. Nevrol. zhurn. (Pril.). 2006; 1: 4–12. [in Russian]
40. Heyman A, Fillenbaum GG, WelshBohmer KA. Cerebral infarcts in patients with autopsy-proven Alzheimer's disease: CERAD, part XVIII. Consortium to Establish a Registryfor Alzheimer's Disease. Neurology 1998; 51: 159–62.
41. Климов Л.В., Парфенов В.А. Когнитивные нарушения в остром периоде ишемического инсульта. Неврол. журн. 2006; 11 (Прил. 1): 53–7. / Klimov L.V., Parfenov V.A. Kognitivnye narusheniia v ostrom periode ishemicheskogo insul'ta. Nevrol. zhurn. 2006; 11 (Pril. 1): 53–7. [in Russian]
42. Desmond DW, Morony JT, Raik MC et al. Freguency and clinical determinatts of dementia after scchemic stroke. Neurology 2000; 54: 1124–31.
43. Боголепова А.Н. Постинсультные когнитивные нарушения и возможности их коррекции. Мед. совет. 2015; 5: 24–7. / Bogolepova A.N. Postinsul'tnye kognitivnye narusheniia i vozmozhnosti ikh korrektsii. Med. sovet. 2015; 5: 24–7. [in Russian]
44. Roman GC. Facts, myths, and controversies in vascular dementia. J Neurol Sci 2004; 226: 49–52.
45. Есикова Е.В. Сравнительный анализ постинсультных когнитивных нарушений в зависимости от типа инсульта. Нейрохирургия и неврология Казахстана. 2014; 2 (35): 10–2. / Esikova E.V. Sravnitel'nyi analiz postinsul'tnykh kognitivnykh narushenii v zavisimosti ot tipa insul'ta. Neirokhirurgiia i nevrologiia Kazakhstana. 2014; 2 (35): 10–2. [in Russian]
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1. Prokaeva T.A, Zhigaev G.F., Prokaev E.M. i dr. Mediko-ekonomicheskaya otsenka okazaniya statsionarnoy pomoshchi pri mozgovom insul'te (obzor literatury). Byul. Vostochno-Sibirskogo nauchnogo tsentra SO RAMN. 2015; 2: 122–5. [in Russian]
2. Yarosh A.S., Pirogova L.A., Filina N.A. Sovremennoe sostoyanie problemy ostrykh narusheniy mozgovogo krovoobrashcheniya. Zhurn. Grodnenskogo GMU. 2014; 3: 17–20. [in Russian]
3. Zakharov V.V. Kognitivnye narusheniya posle insul'ta: mediko-sotsial'naya znachimost' i podkhody k terapii. Nervnye bolezni. 2015; 2: 2–8. [in Russian]
4. Damulin I.V. Differentsial'naia diagnostika i terapiia dementsii. Consilium Medicum. 2003; 5 (12): 721–6. [in Russian]
5. Shakhparonova N.V., Kadykov A.S., Kashina E.M. Postinsul'tnye kognitivnye narusheniia i ikh terapiia tseraksonom. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2011; 3: 56–60. [in Russian]
6. Cherdak M.A., Iakhno N.N. Neirodegenerativnye i sosudistye faktory razvitiia postinsul'tnykh kognitivnykh rasstroistv. Nevrol. zhurn. 2012; 5 (17): 10–5. [in Russian]
7. Zakharov V.V., Vakhnina N.V. Kognitivnye narusheniia pri tserebrovaskuliarnykh zabolevaniiakh. Nevrologiia i psikhiatriia. 2014; 1: 36–43. [in Russian]
8. Levin O.S., Usol'tseva N.I., Iunishchenko N.A. Postinsul'tnye kognitivnye narusheniia: mekhanizmy razvitiia i podkhody k lecheniiu. Trudnyi patsient. 2007; 5 (8): 29–36. [in Russian]
9. Vakhnina N.V., Nikitina L.Iu., Parfenov V.A. Postinsul'tnye kognitivnye narusheniia. Zhurn. nevrologii i psikhiatrii im. S.S.Korsakova. Insul't (Pril.). 2008; 22: 16–21. [in Russian]
10. Parfenov V.A., Cherdak M.A., Vakhnina N.V. i dr. Kognitivnye rasstroistva u patsientov, perenesshikh ishemicheskii insul't. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2012; 4 (2): 17–22. [in Russian]
11. Leśniak M, Bak T, Czepiel W et al. Frequency and prognostic value of cognitive disorders in stroke patients. Dement Geriatr Cognitive Disord 2008; 4 (26): 356–63.
12. Kurushina O.V., Barulin A.E. Zhizn' posle insul'ta: kak byt' i chto delat'? Rus. med. zhurn. 2013; 16 (21): 826–30. [in Russian]
13. Damulin I.V. Kognitivnye rasstroistva sosudistogo geneza: patogeneticheskie, klinicheskie i terapevticheskie aspekty. Nervnye bolezni. 2012; 4: 14–20. [in Russian]
14. Pasquier F, Leys D. Why are stroke patients prone to develop dementia? J Neurol 1997; 244 (3): 135–42.
15. Gorelick PB, Scuteri A, Black SE et al.Vascular contributions to cognitive impairment and dementia: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011; 42: 2672–713.
16. Pendlebury ST, Rothwell PM. Prevalence, incidence and factors associated with prestrike and post-stroke dementia: a systematic review and meta-analysis. Lancet Neurol 2009; 8 (11): 1006–18.
17. Levin O.S. Diagnostika i lechenie umerennykh kognitivnykh narushenii v pozhilom vozraste. Zhurn. nevrologii i psikhiatrii. 2006; 8: 42–9. [in Russian]
18. Iakhno N.N., Levin O.S., Damulin I.V. Sopostavlenie klinicheskikh i MRT-dannykh pri distsirkuliatornoi entsefalopatii. Soobshchenie 2: kognitivnye narusheniia. Nevrol. zhurn. 2001; 3 (6): 10–9. [in Russian]
19. Gorelick PB. Status of risk factors for dementia associated with stroke. Stroke 1997; 28: 459–63.
20. Khedr EM, Hamed SA, El-Shereef HK et al. Cognitive impairment after cerebrovascular stroke: Relationship to vascular risk factors. Neuropsychiatr Dis Treat 2009; 2 (5): 103–16.
21. Dainikova E.I., Pizova N.V. Kognitivnyi rezerv i kognitivnye narusheniia: lekarstvennye i nelekarstvennye metody korrektsii. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2014; 2S: 62–8. [in Russian]
22. McDowell I, Xi G, Lindsay J, Tierney M. Mapping the connections between education and dementia. J Clin Exp Neuropsychol 2007; 29: 127–41.
23. Ngandu T, von Strauss E, Helkala EL et al. Education and dementia: what lies behind the association? Neurology 2007; 69: 1442–50.
24. Zhou DH, Wang JY, Li J et al. Frequency and risk factors of vascular cognitive impairment three months after ischemic stroke in china: the Chongqing stroke study. Neuroepidemiol 2005; 1–2 (24): 87.
25. Zhang Y, Zhang Z, Yang B et al. Incidence and risk factors of cognitive impairment 3 months after first-ever stroke: a cross-sectional study of 5 geographic areas of China. J Huazhong University Sci Technol 2012; 6 (32): 906–11.
26. Ihara M, Okamoto Y, Hase Y, Takahashi R. Association of physical activity with the visuospatial/executive functions of the montreal cognitive assessment in patients with vascular cognitive impairment. J Stroke Cerebrovasc Dis 2013; 7 (22): 146–51.
27. Vasenina E.E. Ingibitory kholinesterazy v lechenii smeshannoi dementsii. Zhurn. nevrologii i psikhiatrii im. C.C.Korsakova. 2013; 7 (113): 98–103. [in Russian]
28. Wagle J, Farner L, Flekkøy K et al. Cognitive impairment and the role of the ApoEε4-allele after stroke – a 13 months follow-up study. Int J Geriatric Psychiatry 2010; 25: 833–42.
29. Gusev E.I., Bogolepova A.N. Depressivnye rasstroistva u bol'nykh s tserebrovaskuliarnoi patologiei. M.: MEDpress-inform, 2014. [in Russian]
30. Damulin I.V. Osobennosti depressii pri nevrologicheskikh zabolevaniiakh. Zhurn. nevrologii i psikhiatrii im. S.S.Korsakova. 2005; 10: 55–6. [in Russian]
31. Geraskina L.A. Arterial'naia gipertenziia i insul't: kardionevrologicheskie aspekty vtorichnoi profilaktiki. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2014; Spetsvyp. 2: 56–61. [in Russian]
32. Shprakh V.V., Suvorova I.A. Rol' faktorov riska v razvitii postinsul'tnoi dementsii. Sib. med. zhurn. 2009; 7 (90): 23–7. [in Russian]
33. Qiu C, Winblad B, Fratiglioni L. The age-dependent relation of blood pressure to cognitive function and dementia. Lancet Neurol 2005; 8 (4): 487–99.
34. Serrano S, Domingo J, Rodrigez-Garcia E et al. Frequency of cognitive impairment without dementia in patients with stroke: a two-year follow-up study. Stroke 2007; 38: 105–10.
35. Beeri MS, Goldbourt U, Silverman JM et al. Diabetes mellitus inmidlife and the risk of dementia three decades later. Neurology 2004; 10 (63): 1902–7.
36. Meneilly GS, Cheung E, Tessier D et al. The effect of improved glycemic control on cognitive functions in the elderly patient with diabetes. J Gerontol 1993; 4 (48): 117–21.
37. Mokhort E.G., Kholodova E.A., Mokhort T.V. Kognitivnye narusheniia pri sakharnom diabete 2-go tipa. Zdravookhranenie. 2014; 7: 23–9. [in Russian]
38. Altieri M, Di Piero V, Pasquini M. Delayed poststroke dementia: a 4-year follow up study. Neurology 2004; 62: 2193–7.
39. Mkhitarian E.A., Preobrazhenskaia I.S. Bolezn' Al'tsgeimera i tserebrovaskuliarnye rasstroistva. Nevrol. zhurn. (Pril.). 2006; 1: 4–12. [in Russian]
40. Heyman A, Fillenbaum GG, WelshBohmer KA. Cerebral infarcts in patients with autopsy-proven Alzheimer's disease: CERAD, part XVIII. Consortium to Establish a Registryfor Alzheimer's Disease. Neurology 1998; 51: 159–62.
41. Klimov L.V., Parfenov V.A. Kognitivnye narusheniia v ostrom periode ishemicheskogo insul'ta. Nevrol. zhurn. 2006; 11 (Pril. 1): 53–7. [in Russian]
42. Desmond DW, Morony JT, Raik MC et al. Freguency and clinical determinatts of dementia after scchemic stroke. Neurology 2000; 54: 1124–31.
43. Bogolepova A.N. Postinsul'tnye kognitivnye narusheniia i vozmozhnosti ikh korrektsii. Med. sovet. 2015; 5: 24–7. [in Russian]
44. Roman GC. Facts, myths, and controversies in vascular dementia. J Neurol Sci 2004; 226: 49–52.
45. Esikova E.V. Sravnitel'nyi analiz postinsul'tnykh kognitivnykh narushenii v zavisimosti ot tipa insul'ta. Neirokhirurgiia i nevrologiia Kazakhstana. 2014; 2 (35): 10–2. [in Russian]
ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*ekaterinakov90@mail.ru
________________________________________________
N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*ekaterinakov90@mail.ru