Стратегии ранней диагностики и терапии болезни мелких сосудов головного мозга
Стратегии ранней диагностики и терапии болезни мелких сосудов головного мозга
Путилина М.В. Стратегии ранней диагностики и терапии болезни мелких сосудов головного мозга. Consilium Medicum. 2018; 20 (9): 22–29. DOI: 10.26442/2075-1753_2018.9.22-29
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Putilina M.V. Strategies of cerebral small vessel disease early diagnostics and therapy. Consilium Medicum. 2018; 20 (9): 22–29. DOI: 10.26442/2075-1753_2018.9.22-29
Стратегии ранней диагностики и терапии болезни мелких сосудов головного мозга
Путилина М.В. Стратегии ранней диагностики и терапии болезни мелких сосудов головного мозга. Consilium Medicum. 2018; 20 (9): 22–29. DOI: 10.26442/2075-1753_2018.9.22-29
________________________________________________
Putilina M.V. Strategies of cerebral small vessel disease early diagnostics and therapy. Consilium Medicum. 2018; 20 (9): 22–29. DOI: 10.26442/2075-1753_2018.9.22-29
Спорадическое заболевание мелких сосудов головного мозга является одним из наиболее распространенных патологических процессов и играет важную роль в развитии инсульта и когнитивных нарушений, в то же время это системное расстройство, при котором страдают различные органы. Поиск оптимальных препаратов для профилактики и терапии болезни мелких сосудов продолжается, появились исследования, которые в дальнейшем создадут новые лечебные стратегии. На сегодняшний день сохраняется приоритет базовой терапии (антиагрегантной, антигипертензионной, статинов).
Sporadic cerebral small vessel disease is one of the most widespread pathologic processes that has an essential role in stroke and cognitive decline development and at the same time it is a systemic disorder that affects other organs. The search for optimal medications for small vessel disease prevention and treatment is still going, new studies that will result in new treatment strategies development have emerged. At present the priority for background therapy use (antiplatelet, antihypertensive, statin therapy) is preserved.
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1. Pantoni L, Gorelick PB. A book review on Cerebral Small Vessel Disease: Cambridge University Press, Cambridge, UK, 2014; p. 371. DOI: 10.1017/CBO9781139382694
2. Charidimou A. Book review: "Cerebral small vessel disease". What’s the big deal about small vessels? Front Neurol 2015; 6: 175. DOI: 10.3389/fneur.2015.00175
3. Pantoni L. Cerebral small vessel disease: from pathogenesis and clinical characteristics to therapeutic challenges. Lancet Neurol 2010; 9: 689–701. DOI: 10.1016/S1474-4422 (10)70104-6
4. Charidimou A, Pantoni L, Love S. The concept of sporadic cerebral small vessel disease: A road map on key definitions and current concepts. http: //journals.sagepub.com/home/wso,2015https: //doi.org/10.1177/1747493015607485
5. Issac TGr, Chandra SR, Christopher R et al. Cerebral Small Vessel Disease Clinical, Neuropsychological, and Radiological Phenotypes, Histopathological Correlates, and Described Genotypes: A Review. J Geriatrics 2015. http: //dx.doi.org/10.1155/2015/564870
6. Vermeer SE, Longstreth WT, Koudstaal PJ. Silent Brain Infarcts: A Systematic Review. Lancet Neurology 2007; 6: 611–9. http: //dx.doi.org/10.1016/S1474-4422 (07)70170-9
7. Shi Y, Wardlaw JM. Update on cerebral small vessel disease: a dynamic whole-brain disease. https: //svn.bmj.com/content/1/3/83 http: //dx.doi.org/10.1136/svn-2016-000035
8. Tsai CF, Thomas B, Sudlow CL. Epidemiology of stroke and its subtypes in Chinese vs white populations: a systematic review. Neurology 2013; 81: 264–72. DOI: 10.1212/WNL.0b013e31829bfde3CrossRefPubMedGoogle Scholar
9. Wardlaw JM, Smith EE, Biessels GJ et al. Neuroimaging standards for research into small vessel disease and its contribution to ageing and neurodegeneration. Lancet Neurol 2013; 12: 822–38. DOI: 10.1016/S1474-4422
10. Issac Thg, Chandra SR, Christofer R et al. Cerebral Small Vessel Disease Clinical, Neuropsychological, and Radiological Phenotypes, Histopathological Correlates, and Described Genotypes: A Review. J Geriatrics 2015. http: //dx.doi.org/10.1155/2015/564870
11. Kwon HM, Lynn MJ, Turan TN. Frequency, risk factors, and outcome of coexistent small vessel disease and intracranial arterial stenosis: results from the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) Trial. JAMA Neurol 2016; 73: 36–42. DOI: 10.1001/jamaneurol.2015.3145PubMedGoogle Scholar
12. Moran С. Cerebral small vessel disease: a review of clinical, radiological, and histopathofogical phenotypes. Int J Stroke 2012; 7. Issue 1: 36–46. DOI: 10.1111/j.1747-4949.2011.00725.x
13. Wardlaw J, Smith E, Biessels G et al. Neuroimaging standards for research into small vessel disease and its contribution to ageing and neurodegeneration. Lancet Neurol 2013; 12 (8): 822–38. DOI: 10.1016/s1474-4422 (13)70124-8
14. Duering M, Csanadi E, Gesierich B. Incident lacunes preferentially localized to the edge of white matter hyperintensities: insights into the pathophysiology of cerebral small vessel disease. Brain 2013; 136: 2717–26. DOI: 10.1161/01.STR.0000240513.00579.bfAbstract/FREE Full TextGoogle Scholar
15. Valdes Hernandez Mdel C, Maconick LC, Munoz Maniega S. A comparison of location of acute symptomatic vs. "silent" small vessel lesions. Int J Stroke 2015; 10: 1044–50. DOI: 10.1111/ijs.12558CrossRefPubMedGoogle Scholar
16. Schmidt R, Seiler S, Loitfelder M. Longitudinal change of small-vessel disease-related brain abnormalities. J Cereb Blood Flow Metab 2016; 36: 26–39. DOI: 10.1038/jcbfm.2015.72CrossRefPubMedGoogle Scholar
17. Greenberg SM. Small vessels, big problems. N Engl J Med 2006; 354: 1451–3. DOI: 10.1056/NEJMp068043
18. Charidimou A. Book review: "Cerebral small vessel disease". What’s the big deal about small vessels? Front Neurol 2015; 6: 175. DOI: 10.3389/fneur.2015.00175
19. Patel B, Markus HS. Magnetic resonance imaging in cerebral small vessel disease and its use as a surrogate disease marker. Int J Stroke 2011; 6 (1): 47–59. https: //doi.org/10.1111/j.1747-4949.2010.00552.x
20. Arablinskij A.V., Makotrova T.A., Trusova N.A., Levin O.S. Nejrovizualizacionnye markery cerebralnoj mikroangiopatii po dannym magnitno-rezonansnoj tomografii. Russian Electronic J Radiol 2014; 1: 24–31. http: //www.rejr.ru [in Russian]
21. Mishenko V.N., Sokolik V.V. Bolezn melkih sosudov mozga (nejroradiologicheskie i biohimicheskie markery). Ukrayinskij visnik psihonevrologiyi. 2014; 4 (81). [in Russian]
22. Arboix A, Alsina M, Caballero M et al. Lacunar Infarcts: Clinical and Risk Factors in 864 Patients. J Heart Stroke 2017; 2 (3): 1023.
23. Jain KK. The Handbook of Biomarkers. N.Y.: Humana Press, 2010; p. 492.
24. Putilina M.V. Practical endotheliology. What should a clinician know about the diagnosis and correction of endothelial dysfunction? Handbook for Practitioners Doctors. 2017; 3: 70–7. [in Russian]
25. Kalyn Ya.B. Psihicheskoe zdorove naseleniya pozhilogo i starcheskogo vozrasta (kliniko-epidemiologicheskoe issledovanie). Avtoref. dis. … d-ra med. nauk. M., 2001. [in Russian]
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28. Wardlaw JM, Smith C, Dichgans M. Mechanisms of sporadic cerebral small vessel disease: insights from neuroimaging. Lancet Neurology 2013; 12 (5): 483–97. DOI: 10.1016/S1474-4422 (13)70060-7
29. Taylor WD, Aizenstein HJ, Alexopoulos GS. The vascular depression hypothesis: mechanisms linking vascular disease with depression. Mol Psychiatry 2013; 18 (9): 963–74. DOI: 10.1038/mp.2013.20
30. Cheng W, Rolls ET, Qiu J et al. Medial reward and lateral non-reward orbitofrontal cortex circuits change in opposite directions in depression. Brain 2016; 139: 3296–309. https: //doi.org/10.1093/brain/aww255
31. Tabeeva G.R. Kognitivnye i nekognitivnye rasstrojstva u pacientov pozhilogo vozrasta, associirovannye so stressom. Nevrologiya, nejropsihiatriya, psihosomatika. 2015; 1: 87–93. [in Russian]
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Авторы
М.В.Путилина
ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1 profput@mail.ru
________________________________________________
M.V.Putilina
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 profput@mail.ru