Improving diagnostic approaches to cerebrovascular disorders in patients with hypertensive encephalopathy
نویسندگان
1 Department of Neurology and Reflexology, Institute of Family Medicine, Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine
doi
چکیده
BACKGROUND: Modern research today proves an increase in the incidence of ischemic stroke.Risk factors for vascular disease have become more common among young people. Clinical studieshave shown that hypertension, dyslipidemia, and diabetes are traditional risk factors among theelderly. The aim of the study was to improve diagnostic approaches to cerebrovascular disordersin patients with hypertensive encephalopathy (НE) by clarifying the development of pathogenesismechanisms, based on a comprehensive clinical study.MATERIALS AND METHODS: This qualitative study was carried by clinical and neurologicalexamination; neuropsychological examination (Mini‑Mental State Examination, abbreviatedmultifactorial personality questionnaire, Beck depression scale, Spielberger scale).RESULTS: The study was examined 351 patients (150 men, 201 women) with НE in hypertension of2 degrees. The clinical examination was performed according to a two‑stage method, which involvesthe establishment or exclusion of symptomatic hypertension. The study did not include patients withsecondary hypertension, diabetes mellitus, cardiac arrhythmias, and conduction disorders, heartfailure who suffered from acute cerebrovascular accident and myocardial infarction.CONCLUSION: The necessity of obligatory examination by a neurologist of patients with arterialhypertension for detection of manifestations of НE with the use of modern research methods, whichallows to prevent damage to target organs, and first of all – brain damage, has been proved.