Comparative characteristic of cognitive impairment at alcoholic and discirculatory encephalopathy

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OBJECTIVE

Identification of features of cognitive impairment at patients with alcoholic and discirculatory encephalopathy.

MATERIAL AND METHODS

30 patients with the alcoholic encephalopathy (AE) and 32 — with discirculatory encephalopathy (DE) participated in research. To patients conducted clinical examination, a computer electroencephalography with determination of cognitive evoked potentials, neuropsychological testing.

RESULTS

General and distinguishing characters of a clinical picture, cognitive deficiency, disturbances in the emotional and personal sphere at patients with encephalopathies alcoholic and vascular genesis are established.

CONCLUSION

It is established that a basis of a clinical picture of encephalopathy of various genesis are the cognitive disturbances (CD) and an asthenic syndrome, of AE it is characteristic hyposthenic, and at DE — hyper — and hyposthenic syndromes. Changes of bioelectric activity of a brain at DE had primary localization in occipitoparietal departments of a brain, at AE — in temporal and occipitoparietal assignments. Disorder of categorial thinking, the long-term memory, reciprocal coordination, manual gnosis indicating dysfunction by a frontal, parietal lobe of the left hemisphere, a hippocampus, a corpus collosum are provided to CD in DE and AE patients. It is established that distinguishing characters of CD in AE and DE patients are values of indexes Δ-, β1-, β2-rhythms, the indicators characterizing the impressive speech, volume of visual figurative memory, level of severity of hypochondria.

Keywords:

cognitive impairment

alcoholic encephalopathy

discirculatory encephalopathy

differential diagnostics

Authors:

Shevchenko O.I.

East-Siberian Institute of Medical and Ecological Research

Lakhman O.L.

East-Siberian Institute of Medical and Ecological Research

Katamanova E.V.

East-Siberian Institute of Medical and Ecological Research

Received:

26.08.2019

Accepted:

09.09.2019

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