Open AccessThe etiology, manifestations, and therapy of chronic cerebrovascular diseases
Author(s) -
А. Г. Гоголева,
Владимир Захаров
Publication year - 2020
Publication title -
nevrologiâ, nejropsihiatriâ, psihosomatika
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.157
H-Index - 9
eISSN - 2310-1342
pISSN - 2074-2711
DOI - 10.14412/2074-2711-2020-5-84-91
Subject(s) - medicine , etiology , pathological , intensive care medicine , cerebral amyloid angiopathy , stroke (engine) , cognitive impairment , chronic hypertension , disease , pathology , pediatrics , dementia , mechanical engineering , pregnancy , biology , engineering , preeclampsia , genetics
The paper presents the current etiopathogenetic classification of chronic cerebrovascular diseases (CVD) and discusses the role of hypertension, cerebral amyloid angiopathy, and genetically determined syndromes in the development of this pathological condition. It gives recommendations for the neuroradiological diagnosis of chronic CVD in accordance with the international standards. The paper discusses the clinical manifestations of chronic CVD, primarily vascular cognitive impairment. It discusses international guidelines for the examination and treatment of patients with chronic CVD, as well as the rules for stroke prevention in this patient cohort. The possibilities of pathogenetically based therapy in decreasing the severity of vascular cognitive impairment in the presence of chronic CVD are also highlighted.