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[早期动脉粥样硬化性静脉性脑病的诊断与发病机制治疗]

[Diagnosis and pathogenetic treatment of venous encephalopathy in early atherosclerosis].

作者信息

Vesel'skiĭ I Sh, Voroniuk M I

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(9):1337-40.

PMID:3776416
Abstract

The authors investigated the diagnosis and treatment of the initial forms of venous encephalopathy in atherosclerosis in 42 patients, using synchronous rheoencephalography and jugular rheophlebography under conditions of graded exercise on a bicycle ergometer. The study revealed signs of venous encephalopathy with dystonic, asthenovegetative, psychopathological, pseudotumorous and other syndromes which were confirmed by changes in the parameters of the REG, rheophlebogram, etc. Graded exercise in a compensated phase of the disease led to a reduction in signs of venous congestion in the brain, while in a subcompensated phase these signs increased. The effect of a multiple modality treatment with due regard to the phase of compensation and the leading syndrome was good or satisfactory in the majority of patients.

摘要

作者对42例动脉粥样硬化性静脉性脑病初始形式的诊断和治疗进行了研究,在自行车测力计上进行分级运动的条件下,采用同步脑电阻图和颈静脉血流图检查。研究揭示了静脉性脑病伴有张力障碍、虚弱性植物神经功能紊乱、精神病理、假瘤样及其他综合征的体征,这些体征通过脑电阻图、血流图等参数的变化得以证实。在疾病的代偿期进行分级运动可导致脑静脉淤血体征减轻,而在亚代偿期这些体征则会加重。在大多数患者中,充分考虑代偿期和主要综合征的多模式治疗效果良好或令人满意。

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