Gafurov B G, Madzhidova Ia N
Zh Nevrol Psikhiatr Im S S Korsakova. 1993;93(3):12-5.
The authors analyze some pathophysiologic mechanisms underlying the relationships between the vegetative dystonia syndrome running in the presence of the climacteric syndrome, on the one hand, and cerebrovascular insufficiency, on the other. A total of 82 women were examined, 62 of these with the climacteric syndrome and 20 with the normal climacteric (reference group). Among women with the climacteric syndrome patients with signs of cerebrovascular insufficiency (initial signs of cerebral circulation insufficiency and Stage I dyscirculatory encephalopathy) predominated. The severity of cerebrovascular insufficiency was higher in patients with the climacteric syndrome. The sympathetic tone of the autonomic nervous system clearly prevailed in the test group, and signs of inadequate autonomic supply were present. Electropolygraphic registration of the function of the nonspecific systems of the brain has shown marked signs of increased level of the ascending nonspecific activation of the brain in the main group as against the reference one. Basing on these findings, the authors analyze the specific features of the psychovegetative syndrome, conducive to the development of cerebrovascular dystonia in women with the pathologic course of the climacteric.
作者分析了一方面存在更年期综合征时伴发的植物神经功能障碍综合征,与另一方面脑血管供血不足之间关系的一些病理生理机制。共检查了82名女性,其中62名患有更年期综合征,20名处于正常更年期(参照组)。在患有更年期综合征的女性中,有脑血管供血不足体征(脑循环供血不足的初始体征和I期循环障碍性脑病)的患者占多数。更年期综合征患者的脑血管供血不足程度更高。试验组自主神经系统的交感神经张力明显占优势,且存在自主神经供应不足的体征。对大脑非特异性系统功能的电生理记录显示,与参照组相比,主要组大脑上行非特异性激活水平明显升高。基于这些发现,作者分析了在更年期病理过程中,有利于女性发生脑血管性肌张力障碍的精神植物神经综合征的具体特征。