Khokhlov A L, Mordvintseva E V, Boĭchenko E V
Ter Arkh. 1998;70(5):64-7.
Characterization of cerebral pathology in inactive phase of rheumatism.
Clinical, experimental psychological examinations were performed in 110 rheumatic patients with inactive disease. Computer tomography of the head was carried out in 45 patients.
Psychic defects were absent only in 2.73% of the examinees. The rest had different neurotic symptoms manifest as panic attacks (> 50% of cases) or mildpsychoorganic shifts (60.91% of cases). Computer tomography of the brain has revealed hypodensive foci, deformed subarachnoid spaces and cerebral ventricles, hydrocephalia in 66.67% of the patients. These occurred more frequently in patients with psychoorganic syndrome or valvular heart diseases.
Treatment and rehabilitation of rheumatic patients should also include measures to correct psychic and cerebral abnormalities frequently present in such patients.
对风湿热静止期的脑部病变进行特征描述。
对110例处于疾病静止期的风湿热患者进行了临床及实验心理学检查。对45例患者进行了头部计算机断层扫描。
仅2.73%的受检者无精神缺陷。其余患者有不同的神经症症状，表现为惊恐发作（>50%的病例）或轻度精神器质性改变（60.91%的病例）。脑部计算机断层扫描显示，66.67%的患者有低密度灶、蛛网膜下腔和脑室变形、脑积水。这些情况在患有精神器质性综合征或心脏瓣膜病的患者中更为常见。
风湿热患者的治疗和康复还应包括纠正此类患者中常见的精神和脑部异常的措施。
