Cognitive disorders of vascular genesis in the practice of a therapist

Author:
P.R. KAMCHATNOV¹, R.A. CHEREMIN², L.A. SKIPETROVA², A.V. CHUGUNOV^1
1N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia, Moscow
²Center of Speech Pathology and Neurorehabilitation of the Moscow Healthcare Department

Summary:
Cognitive impairment (CI) is a widespread clinical syndrome, with which specialists of various profiles often meet in outpatient settings. Diagnosis of CI is a responsible task, the correct solution of which requires a comprehensive analysis of anamnestic information, the nature of the clinical picture, the results of laboratory and instrumental examination. Cerebrovascular diseases are a common cause of CI. The article discusses the issues of management of patients with coronary artery disease, in particular, the main aspects of correction of cardiovascular risk factors, the choice of optimal drug therapy are considered. Information is provided on the possibility of using the drug Mexidol for the treatment of this contingent of patients. The results of studies devoted to the study of the possibility of using Mexidol in patients with chronic disorders of cerebral circulation with CI are analyzed. Key words: chronic cerebral ischemia, chronic cerebrovascular diseases, small cerebral artery disease, cognitive impairment, Mexidol.