Chronic cerebrovascular failure: description of the clinical case

Authors:

Vakhnina N.V. , Gromova D.O. , Zakharov V.V. , Tarapovskaya A.V.

Chronic cerebrovascular failure (KHNMK) is the result of cerebral micriangiopathy, most often due to uncontrolled arterial hypertension. At the same time, the brain suffers due to repeated “dumb” heart attacks and/or micro -power without clinical manifestations of stroke and chronic brain ischemia. The main manifestation of a chronic progressive non -navigable vascular brain damage is progressive cognitive disorders with a predominance of insufficient concentration of attention, a decrease in the cognitive activity, a violation of planning and control with the relative preservation of memory.
As a rule, these disorders are combined with changes in the emotional sphere in the form of affective lability and depression. A description of the characteristic clinical case of KHNMK is given, the mechanisms of the formation of neurological symptoms are understood, modern approaches to the management of such patients are stated.

Key words: chronic brain ischemia, discirculatory encephalopathy, vascular cognitive impairment.