Chronic cerebral circulatory disorders: possibilities of enhancing the efficiency of therapy

Abstract

Chronic cerebral circulatory disorders (CCCDs) are a group of syndromes manifested by cognitive, emotional disturbances and less commonly motor and sensory neurological symptoms, which is heterogeneous in the mechanisms of development. The prevention of CCCDs involves the control of blood pressure and glycemia and the use of antiplatelet and other drugs; however, the efficiency of these measures for an already formed defect is low.The paper emphasizes the need for careful consideration of a patient's status at the beginning of treatment measures. Combined treatment, including secondary prevention of cerebrovascular disease, drugs that improve cerebral blood circulation and metabolism, and non-drug techniques, can be expected to have a more significant clinical effect. The possibilities of drug therapy, including the use of vinpotropile, in patients with CCCD, are considered.

Keywords

• chronic brain ischemia
• dyscirculatory encephalopathy
• cognitive impairment
• cognitive reserve
• piracetam
• vinpocetine
• vinpotropile