Vascular and neurodegenerative cognitive impairments: a clinical case report

Nevrologiâ, Nejropsihiatriâ, Psihosomatika. 2016;8(2):55-61 DOI 10.14412/2074-2711-2016-2-55-61


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Journal Title: Nevrologiâ, Nejropsihiatriâ, Psihosomatika

ISSN: 2074-2711 (Print); 2310-1342 (Online)

Publisher: IMA-PRESS LLC

LCC Subject Category: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system

Country of publisher: Russian Federation

Language of fulltext: Russian

Full-text formats available: PDF



V. V. Zakharov (I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow)

N. V. Vakhnina (I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow)


Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 6 weeks


Abstract | Full Text

To establish the exact cause of cognitive impairment (CI) is of great importance for appropriate patient management and disease prognosis. The paper describes a patient with moderate CI, with respect of whom both vascular and neurodegenerative pathology may be discussed. A specific example is used to consider the currently accepted approaches to the differential diagnosis of the most common nosological entities of cognitive impairment, including an analysis of its clinical neurological and neuropsychological symptoms and the results of instrumental and neuroradiological examinations. The present-day ideas on mixed (vascular and degenerative) CIs are set forth. The specific features of patient management in relation to the etiology of CI, as well as the place of neurometabolic therapy in the treatment of these impairments are discussed.