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Neurology and Neurorehabilitation

Abstract

M A Bakhadirova, S O Bahadirov, M O Alimukhamedova and D KhAkilov

Chronical cerebral ischemia (CCI) is a type of constant dynamic cerebrovascular malady portrayed by multifocal or diffuse mind harm and is showed as unpredictable neurological what's more, neuropsychological issues. The primary indications of CCI are disability of intellectual (acknowledgment) work, full of feeling issues also, development issues polymorphic. The primary etiological factor of cerebral microangiopathy is hypertension, which causes arteriosclerosis (lipogialinoz) of little infiltrating courses and arterioles. In spite of the fact that patients with CCI want to concentrate on such emotional side effects like cerebral pain, discombobulation, tinnitus, weariness, the center clinical CCI deciding the seriousness of the state of patients is expanding limitation of neuropsychological, engine capacities. The aftereffect of neuropsychological issues in CCI is the advancement of vascular dementia. We watched 766 individuals (300 ladies, 466 men; mean age 65±105 years), held in-quiet treatment in the Clinical Medical clinic of Tashkent in the period from November 2013 to December 2015. All patients were followed-up visit, which incorporated a neurological assessment: ECG, Doppler ultrasound, EEG and a lot of neuropsychological tests. Patients were separated into two gatherings: I bunch comprises of standard treatment of CCI + nitrendipine 10-40 mg/day + alzepil 5 mg/day at morning a half year. II bunch comprises of CCI standard treatment. Rehashed investigation of patients had clinically huge accomplishment of target circulatory strain, as well as fundamentally improvement of intellectual capacities in the primary gathering of patients. There were 4 instances of stroke during the following two years in the first gathering of patients (atherothrombotic starting point). In the second gathering of patients there were 19 instances of stroke, 3 of them rehashed. Utilization of the tranquilize nitrendipine for the remedy of circulatory strain in older patients fundamentally brings down the danger of stroke and gross intellectual hindrance

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