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1.
Zh Nevrol Psikhiatr Im S S Korsakova ; 118(6. Vyp. 2): 13-26, 2018.
Artículo en Ruso | MEDLINE | ID: mdl-30346429

RESUMEN

The term 'dyscirculatory encephalopathy' (DEP) was proposed in 1958 by Garun Maksudov and Vladimir Kogan for the definition of gradually progressive diffuse brain changes with slowly worsening of cerebral circulation ('dyscirculation') in vascular disorders. The article presents current data on the etiology and pathogenesis of DEP, with the emphasis on its syndromal status, clinical/pathogenetic types of DEP, neuropsychological and neuroimaging signs, which provide a causal relationship to avoid hyperdiagnosis of DEP. In addition, possible methods of treatment and prevention of DEP are considered.


Asunto(s)
Encefalopatías , Enfermedades Vasculares , Vino , Encéfalo , Circulación Cerebrovascular , Humanos
2.
Zh Nevrol Psikhiatr Im S S Korsakova ; 117(6. Vyp. 2): 16-22, 2017.
Artículo en Ruso | MEDLINE | ID: mdl-28980608

RESUMEN

Development of laboratory diagnosis and neuroimaging revealed a number of biomarkers for in vivo diagnosis of the most common forms of dementia (Alzheimer's disease, Lewy body dementia and vascular dementia). Currently, the highest diagnostic sensitivity and specificity of molecular biomarkers in the cerebrospinal fluid are detected for Alzheimer's disease. At the same time, the changes according to the magnetic resonance imaging are more prognostically significant for future cognitive decline than cerebrospinal fluid biomarkers. Cerebral microbleeds are an available adjuvant diagnostic marker, which increases the diagnostic value of leukoaraiosis that suggests the development of cerebral amyloid angiopathy or hypertensive microangiopathy, especially in cases of mixed pathology and severe cognitive deficits.


Asunto(s)
Demencia , Neuroimagen , Enfermedad de Alzheimer/diagnóstico por imagen , Biomarcadores/análisis , Demencia/diagnóstico por imagen , Humanos
3.
Zh Nevrol Psikhiatr Im S S Korsakova ; 117(6. Vyp. 2): 41-43, 2017.
Artículo en Ruso | MEDLINE | ID: mdl-28980611

RESUMEN

The article presents epidemiological data on the prevalence of Creutzfeldt-Jakob disease in the world and modern techniques for the rapid accurate diagnosis. The author discusses a national approach to this subject.


Asunto(s)
Síndrome de Creutzfeldt-Jakob , Síndrome de Creutzfeldt-Jakob/epidemiología , Humanos , Prevalencia , Federación de Rusia/epidemiología
4.
Artículo en Ruso | MEDLINE | ID: mdl-27723706

RESUMEN

AIM: To study a role of cerebral microbleeds (CMB) in the diagnosis of main cerebrovascular and neurodegenerative diseases with cognitive impairment. MATERIAL AND METHODS: CMB were studied in 120 patients with Alzheimer's disease (AD), dementia with Lewy bodies (DLB) and vascular dementia using 1.5T MRI in T2 * gradient echo. An impact of CMB on cognitive functions and the relationship with signs of vascular and neurodegenerative lesions of the brain were studied as well. The neuropsychological battery included Montreal Cognitive Assessment scale (MoCA), Addenbrooke's Cognitive Examination (ACE-R), Clock Drawing Test, fluency test and the visual memory test (SCT). RESULTS: CMB were identified in more than one third of patients with neurodegenerative or cerebrovascular disease. With regard to disease, they were detected preferably in cortical or subcortical areas, respectively. This result can be used in the differential diagnosis. Single subcortical CMB accompanied by a smaller number of lacunae and less severe leukoaraiosis were identified in 48% of patients with DLB. In AD with additional features of DLB and cerebrovascular disease, CMB were more common (60%) that was a predictor of mixed pathology. CONCLUSION: Leukoaraiosis, if accompanied by CMB, has a great clinical significance in neurodegenerative and cerebrovascular diseases with cognitive impairment. CMB is a marker of severe cognitive impairment and predictor of mixed pathology in the cortical-subcortical localization of CMB and corresponding neuropsychological profile.

5.
Artículo en Ruso | MEDLINE | ID: mdl-27723709

RESUMEN

The role of the cerebral microbleeds (CMB) as a potential predictor of hemorrhagic complications of thrombolytic therapy is discussed. CMB are small perivascular hemosiderin deposits in the brain detected by magnetic resonance imaging in gradient echo T2* or SWI sequences. They are associated (along with leukoaraiosis or lacunes) with cerebral microangiopathies. Most often CMB are associated with hypertensive arteriopathy (the main cause of CMB localization) or cerebral amyloid angiopathy (the main cause of cerebral CMB). Despite the controversies of recent data, most of researchers agree that thrombolytic therapy in patients with multiple CMB increases the risk of hemorrhagic complications. Neuroimaging diagnosis of CMB may be important in making decision for thrombolytic therapy.

6.
Genetika ; 52(6): 728-32, 2016 Jun.
Artículo en Ruso | MEDLINE | ID: mdl-29368835

RESUMEN

Aspen Populus tremula L. (Salicaceae) is the fast-growing tree species of environmental and economic value. Aspen is capable of reproduction by both seeds and vegetative means, forming root sprouts. In an adult stand, identification of ramets of one clone among the trees of seed origin based on their morphology is difficult. A panel of 14 microsatellite loci developed for individual identification of aspen was applied for the clonal structure analysis in four natural aspen stands of the European part of Russia: Moscow and Voronezh oblasts, the Mari-El Republic, and the Republic of Tatarstan. In 52 trees from the Moscow sample, 41 multilocus genotypes were identified; in the Voronezh sample, among 30 individuals, 25 different genotypes were detected; and in the sample from Mari-El, 32 trees were represented by 13 genotypes. In the stand from Sabinsky Forestry, Tatarstan, all of the examined 29 trees were represented by a single genotype. The ancestral tree carrier of this genotype which was the most heterozygous (0.929) among all studied aspen individuals (sample mean, 0.598) obviously has spread over a large territory during several cutting and reproduction cycles, currently occupying the area of 2.2 ha. For aspen, usually suffering from Aspen trunk rot, such high viability is evidence of resistance to the main pathogens. The revealed superclone deserves further study with karyological methods and flow cytometry to determine ploidy level and analysis of the growth rate and the quality of wood for possible use in plantation forest production.


Asunto(s)
Heterocigoto , Repeticiones de Microsatélite , Populus/genética , Genética de Población
7.
Genetika ; 51(10): 1117-25, 2015 Oct.
Artículo en Ruso | MEDLINE | ID: mdl-27169226

RESUMEN

The length and sequence variations among intron 2 haplotypes of the mitochondrial DNA nad1 gene have been studied in the Norway and Siberian spruce (Picea abies (L.) H. Karst.-P. obovata Ledeb.) species complex. Twenty-two native populations and 15 provenances were analyzed. The distribution of the northern European haplogroup (haplotypes 721, 755, 789, 823, 857, 891, and 925) is delimited in the west by the Ural region inclusively. Haplotype 712 is widespread in populations of Siberia, in the Far East and in northeastern Russia. A novel variant of the Siberian haplogroup (780) containing three copies of the first minisatellite motif (34 bp) was found for the first time. The absence of an admixture of the northern European and Siberian haplotypes in the zone of spruce species introgression previously marked by morphological traits and nuclear allozyme loci was demonstrated. This may be evidence of the existence of a sharper geographic boundary between the two haplogroups, as compared to a boundary based on phenotypic and allozyme data. A high proportion of the interpopulation component of variation (65%) estimated by AMOVA indicates a substantial genetic subdivision of European and Siberian populations of the Palearctic spruce complex by mtDNA, which can be putatively explained by natural barriers to gene flow with seeds related, for instance, to the woodless regions of the western Siberian Plain in the Pleistocene and the probable floodplains of large rivers.


Asunto(s)
Genes de Plantas , Haplotipos , Intrones , NADH Deshidrogenasa/genética , Picea/genética , Proteínas de Plantas/genética , ADN Mitocondrial/genética , ADN de Plantas/genética , Picea/enzimología , Siberia
8.
Zh Nevrol Psikhiatr Im S S Korsakova ; 115(6. Vyp. 2): 9-16, 2015.
Artículo en Ruso | MEDLINE | ID: mdl-28635779

RESUMEN

In this article, authors analyzed a modern approach to the diagnosis of Creutzfeldt-Jakob disease (CJD) based on the clinical signs, cerebrospinal fluid markers, electroencephalography and magnetic resonance imaging. It was demonstrated for the first time that patients with late-onset CJD differed from younger CJD patients with respect to MRI profiles and initial clinical presentation. To date, cerebrospinal fluid (CSF) analysis, particularly protein 14-3-3 testing, presents an important approach to the identification of disease cases. A spectrum of differential diagnosis of rapid progressive dementia varied from neurodegenerative dementias to dementia due to acute neurological conditions. Real-time quaking-induced conversion (RT-QuIC) allows the amplification of miniscule amounts of scrapie prion protein. Recent studies applied the RT-QuIC methodology to CSF for the diagnosis of human prion diseases.

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