Cerebrovascular disease in senile patient (clinical case)

• Published in: Medicinskij sovet no. 2; pp. 103 - 110
• Main Authors: Cherdak, M. A., Mkhitaryan, E. A.
• Format: Journal Article
• Language: English; Russian
• Published: Remedium Group LLC 22.03.2021
• Subjects: aging; cerebrovascular disease; cognitive impairment; elderly patient; emotional-affective disorders; pathogenetic therapy
• ISSN: 2079-701X; 2658-5790
• DOI: 10.21518/2079-701X-2021-2-103-110

The article presents a clinical observation of a comorbid elderly patient with complaints typical for chronic cerebrovascular disease. A careful analysis of the clinical picture and a thorough assessment of the patient’s condition, including testing of cognitive and non-cognitive neuropsychiatric functions, made it possible to identify characteristic syndromes of cerebrovascular disease, which was additionally confirmed by the magnetic resonance imaging. The patient’s therapy regimen was optimized with an emphasis on clinically and pathogenetically justified methods taking into account the main clinical syndromes. Patient’s follow-up assessment has shown that the treatment was accompanied by significant positive dynamic, in both cognitive and emotional signs and symptoms. The article discusses the epidemiology of cerebrovascular diseases, their relationship with other geriatric syndromes in elderly and senile people. The main problems associated with the therapy of cerebrovascular diseases in elderly patients and the ways to eliminate them are discussed.