Article in Neurology neuropsychiatry Psychosomatics · November 013 doi: 10. 14412/2074-2711-2013-2411 citations 11 reads 975 authors

D.V. Neverovsky
1
, S.F. Sluchevskaya
2
, V.A. Parfenov
3
1
City Polyclinic Forty-Four, Saint Petersburg, 
2
I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia,
Saint Petersburg, 
3
Department of Nervous System Diseases, I.M. Sechenov First Moscow State Medical University, Ministry of Health of
Russia, Moscow
The differential diagnosis of dyscirculatory encephalopathy is one of the topical problems in Russian neurology. Forty-seven patients diag-
nosed with dyscirculatory encephalopathy and followed up in the polyclinic were examined. Only in 9 (19.2%) of them, the diagnosis was
confirmed. Most patients were established to have other diseases, among which there were primary depressive and/or anxiety disorders
(34%), primary headache (23.4), benign paroxysmal positional vertigo (BPPV) (8.5%), and Alzheimer’s disease (10.6%). The paper
describes patients with migraine and BPPV, in whom the detection and treatment of these diseases have yielded a positive effect. The
examination of patients diagnosed with dyscirculatory encephalopathy with investigations of their cognitive and emotional functions,
otoneurological examination, and psychiatric consultation (if indicated) makes it possible to identify other diseases presenting with the
symptoms similar to dyscirculatory encephalopathy and to prescribe effective treatments.
Key words: dyscirculatory encephalopathy, differential diagnosis, cognitive impairments, cognitive neuropsychology, vascular dementia.
Contact: Vladimir Anatolyevich Parfenov [e-mail]

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4 0
ных артерий методом ультразвукового дуплексного скани-
рования, лабораторное исследование крови.
В исследование включено 47 пациентов (9 мужчин и
38 женщин) в возрасте от 45 до 75 лет (средний возраст –
59,17±0,9 года). Пациенты наблюдались в поликлинике с
диагнозом «дисциркуляторная энцефалопатия» от 8 мес до
1,7 года (в среднем – 13,1±0,9 мес) и получали лечение в со-
ответствие с имеющимися стандартами.