UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325

New opportunities in the treatment of patients with dyscirculatory encephalopathy, caused by metabolic syndrome

Type of Article

In the Section

Abstract

The article presents the results of a clinical study examination the effi cacy and tolerability of the use of fi xed phytocomposition Memostim (Ananta Medicare, United Kingdom) in patients with dyscirculatory encephalopathy (DE) stage II, caused by metabolic syndrome.

The phytocomposition was given to the Substitutes in 30 patients with DE stage II with metabolic syndrome (main study group) within 3 months. Patients received 1 capsule 2 times a day during the fi rst month, then 1 capsule 1 time per day for two months. The comparison group consisted of 30 patients with DE stage II with a metabolic syndrome, where phytocomposition Memostim was not add to the standard course of therapy.

Effi ciency and safety of phytocomposition of the Memostim were assessed on the basis of clinical neurological, psychodiagnostical, biochemical, immunoenzymatic, and statistical methods.

After three months of treatment, a signifi cant decrease in the frequency and intensity of clinical and neurological manifestations of the disease was observed, and a positive dynamics in the neurocognitive sphere, psycho-emotional state of patients was noted. The concentration of the human nerve growth factor (NGF-β) increased for 67 %, which indicated the recovery of neuroplasticity.

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References

  1. Mishchenko TS, Zinchenko OM, Golubchikov MV The state of the neurological service of Ukraine in 2016. 22 с.
  2. Mishchenko V. N. Disease of small vessels of the brain (risk factors, clinical and pathogenetic mechanisms) // Novosti Meditsiny i Pharmacia. 2014. № 501. С. 34-37.
  3. Schmidt E. V., Lunev D. K., Vereshchagin N. V. V. Vascular diseases of the brain. М. : Medicine, 1976. 283 с.
  4. Levin O. С. Dyscirculatory encephalopathy: modern ideas about the mechanisms of development and treatment // Consilium medicum. 2007. № 8. C. 72-79.
  5. The risk of ischemic heart disease and stroke among Japanese men and women / H. Iso, S. Sato, A. Kitamura [et ]  // Stroke. 2007. Vol. 38(6). P. 1744—1751.
  6. Mishchenko, T. S. Modern approaches to the treatment of patients with dyscirculatory encephalopathy // NeuroNews. 2007. № 11/1. С. 5-21.
  7. Mitchenko O. I., Karpachev V. V. Diagnosis and treatment of metabolic syndrome, diabetes mellitus, prediabetes and cardiovascular diseases: recommendations of the Association of Cardiologists of Ukraine and the Association of Endocrinologists of Ukraine // Cardiovascular diseases: recommendations for diagnosis, prevention and treatment / edited by Prof. V. M. Kovalenko, Prof. M. I. Lutai. K. : Morion, 2011. С. 68-79.
  8. Metabolic syndrome and neurological disorders / Farooqui T., Farooqui A. (Editors). New York : Wiley Blackwell, 2013. 599 р.
  9. Ivashkin V. T., Drapkina O. M., Korneeva O. N. Clinical variants of metabolic syndrome. N. Clinical variants of metabolic syndrome. М. : Medical Information Agency, 2011. 220 с.
  10. Shestakova M. V., Butrova S. A., Sukhareva O. Yu. Metabolic syndrome as a precursor to the development of diabetes mellitus type 2 and cardiovascular diseases // Ter. arkh. 2007. № 10. С. 5-8.
  11. Cerebral hemodynamics and cognitive activity in patients with discirculatory encephalopathy and metabolic syndrome / Kopchak OO, Yena LM, Shcherbakov AI [et al] // International Neurological Journal. 2015. № 1. С. 110-118.
  12. Grundy S. M. Diagnosis and Management of the Metabolic Syndrome / S. Grundy, J. I. Cleeman, S.  R. Daniels [et  al.]  // Circulation. 2005. Vol. 112. P. 2735—2752.
  13. Kuznetsova S. M., Shulzhenko D. V. Ginkgo biloba extract in the strategy of treatment of chronic vascular diseases of the brain // International Neurological Journal. 2014. № 1 (63). С. 109-115.
  14. Bacopa monnieri (L.) exerts anti-inflammatory effects on cells of the innate immune system in vitro / R. Williams, G.  Münch, E. Gyengesi [et al.] // Food Funct. 2014. № 5(3). P. 517—520. DOI: https://doi.org/10.1039/c3fo60467e.
  15. Mamedov MN, Shalnova SA, Oganov R. G. Results of the III All-Russian scientific and practical conference "Actual issues of diagnosis and treatment of metabolic syndrome" // Cardiology. G. Results of the III All-Russian scientific and practical conference "Actual issues of diagnostics and treatment of metabolic syndrome" // Cardiology. 2007. № 5. С. 87-88.
  16. Zanotta D., Puricelli S., Bonoldi G. Cognitive effects of a dieta ry supplement made from extract of Bacopa monnieri, astaxan thin, phosphatidylserine, and vitamin E in subjects with mild cognitive impairment: a noncomparative, exploratory clinical study // Neuropsychiatric Disease and Treatment. 2014. № 10. P. 225—230. DOI: https://doi.org/10.2147/NDT.S51092.
  17. Mishchenko T. S., Mishchenko V. N., Lapshina I. A. Application of Ginkgo biloba extract in the treatment of patients with chronic cerebral vascular diseases // International Neurological Journal. 2015. № 5 (75). С. 130-134.
  18. Kuznetsova S. M., Shulzhenko D. V. Ginkgo biloba extract in the strategy of treatment of chronic vascular diseases of the brain // International Neurological Journal. 2014. № 1 (63). С. 109-115.
  19. Kuznetsova S. M. Age-related changes in neurotransmitter systems of the brain as a risk factor for cerebrovascular pathology // Journal of Neurology im B. M. Mankovsky. 2013. № 2. С. 5-13.