Consilium MedicumConsilium MedicumConsilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum63290310.26442/20751753.2024.2.202719ArticlesСтатьиReview ArticleDiagnosis and treatment of vascular cognitive impairment, the use of citicoline: A reviewДиагноз и лечение сосудистых когнитивных нарушений, применение цитиколинаhttps://orcid.org/0000-0002-1992-7960ParfenovVladimir A.ПарфеновВладимир Анатольевич
Russian Federation

D. Sci. (Med.), Prof.

д-р мед. наук, проф., зав. каф. нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

vladimirparfenov@mail.ruSechenov First Moscow State Medical University (Sechenov University)ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)09052024262Neurology and rheumatologyНеврология и ревматология1121162705202427052024Copyright ©; 2024, Consilium MedicumCopyright ©; 2024, ООО "Консилиум Медикум"2024Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://consilium.orscience.ru/2075-1753/article/view/632903

The management of patients with cognitive impairment (CI) is one of the urgent problems of modern medicine. Vascular CI (VCI) is the second most common cause of dementia after Alzheimer's disease. The diagnosis of VCI is based on the results of a neuropsychological examination, the presence of clinical and neuroimaging signs of cerebrovascular disease, and the absence of data for other causes of CI. Socio-psychological methods, stroke prevention, correction of vascular risk factors, and stimulation of patients to regular physical and mental activity are of leading importance in the management of patients with VCI. The effectiveness and safety of citicoline in VCI are discussed.

Ведéние пациентов с когнитивными нарушениями (КН) является одной из актуальных проблем современной медицины. Сосудистые КН (СКН) представляют вторую по частоте после болезни Альцгеймера причину деменции. Диагноз СКН основывается на результатах нейропсихологического обследования, наличии клинических и нейровизуализационных признаков цереброваскулярного заболевания, отсутствии данных, свидетельствующих о других причинах КН. Основополагающее значение при ведéнии пациентов с СКН имеют социально-психологические методы, профилактика инсульта, коррекция сосудистых факторов риска, стимулирование пациентов к регулярной физической и умственной активности. Обсуждаются вопросы эффективности и безопасности цитиколина при СКН.

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