Consilium MedicumConsilium MedicumConsilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum9534310.26442/20751753.2020.9.200274ArticlesСтатьиReview ArticlePost-stroke apathyПостинсультная апатияPetrovaElizaveta A.ПетроваЕлизавета Алексеевна

д-р мед. наук, проф. каф. неврологии, нейрохирургии и мед. генетики

633201@mail.ruSavinaMaria A.СавинаМария Александровна

д-р мед. наук, вед. науч. сотр. отд. гериатрической психиатрии

KoltsovaEvgenia A.КольцоваЕвгения Александровна

канд. мед. наук, проф. каф. неврологии, нейрохирургии и мед. генетики

PonevejskyEkaterina VПоневежскаяЕкатерина Владимировна

соискатель каф. неврологии, нейрохирургии и мед. генетики

Pirogov Russian National Research Medical UniversityФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииResearch Center for Mental HealthФГБНУ «Научный центр психического здоровья»15092020229VOL 9, NO22 (2020)ТОМ 22, №9 (2020)333728122021Copyright ©; 2020, Consilium MedicumCopyright ©; 2020, ООО "Консилиум Медикум"2020Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://consilium.orscience.ru/2075-1753/article/view/95343

The article is devoted to the problem of post-stroke apathy, which is recognized as an important neuropsychiatric syndrome, which is associated with its impact on the effectiveness of rehabilitation, social adaptation of the patient, and return to work activity. The paper presents literature data on the prevalence, clinical manifestations, and diagnostic criteria of post-stroke apathy, its Association with age, gender, depression, and cognitive dysfunction. The article deals with the pathogenesis of post-stroke apathy, the relationship with the localization of the brain lesion, the severity of stroke, the directions of treatment and prognosis.

Статья посвящена проблеме постинсультной апатии, которая признается важным нейропсихиатрическим синдромом, что связано с ее воздействием на эффективность реабилитации, социальную адаптацию больного, возвращение к трудовой активности. В работе представлены литературные данные по распространенности, клиническим проявлениям, диагностическим критериям постинсультной апатии, ассоциация ее с возрастом, полом, депрессией, когнитивной дисфункцией. Рассмотрены вопросы патогенеза постинсультной апатии, взаимосвязи с локализацией очага поражения мозга, тяжестью инсульта, представлены направления лечения и прогноз.

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