[Syndromology of a vascular lesion of the oral regions of the brain stem].

Nineteen patients with a history of circulatory brain disorders in the oral areas of the brain stem showed, along with known neurological syndromes, psychopathological conditions (peduncular hallucinosis, oneiroid and deliriously changed consciousness) and other more rare syndromes (hypersomnia, akinetical states with mutism and intellectual and memory impairment). Apart from describing the clinical picture of these conditions, the pathogenetical mechanisms underlying the syndromes are suggested.

[Clinical manifestations and vascular reactivity in patients with dyscirculatory encephalopathy].

Using a neurological, psychiatric, experimental neuropsychological and REG study with the use of functional tests, the authors studied 66 patients with different stages of dyscirculatory encephalopathy and 20 normals of the same age (a control group). These patients demonstrated different degrees of disturbed intellectual and mnestic activities, a drop of attention and general activity, the speed of reactions, as well as different forms of expressed psychoorganic symptoms developing on the background of diffuse and eventually of microfocal neurological symptomatology. The REG data revealed relation between the stage of the disease on the one hand and the state of the vascular tone, elasticity of the vascular wall, level of arterial pessure and pulse blood repletion, the state of the venous outflow on the other.

[Autonomic paroxysms (of the stenocardia type) in vascular lesions primarily of the medio-basal portions of the temporal lobes of the brain].

In patients with vascular brain pathology the authors observed cases of temporal epilepsy in the clinical picture of which prevailed (and sometimes were isolated) vegetative-vascular "stenocardia" paroxysms. Such clinical states made it possible to suggest that in this contingent there was stenocardia proper. Stenocardiac paroxysms, due to cerebral pathology, were in combination with affective, mnestic and other psychopathological and neurological symptoms, indicating to an involvement into the vascular process of cortical representations of vegetative functions in the temporal area: hippocamp, amygdalar nucleus and their connections with the diencephalo-stem structures.