Publications by authors named "Nemkova S"

The article is devoted to the important problem of diagnosis and treatment of children with autonomic dysfunction syndromes (SVD). Information is provided on the evolution of views on the pathogenesis of this condition. The issues of pathogenesis, classification and clinical manifestations of SVD in children and adolescents are covered in detail.

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Interdisciplinary consensus on the use of Cereton in the treatment of central nervous system diseases with cognitive impairment of congenital and acquired genesis in children. Resolution of the interdisciplinary council of expertsXXIII All-Russian Forum "Zdravnitsa-2024".

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The article is devoted to an urgent problem of modern neurology - early diagnosis and complex restorative treatment of cerebral palsy (cerebral palsy). Etiological factors and pathogenetic aspects of the formation of various forms of cerebral palsy are considered in detail, as well as modern possibilities of differential diagnosis in children of the first years of life of cerebral palsy and a wide range of pathological conditions (somatic, endocrine, hereditary-conditioned, including hereditary-metabolic and neuromuscular diseases). The leading directions of complex rehabilitation of cerebral palsy are widely presented, taking into account modern standards and clinical recommendations.

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It has now been established that neurological and neuropsychiatric disorders persist for prolonged periods in a significant proportion of adult patients who have had COVID-19, though there is much less information about the manifestations of post-COVID syndrome (PCS) in children and adolescents. This review presents data on the features of the course of PCS in young patients, and considers the options for treating these patients. The results of studies on the use of Cortexin for correcting cognitive and emotional disorders are analyzed.

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The article details modern approaches to the comprehensive diagnosis and treatment of cognitive dysfunctions in children with cerebral palsy. It is shown that cognitive disorders in cerebral palsy are diverse and are represented by disorders of perception, memory, attention, visual-motor coordination, intelligence and speech. Diagnosis of cognitive dysfunctions in patients with cerebral palsy is a difficult task, due to their diverse combination with motor, speech and sensory pathology, which requires an integrated approach.

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The article is devoted to an important problem of modern pediatric neurology and rehabilitation, - the issues of diagnosis and comprehensive restorative treatment of the consequences of traumatic brain injury (TBI) in children and adolescents. It is known that TBI is characterized by a high frequency of disability, while asthenic, vegetative, cognitive, emotional, motor and postural disorders are leading in the clinical picture. It is shown that the factors influencing the severity of the consequences of TBI in children are not only the severity of the injury itself, but also the age at which the injury occurred, as well as the localization of the lesion.

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The review analyzes the current possibilities of using hopanthenic acid (Pantocalcin) in the treatment of diseases of the nervous system in children (perinatal CNS lesions, developmental delays, cerebral palsy, ADHD, tics, enuresis, cognitive and neurotic disorders), taking into account modern standards and clinical recommendations. The results of numerous studies demonstrate that Pantocalcin is a highly effective and safe drug in the treatment of diseases of the nervous system in children with complex neurometabolic, neuroprotective, neurotrophic properties.

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To date, it is well established that neurological and neuropsychic disorders persist for a long time in a significant part of adult patients who have undergone COVID-19, despite the fact that there is much less information about the manifestations of postcovid syndrome (PCS) in children and adolescents. The review provides data on the features of the course of PCS in young patients, discusses the possibilities of treating such patients. The results of studies on the use of the drug Cortexin for the correction of cognitive and emotional disorders are analyzed.

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Objective: The aim of the observational program was to study the effect of the use of the drug recognan (citicoline) on the state of higher mental functions (memory, attention, visual-motor coordination, dynamic praxis,verbal thinking and imagination) in patients with mild cognitive impairment.

Material And Methods: A survey of 54 subjects (16 of them male and 38 female) aged 18-50 years (average age 28.5±10.

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Objective: The aim of the study was to study the effect of the drug recognan (citicoline) on the neurodynamic characteristics of mental activity in patients with mild cognitive impairment.

Material And Methods: A survey of 58 subjects (17 of them male and 41 female) aged 18-45 years (average age 27.2±12.

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Aim: To assess the formation of positive personality phenomena in patients with mild cognitive impairment and asthenic syndrome during the treatment with recognan (citicoline).

Material And Methods: Thirty-eight patients (17 men and 21 women), aged 18 to 45 years (mean age 27.8±12.

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Article is devoted to topical issues of complex diagnosis and treatment of the consequences of traumatic brain injury (TBI) in children, adolescents and adults. Craniocerebral trauma is one of the most important problems of modern neurology, due to the high frequency and severity of disability. In recent years, there has been a steady increase in effects of TBI, a significant part of which are asthenic, autonomic, cognitive, emotional and motor disorders.

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Aim: To study the efficacy of recognan (citicoline) in the treatment of cognitive, emotional, autonomic, asthenic disorders in patients with asthenic syndrome.

Material And Methods: Thirty-eight subjects (17 men and 41 women), mean age 27.75±12.

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This lecture presents general information about children cerebral palsy concerning current views on its causes and pathogenesis as well as the data on different classifications of speech disorders (localization of lesions, clinical presentations) and their prevalence, which are important for general practitioners. Special attention is drawn to the principles and tasks of diagnostics of speech disorders, organization of treatment-correction measures considering all possible approaches to the care of patients.

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Aim: To study the efficacy of recognan (citicoline) in treatment of cognitive, emotional, autonomic, asthenic disorders in university students and teachers.

Material And Methods: Fifty-eight subjects (17 men and 41 women), mean age 27.75±12.

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The article covers the problems of diagnosis and treatment of mental impairment in children with cerebral palsy. Mental disorders in cerebral palsy include cognitive impairment (disorders of perception, memory, attention, motor-visual coordination, intelligence and speech), border disorders (cerebral/asthenic, neurosis-like, psychopathic-like syndromes) and personality disorders (accentuation of character, mental infantilism). Diagnosis of mental disorders in patients with cerebral palsy is a challenging task, due to various combinations of them with physical, speech and sensory disorders, which requires a differentiated approach.

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The article is devoted to the comprehensive diagnosis and treatment of perinatal lesions of the nervous system and their consequences in children. Reflects modern approaches to data classification conditions, taking into account ideas on the etiology and pathogenesis of the disease, the clinical manifestations of the main syndromes (excitation and depression, hypertensive, convulsive, movement disorders) as the neonatal period, and in the formation of long-term effects (motor and mental delay and speech development, hyperkinetic syndrome, cerebral palsy and others). Considerable attention is paid to the modern principles of diagnosis (clinical, psychometric, instrumental) and comprehensive rehabilitation (medical, social and psycho-pedagogical) the effects of perinatal lesions of the nervous system.

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One hundred and sixty-seven patients with cerebral palsy (CP), aged 11-16 years, with spastic diplegia (n=87) and hemiparetic forms (n=80), with subgroups of mental retardation (MR) or intellectual delay (ID) have been studied. Standard treatment and application of a method of dynamic proprioceptive correction (MDPC) in the complex rehabilitation with the use of a medical and loading Adeli suit were used. Cognitive deficit in patients was characterized by the relative integrity of short-term nonverbal memory and marked impairment of verbal memory, verbal and nonverbal intellect.

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The study aimed at analyzing, a speed of body center of gravity (BCG) displacement and a frequency of its vibrations in sagittal and frontal planes in healthy adolescents and children as well as patients with spastic diplegia hemiparetic, hyperkinetic and atonic-astatic forms of infantile cerebral palsy (ICP) using a platform of computer stabilography in Romberg position. The results obtained suggest the presence of kinesthetic peculiarities of BCG vibration parameters, characteristic of CCP patients and pathognomic for a certain disease type that can be used for differential diagnosis. A low level of the visual control for BCG displacement speed is a common feature for all CCP types.

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The issue related with impaired temporal movements as observed in patients with infantile cerebral paralysis (ICP) during walking still needs more research since it is a vital problem. The authors analyzed the temporal parameters of the step and of the phase of the key goniography spots within the stretch of the step cycle. The results are indicative of a presence of specific gait temporal indices typical of all ICP variations; they also reveal such indices typical of a certain disease type.

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The computerized stabilography was used to study the role of the visual analyzer (VA) in vertical posture acquisition and specifics of posture implementation by patients with craniocerebral injury (CCI) wearing suit Adele for dynamic proprioception correction (SDPC). Results of the investigation revealed a decreased vertical stability (VS) of CCI patients and a greater reliance on VA, which may be a compensatory instrument. Following the SDPC course, vertical stability was improved and the VA role in posture acquisition normalized suggesting alteration of the interanalyzer interaction in CCI patients owing to the treatment of proprioception impulsation.

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Maintenance of vertical posture is a complex coordination act dependent on a multi-level system of regulation. Functional state of the visual system may contribute significantly to the implementation of the mechanisms of vertical posture maintenance. Stabilographic examination of healthy teenagers and patients afflicted with the main CCP forms with the method of dynamic proprioceptive correction revealed dependence of posture stability and involvement of the visual analyzer on sex.

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The paper presents and analyzes the results of assessment of vertical stability and walk in patients with infantile cerebral paralysis before and after dynamic proprioceptive correction, which is of great importance for differential diagnosis of different forms of this disease, for controlling the course of therapeutical measures, for working out criteria for the efficiency of treatment.

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