Discirculatory encephalopathy is a progressive circulatory failure of the brain, which is caused by a violation of its basic functions. Dyscirculatory encephalopathy is a chronic progressive disease, a form of cerebrovascular pathology. The disease is quite common in elderly people, it is based on a diffuse or multifocal lesion of the brain, which manifests itself in the form of neuropsychological or neurological disorders and circulatory disorders. Grade 2 dyscirculatory encephalopathy is characterized by constant changes in the brain, which are often justified by repeated ischemia in different vascular pools. Ischemic episodes, depending on the size of the affected area, may be hidden or manifest persistent or transient focal symptoms.
Discirculatory encephalopathy 2 degrees. Symptoms
At the first stage of the disease, clinical symptoms manifest themselves on the principle of neurasthenia, subsequently a neuropsychic defect begins to progress, accompanied by a disturbance in memory, drives, motivations, emotions. Patients often note distracted attention, fatigue, memory loss. Headache, fatigue, as well as some objective signs of organic damage to the brain that can be detected with a special study are a sign that stage 2 progressive discirculatory encephalopathy is occurring. Treatment at this stage should be started immediately. It is noteworthy that at this stage the patient’s assessment of his performance does not coincide with the assessment of his colleagues. Asthenic syndrome may well regress when the situation changes at home or at work and with prolonged rest. The treatment of this disease depends on the location of the foci and the severity of the disease.
Discirculatory encephalopathy 2 degrees. Treatment.
At the heart of the treatment of discirculatory encephalopathy is hypotensive therapy, designed to slow the progression of the disease and prevent the development of complications. As a treatment for this complex disease, antiplatelet agents, nootropic and vasoactive drugs are most often used . Mandatory appointed:
- ACE inhibitors are first-line drugs, they significantly improve the prognosis of patients with severe illness. Such drugs include enalapril, captopril, perindopril.
- Calcium antagonists. As a rule, sustained-release drugs are prescribed, which are taken once a day. These include diphenylalkylamines (verapamil), dihydropyridines (nifedipine, nimodipine), benzodiazepines (diltiazem).
- Diuretics. Appointed in most cases, are divided into potassium-sparing, thiazide, loop.
Degree of circulatory encephalopathy of the 2nd degree (treatment, which must necessarily include therapy that improves the process of vascular metabolism) often gives relapses. To avoid them, cynarizine, vinpocetine, metamax, actovegin are most often used. Often, physiotherapy, reflexology, balneotherapy are added to such treatment. With a rapid increase in cognitive impairment and neurological deficits, the patient is shown surgical treatment.
Discirculatory encephalopathy 2 degrees. Treatment and diagnosis.
For grade 2 dyscirculatory encephalopathy, latent, mild symptoms are typical, which subsequently begin to prevail in clinical symptoms with a prevailing neuropsychic defect. At this moment, the patient may not show enough critical attitude towards himself and his behavior, and also there is a reassessment of his actions and state of performance. Grade 3 dyscirculatory encephalopathy may already have pronounced symptoms of increasing dementia, parkinsonism, and ataxia. At the very beginning, a neuropsychological defect can be detected in a special study, but with a progressive disease, the patient has to change jobs, change living conditions and think about a disability group.