Chronic cerebral circulatory insufficiency: A clinical case report

• Main Authors: V V Zakharov, N V Vakhnina, D O Gromova, A V Tarapovskaya
• Format: Article
• Language: Russian
• Published: "Consilium Medicum" Publishing house 2016-04-01
• Series: Терапевтический архив
• Subjects: chronic brain ischemia; dyscirculatory encephalopathy; vascular cognitive impairments
• Online Access: https://ter-arkhiv.ru/0040-3660/article/viewFile/31995/pdf

Chronic cerebral circulatory insufficiency (CCCI) is a result of cerebral microangiopathy, most commonly due to uncontrolled hypertension. In this case, the brain is affected due to recurrent silent infarcts and/or microbleedings without clinical manifestations of stroke and chronic brain ischemia. Progressive cognitive impairments with a preponderance of inadequate attention and lower rates of cognitive performance, with impaired planning and control abilities in relative preservation of memory serve as the main manifestation of chronic progressive non-stroke vascular lesion in the brain. The above impairments are generally associated with emotional changes as affective lability and depression. The paper gives an account of a characteristic clinical case of CCCI, analyzes the mechanisms for the development of neurological symptoms, and sets forth current approaches to managing these patients.