Vol XXXV, No 3-4 (2003)

Among the variety of different types of headaches, the leading place (more than 80%) belongs to tension-type headache (THT), the frequency of which in the population ranges from 32 to 64%. Treatment of HDN is a rather difficult task. This is primarily due to the need to carefully consider all the mechanisms of the development of the pathological process in various types of HDN, as well as additional factors (cervicogenic, myofascial, psychoalgic, etc.) leading to the onset of pain.

Obesity is a heterogeneous disease of the body, characterized by a complex of metabolic disorders, the main manifestation of which is excessive deposition of fat in the subcutaneous tissue and tissues due to metabolic disorders.

Diabetic polyneuropathy is currently one of the most urgent problems in neuroendocrinology. The objective of this study was to study the clinical and neurophysiological (according to the methods of electroneuromyography and somatosensory evoked potentials) manifestations of diabetic polyneuropathy in residents of the Komi Republic.

Acute cerebrovascular accident (ACV) is a major medical and social problem. Mortality in the acute period of stroke in Russia reaches 35%, increasing by 12-15% by the end of the first year after a stroke (MI). Post-stroke disability ranks first among all causes of disability. One third of stroke survivors are of working age.

Degenerative-dystrophic lesions in the lumbar spine are most pronounced at the age of 20 to 70 years and are one of the most common causes of temporary disability and often disability of the patient. Herniated intervertebral discs are the most severe manifestations of osteochondrosis of the spine. Radiation diagnostic methods and magnetic resonance imaging (MRI) are of great importance in recognizing herniated intervertebral discs. The advantages of MRI are non-invasiveness, the complete absence of radiation exposure, the possibility of obtaining a multiplanar image, unsurpassed contrast of soft tissues, the absence of artefacts from bone tissues, etc.

Vasily Petrovich Andreev was born on July 18 (31), 1903 in the city of Simbirsk in a large family of an employee. The parents had 13 children, among whom Vasily stood out for his extremely poor health. At the age of 10, he was suspected of having a stomach ulcer, and somewhat later, intestinal tuberculosis. General lethargy, weakness, pain in the abdominal region, the need for regular dieting did not give him the opportunity to participate in outdoor games with other guys for a long time. Physical weakness forced Vasily to rest for 1-2 hours during the day after school. Conflict-free, evenness in communication allowed him to easily get along with different people. He read a lot, studied well at school, however, he did not have any favorite subjects.

Basic epidemiologic indices of cerebrovascular diseases in the Republic of Tatarstan have been analyzed. There has been shown a tendency for increasing the cerebral insult indices of disease, invalidization and death. The main medical causes, enfluencing negatively on the dynamics of these indices in the Republic of Tatarstan and in Russia as a whole, have been discussed. A practical decision of this medical and social problem can be possible only under the guidance of the republican service for fighting a cerebral insult, which should be certainly formed in the Republic of Tatarstan.

Monitoring of contents of antibodies to deoxyribonucleic acid in cerebrospinal fluid and in blood serum at dynamics of acute ischemic insult has been done. It was noticed a reliable increase of antibody level to deoxyribonucleic acid during the first 24 hours of cerebral ischemia both in the blood serum and in the cerebrospinal fluid. Increase is shown untill the 10^th day, and then there is a decrease. It should be noted that the higher antibody levelis — the more neurology deficit is expressed and the prognosis is worse. The performed clinical and immunologic study confirmed a role of autoimmune reactions and caused by them a local inflammation in pathogenesis of ischemic insult and infarction alterations formations in the brain tissue.

The present paper studied the effect of an early complex methodology of restorative treatment of patients with acute lesion of cerebral circulation on rehabilitation of motor functions and vital activity with the help of modern evaluation scales. The analysis of rehabilitation results showed a reliable improvement in restoration of motor functions and vital activity in these patients. An algorythm of planning of restorative treatment has been suggested

Some data on the central nervous system primary tumor incidence from 1991 to 2000 have been given. Social and hygienic characteristics of patients with primary tumors of brain and of spinal cord were presented. In the structure of neoplasms the tumors of low level anaplasia were prevailing. Correlation of diagnosis and of treatment of this pathology to modem facilities has been analysed. There was made a conclusion that patients got a specialized treatment at late stages of the disease. Early diagnosis and introducing modern methods of a complex treatment of a pathologic process will make possible to improve therapentic results in neorooncologic patients.

For the first time a pathogenesis of restless legs syndrome has been viewed from the positions of a systematic pathology of the nervous system — disaccordance of motion formation programme in the central nervous system and in peripheric agents activity under the conditions of a latent myofascial trigger point of musculus gastrocnemius. An actual peripheric factor — myofascial trigger point — is an initiating and a maintaining chain in the genesis of restless legs syndrome. Development of a typical picture of restless legs syndrome occurs in the conditions of a minimal dysfunction in mesodiencephalic part of cerebrum — formation of generators of pathologically increased excitement at different levels of a motion formation system.

The first stroke in women and men occurs at different times and proceeds differently. A group of Spanish scientists, who observed more than 1.5 thousand patients, revealed a number of features of acute cerebrovascular accident due to sex.

Resistance to the development of depression during difficult periods of life may be a manifestation of the manifestation of the 5-HTT gene, which detects the transport of serotonin in the brain. A person can have two versions of the 5-HTT gene - long and short.

The presence of symptoms of depression or anxiety disorders was studied in 91 patients complaining of dizziness. It was found that the assessment of the level of emotional resistance to diseases is very important, regardless of the indicators of the clinical examination and their subjective perception of the natural state.