Cerebrometabolic health: cognitive impairments and methods of their correction

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Resumo

The risk of cognitive impairments (CI) in patients suffering from cerebrovascular diseases (CVD) significantly increases in the presence of comorbid pathologies. The influence of carbohydrate metabolism disorders at the formation of CI has been studied the best, but obesity and thyroid dysfunction have recently been considered to be coequally important risk factors. The article describes the pathophysiological mechanisms leading to decrease of cognitive functions in patients with such common pathological conditions as obesity, diabetes mellitus and dysthyroidism. Understanding the stages of CI development in patients with CVD in the presence of metabolic disorders is the basis for the development of personalized strategies for their correction. An analysis of scientific publications devoted to neuroprotection is presented. A description of our own clinical experience in the treatment of cognitive dysfunction in CVD comorbid patients is given.

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Sobre autores

Olga Lagoda

Scientific Center of Neurology

Email: olga.lagoda@gmail.com
ORCID ID: 0000-0001-7562-4991
Código SPIN: 1789-4735

MD, PhD (Medicine), neurologist, senior researcher at the 1st Neurological Department

Rússia, 125367, Moscow, 80 Volokolamskoe Highway

Ksenia Antonova

Scientific Center of Neurology

Autor responsável pela correspondência
Email: kseniya.antonova@mail.ru
ORCID ID: 0000-0003-2373-2231
Código SPIN: 7737-4712

MD, Dr. Sci. (Medicine), endocrinologist, leading researcher at the 1st Neurological Department

Rússia, 125367, Moscow, 80 Volokolamskoe Highway

Tatyana Shishkina

Scientific Center of Neurology

Email: Shishkina.T.S@neurology.ru
ORCID ID: 0009-0001-1934-9902

1st year postgraduate student, neurologist

Rússia, 125367, Moscow, 80 Volokolamskoe Highway

Nikita Spryshkov

Scientific Center of Neurology

Email: nikita_spryshkov@mail.ru
ORCID ID: 0000-0002-2934-5462
Código SPIN: 4604-7589

MD, 1st year postgraduate student, neurologist

Rússia, 125367, Moscow, 80 Volokolamskoe Highway

Marine Tanashyan

Scientific Center of Neurology

Email: mtanashyan@neurology.ru
ORCID ID: 0000-0002-5883-8119
Código SPIN: 7191-1163

MD, Dr. Sci. (Medicine), professor, corresponding member of RAS, deputy director for scientific work, head of the 1st Neurological Department

Rússia, 125367, Moscow, 80 Volokolamskoe Highway

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2. Fig. 1. Mechanisms of influence of obesity on cognitive functions*

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