Document Type : Original Article


Department of Neurology and Reflexology, Institute of Family Medicine, Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine


BACKGROUND: Modern research today proves an increase in the incidence of ischemic stroke.
Risk factors for vascular disease have become more common among young people. Clinical studies
have shown that hypertension, dyslipidemia, and diabetes are traditional risk factors among the
elderly. The aim of the study was to improve diagnostic approaches to cerebrovascular disorders
in patients with hypertensive encephalopathy (НE) by clarifying the development of pathogenesis
mechanisms, based on a comprehensive clinical study.
MATERIALS AND METHODS: This qualitative study was carried by clinical and neurological
examination; neuropsychological examination (Mini‑Mental State Examination, abbreviated
multifactorial personality questionnaire, Beck depression scale, Spielberger scale).
RESULTS: The study was examined 351 patients (150 men, 201 women) with НE in hypertension of
2 degrees. The clinical examination was performed according to a two‑stage method, which involves
the establishment or exclusion of symptomatic hypertension. The study did not include patients with
secondary hypertension, diabetes mellitus, cardiac arrhythmias, and conduction disorders, heart
failure who suffered from acute cerebrovascular accident and myocardial infarction.
CONCLUSION: The necessity of obligatory examination by a neurologist of patients with arterial
hypertension for detection of manifestations of НE with the use of modern research methods, which
allows to prevent damage to target organs, and first of all – brain damage, has been proved.


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