105 research outputs found

    Genetic determinants of resistance to hypoxia as one of the success factors in martial arts

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    Objective: to study the genetic selection of the EPAS1 gene (G/А, rsl867785) in a group of athletes involved in Greco-Roman wrestling with different levels of sportsmanship. Materials and methods: the genetic examination of 79 male athletes (from 7 to 25 years old) involved in Greco-Roman wrestling and 92 controls (from 7 to 30 years old) was performed. Results: the frequency of A-allele associated with better adaptation to hypoxic conditions was higher in the group of wrestlers (EPAS1*GG - 27.8% EPAS1*AG - 67.1% and EPAS1*AA - 5.1% against EPAS1*GG - 56.5% EPAS1*AG - 35.9% and EPAS1 *AA - 7.6 %. x2 = 16.7 p = 0.0002). The frequency of A-allele carriers increased with increasing level of sportsmanship of studied athletes. The increase in the frequency of minor A-allele in the subgroup of Greco-Roman wrestlers testifies to their advantage in comparison with the carriers of G-allele. Conclusions: G/A-polymorphism of the EPAS1 gene can be used in the selection and prediction of sports success in Greco-Roman wrestling

    Influence of the transferred coronavirus infection on diseases of the endocrine system in athletes

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    Purpose: to study the effect of the transferred viral (on the example of COVID‑19) infection on the endocrine system of athletes.Materials and methods: the data of 1114 athletes (average age 22.23 Β± 4.18 years) who underwent in‑depth medical examination in the period 2021–2022 were analyzed. The examination included an analysis of sports and infectious anamnesis, the results of hormonal, biochemical and instrumental studies.Results: coronavirus infection was suffered by the majority of athletes β€” 724 people (65 %) β€” in the vast majority of cases (91 %), their disease was asymptomatic or mild. 390 athletes (35 %) had no history of infection. There was a significant increase in the incidence of hypothyroidism, thyrotoxicosis, insulin‑dependent diabetes mellitus, autoimmune thyroiditis among athletes who had a coronavirus infection when compared with athletes who were not ill. The development of endocrine diseases did not depend on the severity of the infection and was most often detected with its mild and asymptomatic course. During the examination, six cases of newly diagnosed type 1 diabetes mellitus and eight cases of thyrotoxicosis were detected among athletes who had a coronavirus infection. The development of these conditions did not depend on the severity of the infection. At the same time, only 1 case of thyrotoxicosis was registered in athletes who were not ill, no new cases of type 1 diabetes mellitus were diagnosed. In the present study, no association was found between the transmitted coronavirus infection and an increase in the number of cases of nodular goiter, hyperprolactinemia and type 2 diabetes mellitus.Conclusion: the results of the study showed that in the long‑term period after COVID‑19, autoimmune endocrine diseases, such as primary hypothyroidism, diffuse‑toxic goiter with thyrotoxicosis, autoimmune thyroiditis, type 1 diabetes mellitus, were significantly more often manifested in athletes, which is probably associated with a cross‑lesion of autoimmunity against a background of viral infection

    A Markovian event-based framework for stochastic spiking neural networks

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    In spiking neural networks, the information is conveyed by the spike times, that depend on the intrinsic dynamics of each neuron, the input they receive and on the connections between neurons. In this article we study the Markovian nature of the sequence of spike times in stochastic neural networks, and in particular the ability to deduce from a spike train the next spike time, and therefore produce a description of the network activity only based on the spike times regardless of the membrane potential process. To study this question in a rigorous manner, we introduce and study an event-based description of networks of noisy integrate-and-fire neurons, i.e. that is based on the computation of the spike times. We show that the firing times of the neurons in the networks constitute a Markov chain, whose transition probability is related to the probability distribution of the interspike interval of the neurons in the network. In the cases where the Markovian model can be developed, the transition probability is explicitly derived in such classical cases of neural networks as the linear integrate-and-fire neuron models with excitatory and inhibitory interactions, for different types of synapses, possibly featuring noisy synaptic integration, transmission delays and absolute and relative refractory period. This covers most of the cases that have been investigated in the event-based description of spiking deterministic neural networks

    Ultrasound case of solid pseudopapillary tumor of the pancreas

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    The clinical case of a rare pancreatic tumor in a 8-year-old child with hypoglycemia (decrease in blood sugar to 1,5 mmol/l) is presented. A sonographic picture of the solid pseudopapillary tumor of the pancreas is shown. The capability of ultrasound investigation in differential diagnostics of small-size neoplasms at early stages is pointed out. The role of the Doppler's effect with color mapping in visualization of the pancreatic vascular pattern normality and at the verification of pancreatic pathological mass is described. Histological examination which identifies the cellular structure forms solid and pseudopapillary images

    Π₯роничСская обструктивная болСзнь Π»Π΅Π³ΠΊΠΈΡ… ΠΈ COVID-19: Π°ΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½Ρ‹Π΅ вопросы

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    The problem of comorbidity of new coronaviral infection (COVID-19) and chronic obstructive pulmonary disease (COPD) is acute, considering similarity of clinical manifestations, diagnostic difficulties, the potential severe disease course. Patients with COPD represent a vulnerable group of infected SARS-CoV-2, with a complicated disease course and frequent adverse outcome. Features of the spread of the virus limit treatment and diagnosis for patients with COPD, making it difficult to provide medical care during the pandemic. The negative results of some clinical studies of antiviral drugs for patients with COVID-19 indicate the need for a search for new drugs; for this reason, analysis of the anti-inflammatory effect on the lungs in infection COVID-19 of drugs of basic COPD therapy is promising.ΠΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹ коморбидности Π½ΠΎΠ²ΠΎΠΉ коронавирусной ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ COVID-19 ΠΈ хроничСской обструктивной Π±ΠΎΠ»Π΅Π·Π½ΠΈ Π»Π΅Π³ΠΊΠΈΡ… (Π₯ΠžΠ‘Π›) обусловлСна ΡΡ…ΠΎΠΆΠ΅ΡΡ‚ΡŒΡŽ клиничСских проявлСний, ΡΠ»ΠΎΠΆΠ½ΠΎΡΡ‚ΡŒΡŽ диагностики, ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Ρ‚ΡΠΆΠ΅ΡΡ‚ΡŒΡŽ тСчСния ΠΈ взаимоотягощСниСм этих ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΉ. Π‘ΠΎΠ»ΡŒΠ½Ρ‹Π΅ Π₯ΠžΠ‘Π›, ΠΈΠ½Ρ„ΠΈΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Π΅ SARS-CoV-2, ΠΏΡ€Π΅Π΄ΡΡ‚Π°Π²Π»ΡΡŽΡ‚ собой ΡƒΡΠ·Π²ΠΈΠΌΡƒΡŽ Π³Ρ€ΡƒΠΏΠΏΡƒ Π»ΠΈΡ† с ослоТнСнным Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ΠΌ ΠΈ часто нСблагоприятным исходом Π±ΠΎΠ»Π΅Π·Π½ΠΈ. ΠžΡΠΎΠ±Π΅Π½Π½ΠΎΡΡ‚ΠΈ распространСния вируса Π½Π°ΠΊΠ»Π°Π΄Ρ‹Π²Π°ΡŽΡ‚ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Π΅ ограничСния Π½Π° многочислСнныС диагностичСскиС ΠΈ Π»Π΅Ρ‡Π΅Π±Π½Ρ‹Π΅ мСроприятия ΠΏΡ€ΠΈ Π₯ΠžΠ‘Π›, затрудняя ΠΎΠΊΠ°Π·Π°Π½ΠΈΠ΅ мСдицинской ΠΏΠΎΠΌΠΎΡ‰ΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌ Π΄Π°Π½Π½ΠΎΠΉ ΠΊΠ°Ρ‚Π΅Π³ΠΎΡ€ΠΈΠΈ Π² ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ ΠΏΠ°Π½Π΄Π΅ΠΌΠΈΠΈ Π½Π° всСх Π΅Π΅ этапах. ΠΠ΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒ поиска Π½ΠΎΠ²Ρ‹Ρ… тСрапСвтичСских Ρ€Π΅ΡˆΠ΅Π½ΠΈΠΉ ΠΏΡ€ΠΎΠ΄ΠΈΠΊΡ‚ΠΎΠ²Π°Π½Π° ΠΎΡ‚Ρ€ΠΈΡ†Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹ΠΌΠΈ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌΠΈ Ρ‚Π΅ΠΊΡƒΡ‰ΠΈΡ… клиничСских исслСдований ΠΏΠΎ ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΡŽ эффСктивности примСнСния ряда ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… COVID-19; пСрспСктивным прСдставляСтся ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ дСйствия Π½Π° SARS-CoV-2 ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² Π±Π°Π·ΠΎΠ²ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π₯ΠžΠ‘Π› с Π΄ΠΎΠΊΠ°Π·Π°Π½Π½Ρ‹ΠΌ ΠΏΡ€ΠΎΡ‚ΠΈΠ²ΠΎΠ²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΌ дСйствиСм Π½Π° Π±Ρ€ΠΎΠ½Ρ…ΠΎΠ»Π΅Π³ΠΎΡ‡Π½ΡƒΡŽ систСму

    Polyurethane–poly(2-hydroxyethyl methacrylate) semi- IPN–nanooxide composites

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    Two sets of hybrid polyurethane–poly(2-hydroxyethyl methacrylate) semi-interpenetrating polymer network–nanooxide composites with 0.25 or 3 wt% nanosilica or nanoalumina functionalised with OH, NH2 or CHLCH2 groups were prepared. A combination of atomic force microscopy, infrared spectroscopy, thermally stimulated depolarisation current measurement, differential scanning calorimetry and creep rate spectroscopy analysis of the nanostructure and properties of the composites was performed. The pronounced dynamic heterogeneity and the strong impact of oxide additives, basically suppression of the dynamics and temperature-dependent increasing modulus of elasticity, were observed. The effects correlated with either interfacial interactions (for silica) or the nanostructure (for alumina). A low oxide content strongly affected the matrix due to the formation of an unusual cross-linked, via double covalent hybridisation of three components, structure of the nanocomposites

    Epidemiological features of primary progressive multiple sclerosis (literature review)

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    Primary-progressive multiple sclerosis (PPMS) is characterized by progressive accuimulation of neurological deficit without exacerbations and remissions. Pathomorphological studies indicate the predominance of neurodegenerative processes over the inflammatory. PPRS points to worse prognosis compared with remitting and secondary-progressive MS. Immunomodulatory treatment and courses of corticosteroids are not effective. There are no genetic and immunological markers of PPRS, so the results of epidemiological studies are very important.ΠŸΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎ-ΠΏΡ€ΠΎΠ³Ρ€Π΅ΡΡΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΉ рассСянный склСроз (ППРБ) характСризуСтся ΠΏΡ€ΠΎΠ³Ρ€Π΅ΡΡΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΌ нарастаниСм нСврологичСского Π΄Π΅Ρ„ΠΈΡ†ΠΈΡ‚Π° с ΠΌΠΎΠΌΠ΅Π½Ρ‚Π° Π΄Π΅Π±ΡŽΡ‚Π° заболСвания, Π±Π΅Π· Ρ‡Π΅Ρ‚ΠΊΠΈΡ… обострСний ΠΈ рСмиссий. ΠŸΠ°Ρ‚ΠΎΠΌΠΎΡ€Ρ„ΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΠΈ Π½Π΅ΠΉΡ€ΠΎΠ΄Π΅Π³Π΅Π½Π΅Ρ€Π°Ρ‚ΠΈΠ²Π½Ρ‹Π΅ процСссы ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°ΡŽΡ‚ Π½Π°Π΄ Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΌΠΈ. ΠŸΡ€ΠΈ ППРБ отмСчаСтся Ρ…ΡƒΠ΄ΡˆΠΈΠΉ ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·, Π² сравнСнии с Ρ€Π΅ΠΌΠΈΡ‚ΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΌ ΠΈ Π²Ρ‚ΠΎΡ€ΠΈΡ‡Π½ΠΎ-ΠΏΡ€ΠΎΠ³Ρ€Π΅ΡΡΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΌ PC, извСстныС ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Ρ‹, ΠΈΠ·ΠΌΠ΅Π½ΡΡŽΡ‰ΠΈΠ΅ Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ рассСянного склСроза (ПИВРБ) ΠΈ курсы кортикостСроидов Π½Π΅ эффСктивны. Π”ΠΎ сих ΠΏΠΎΡ€ Π½Π΅ сущСствуСт гСнСтичСских ΠΈ иммунологичСских ΠΌΠ°Ρ€ΠΊΠ΅Ρ€ΠΎΠ² ППРБ, Π² связи с Ρ‡Π΅ΠΌ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ эпидСмиологичСских исслСдований ΠΈΠΌΠ΅ΡŽΡ‚ Π²Π°ΠΆΠ½ΠΎΠ΅ Π½Π°ΡƒΡ‡Π½ΠΎΠ΅ Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅

    What is the frequency of occurrence of preeclampsia and eclampsia in Perm region

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    The article presents an analysis of the official statistical data on the morbidity of preeclampsia and eclampsia for the period from 2006 to 2016 in the Perm region in comparison with the data of the Russian Federation and the Volga Federal district. The obtained results show a multidirectional tendency of morbidity in different regions of the Russian Federation according to data of outpatient and inpatient departments. Thus, according to data of maternity hospitals in the Russian Federation in 2016 the morbidity of preeclampsia and eclampsia was 32.25 per 1,000 births. This morbidity rate remains relatively stable in the Russian Federation and the Volga Federal district for the period from 2007 to 2016. At the same time in the Perm region it has a tendency to increase while in Perm it decreases (decrease 19%). Based on the results of the analysis, the effectiveness of implementation of modern orders and clinical guidelines is shown.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ прСдставлСн Π°Π½Π°Π»ΠΈΠ· ΠΎΡ„ΠΈΡ†ΠΈΠ°Π»ΡŒΠ½Ρ‹Ρ… статистичСских Π΄Π°Π½Π½Ρ‹Ρ… заболСваСмости прСэклампсиСй ΠΈ эклампсиСй Π·Π° ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ с 2006 ΠΏΠΎ 2016 Π³. ΠΏΠΎ ΠŸΠ΅Ρ€ΠΌΡΠΊΠΎΠΌΡƒ ΠΊΡ€Π°ΡŽ Π² сравнСнии с показатСлями ΠΏΠΎ российской Π€Π΅Π΄Π΅Ρ€Π°Ρ†ΠΈΠΈ ΠΈ ΠŸΡ€ΠΈΠ²ΠΎΠ»ΠΆΡΠΊΠΎΠΌΡƒ Π€Π΅Π΄Π΅Ρ€Π°Π»ΡŒΠ½ΠΎΠΌΡƒ ΠΎΠΊΡ€ΡƒΠ³Ρƒ. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΏΠΎΠΊΠ°Π·Ρ‹Π²Π°ΡŽΡ‚ Ρ€Π°Π·Π½ΠΎΠ½Π°ΠΏΡ€Π°Π²Π»Π΅Π½Π½ΡƒΡŽ Ρ‚Π΅Π½Π΄Π΅Π½Ρ†ΠΈΡŽ заболСваСмости Π² Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… ΡΡƒΠ±ΡŠΠ΅ΠΊΡ‚Π°Ρ… Π Π€ ΠΏΠΎ Π΄Π°Π½Π½Ρ‹ΠΌ Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎΠ³ΠΎ, Ρ‚Π°ΠΊ ΠΈ стационарного Π·Π²Π΅Π½Π°. Ρ‚Π°ΠΊ, Π² 2016 Π³. ΠΏΠΎ свСдСниям Π°ΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΈΡ… стационаров Π² Российской Π€Π΅Π΄Π΅Ρ€Π°Ρ†ΠΈΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡ‚ΡŒ прСэклампсиСй ΠΈ эклампсиСй составила 32,3 Π½Π° 1000 Ρ€ΠΎΠ΄ΠΎΠ². Π—Π° ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ 2007-2016 Π³Π³. Π΄Π°Π½Π½Ρ‹ΠΉ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΡŒ ΠΏΠΎ российской Π€Π΅Π΄Π΅Ρ€Π°Ρ†ΠΈΠΈ ΠΈ ΠŸΡ€ΠΈΠ²ΠΎΠ»ΠΆΡΠΊΠΎΠΌΡƒ Π€Π΅Π΄Π΅Ρ€Π°Π»ΡŒΠ½ΠΎΠΌΡƒ ΠΎΠΊΡ€ΡƒΠ³Ρƒ остаСтся ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ ΡΡ‚Π°Π±ΠΈΠ»ΡŒΠ½Ρ‹ΠΌ. Π’ это ΠΆΠ΅ врСмя ΠΏΠΎ ΠŸΠ΅Ρ€ΠΌΡΠΊΠΎΠΌΡƒ ΠΊΡ€Π°ΡŽ ΠΎΠ½ ΠΈΠΌΠ΅Π΅Ρ‚ Ρ‚Π΅Π½Π΄Π΅Π½Ρ†ΠΈΡŽ ΠΊ росту, Π° Π² Π³. ΠŸΠ΅Ρ€ΠΌΡŒ прогрСссивно сниТаСтся (ΡƒΠ±Ρ‹Π»ΡŒ 19%). По Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌ Π°Π½Π°Π»ΠΈΠ·Π° ΠΏΠΎΠΊΠ°Π·Π°Π½Π° ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ внСдрСния соврСмСнных порядков ΠΈ клиничСских Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°Ρ†ΠΈΠΉ

    The young active star SAO 51891 (V383 Lac)

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    Our aim is investigating surface inhomogeneities of the young late-type star SAO51891, from photosphere to upper chromosphere, analyzing contemporaneous high-resolution spectra and broad-band photometry. The FOCES@CAHA spectral range is used to determine spectral classification and derive vsini and Vrad. The Li abundance is measured to estimate the age. The BVRIJHKs bands are used to construct the SED. The variations of our BV fluxes and Teff are used to infer the presence of photospheric spots and observe their behavior over time. The chromospheric activity is studied applying the spectral subtraction technique to Halpha, CaII H&K, Heps, and CaII IRT lines. We find SAO51891 to be a young K0-1V star with Li abundance close to the Pleiades upper envelope, confirming its youth (~100 Myr), also inferred from its kinematical membership to the Local Association. We detect no IR excess from SED analysis, and rotational modulation of luminosity, Teff, CaII, and Heps total fluxes. A spot model with two active regions, ~240 K cooler than the surrounding photosphere, fits our light/Teff curves, and reproduces the small-amplitude Vrad variations. The anti-correlation of light curves and chromospheric diagnostics indicates plages spatially associated with spots. The large amplitude observed in the Heps-flux curve suggests that this line is very sensitive to the plage presence. Finally, SAO51891 is a young active star, lacking significant amounts of circumstellar dust or any evidence for low mass companions. The spots turn out to be larger and warmer than those in less active MS stars. The Vrad variation produced by spots has an amplitude comparable with those induced by Jupiter-mass planets orbiting close to the star. SAO51891 is a good example of star where the detection of planets may be hampered by the high activity level.Comment: 16 pages, 12 figures, 7 tables, accepted by Astronomy and Astrophysics; abstract here was shortene

    Bale's concentric sclerosis (clinical cases)

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    The Balo's concentric sclerosis (BCS) is a rare form of multiple sclerosis (MS), characterized by the formation in the white matter of the brain concentric foci of demyelination by type of β€œannual rings at the end of the tree" with alternating layers of remyelination and demyelination. Modern diagnosis of the disease based on MRI with intravenous contrast. Clinical cases confirm the similarity of the clinical syndromes of Balo's concentric sclerosis and MS, but also demonstrate specific sindromokomplex. The onset of the disease was characterized by the predominance pronounced cognitive impairment with speech disorders by type total motor or sensory, amnestic aphasia with impaired praxis and visual gnosis, acalculia, in one case with psychotic disorders in the form of irritability, aggression, high levels of anxiety. At the onset of disease was noticed in all cases cephalgic syndrome without change in the CSF and the relationship with stress. The pyramidal syndrome and cerebellar dysfunction were of low severity and regressed on the background of SCS therapy. Pulse therapy with steroids made it possible to achieve not only stabilize, but also positive dynamics in clinical symptoms and MRI picture.ΠšΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€ΠΈΡ‡Π΅ΡΠΊΠΈΠΉ склСроз Π‘Π°Π»ΠΎ (ΠšΠ‘Π‘) - рСдкая Ρ„ΠΎΡ€ΠΌΠ° рассСянного склСроза (PC), Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΡƒΡŽΡ‰Π°ΡΡΡ Ρ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Π² Π±Π΅Π»ΠΎΠΌ вСщСствС Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠ³ΠΎ ΠΌΠΎΠ·Π³Π° концСнтричСских ΠΎΡ‡Π°Π³ΠΎΠ² Π΄Π΅ΠΌΠΈΠ΅Π»ΠΈΠ½ΠΈΠ·Π°Ρ†ΠΈΠΈ ΠΏΠΎ Ρ‚ΠΈΠΏΡƒ Β«Π³ΠΎΠ΄ΠΈΡ‡Π½Ρ‹Ρ… ΠΊΠΎΠ»Π΅Ρ† Π½Π° спилС Π΄Π΅Ρ€Π΅Π²Π°Β» с Ρ‡Π΅Ρ€Π΅Π΄ΡƒΡŽΡ‰ΠΈΠΌΠΈΡΡ слоями Ρ€Π΅ΠΌΠΈΠ΅Π»ΠΈΠ½ΠΈΠ·Π°Ρ†ΠΈΠΈ ΠΈ Π΄Π΅ΠΌΠΈΠ΅Π»ΠΈΠ½ΠΈΠ·Π°Ρ†ΠΈΠΈ. БоврСмСнная диагностика заболСвания основана Π½Π° MPT- исслСдовании с Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ΠΌ контраста. ΠŸΡ€ΠΈΠ²Π΅Π΄Π΅Π½Π½Ρ‹Π΅ Π² ΡΡ‚Π°Ρ‚ΡŒΠ΅ клиничСскиС наблюдСния ΠΏΠΎΠ΄Ρ‚Π²Π΅Ρ€ΠΆΠ΄Π°ΡŽΡ‚ ΡΡ…ΠΎΠΆΠ΅ΡΡ‚ΡŒ клиничСских синдромов ΠΏΡ€ΠΈ концСнтричСском склСрозС Π‘Π°Π»ΠΎ ΠΈ PC, Π½ΠΎ Π΄Π΅ΠΌΠΎΠ½ΡΡ‚Ρ€ΠΈΡ€ΡƒΡŽΡ‚ ΠΈ спСцифичСскиС синдромокомплСксы. Начало заболСвания Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΠΎΠ²Π°Π»ΠΎΡΡŒ ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΠ΅ΠΌ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½Ρ‹Ρ… ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ с Ρ€Π΅Ρ‡Π΅Π²Ρ‹ΠΌΠΈ расстройствами ΠΏΠΎ Ρ‚ΠΈΠΏΡƒ Ρ‚ΠΎΡ‚Π°Π»ΡŒΠ½ΠΎΠΉ ΠΌΠΎΡ‚ΠΎΡ€Π½ΠΎΠΉ ΠΈΠ»ΠΈ сСнсорной, амнСстичСской Π°Ρ„Π°Π·ΠΈΠΈ с Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠ΅ΠΌ праксиса ΠΈ Π·Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ гнозиса, Π°ΠΊΠ°Π»ΡŒΠΊΡƒΠ»ΠΈΠΈ, Π² ΠΎΠ΄Π½ΠΎΠΌ случаС с психотичСскими Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡΠΌΠΈ Π² Π²ΠΈΠ΄Π΅ Ρ€Π°Π·Π΄Ρ€Π°ΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ, агрСссии с высоким ΡƒΡ€ΠΎΠ²Π½Π΅ΠΌ трСвоТности. Π’ Π΄Π΅Π± Ρ‚Π΅ заболСвания Π²ΠΎ всСх случаях ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½ цСфалгичСский синдром Π±Π΅Π· ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ Π² Π‘ΠœΠ– ΠΈ связь со стрСссом. Π‘ΠΈΠ½Π΄Ρ€ΠΎΠΌΡ‹ ΠΏΠΈΡ€Π°ΠΌΠΈΠ΄Π½ΠΎΠΉ нСдостаточности ΠΈ ΠΌΠΎΠ·ΠΆΠ΅Ρ‡ΠΊΠΎΠ²ΠΎΠΉ дисфункции ΠΈΠΌΠ΅Π»ΠΈ ΠΌΠ°Π»ΡƒΡŽ ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒ выраТСнности ΠΈ рСгрСссировали Π½Π° Ρ„ΠΎΠ½Π΅ Π“ΠšΠ‘ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ. ΠŸΡƒΠ»ΡŒΡ-тСрапия стСроидами позволяла Π΄ΠΎΡΡ‚ΠΈΡ‡ΡŒ Π½Π΅ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ стабилизации состояния, Π½ΠΎ ΠΈ ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠΈ, ΠΊΠ°ΠΊ Π² клиничСской симптоматикС, Ρ‚Π°ΠΊ ΠΏΠΎ МРВ-ΠΊΠ°Ρ€Ρ‚ΠΈΠ½Π΅
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