12 research outputs found

    ΠšΠ°ΡΠΊΠ°Π΄Π½Ρ‹ΠΉ синтСз ΠΏΡ€ΠΎΠΈΠ·Π²ΠΎΠ΄Π½Ρ‹Ρ… 2-Π°Π·Π°Ρ„Π»ΡƒΠΎΡ€Π΅Π½Π°, Π°Π·ΠΎΡ†ΠΈΠ½Π° ΠΈ Π°Π·Π°Π±ΠΈΡ†ΠΈΠΊΠ»ΠΎΠ½ΠΎΠ½Π°Π½Π° взаимодСйствиСм Π°ΠΊΡ‚ΠΈΠ²ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… Π°Ρ†Π΅Ρ‚ΠΈΠ»Π΅Π½ΠΎΠ² с Π½Π΅ΠΊΠΎΡ‚ΠΎΡ€Ρ‹ΠΌΠΈ Ξ²-Π°ΠΌΠΈΠ½ΠΎΠΊΠ΅Ρ‚ΠΎΠ½Π°ΠΌΠΈ

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    Mannich double bases, obtained on the basis of Ξ±-indanone Ξ±-tetralone, contain bis-Ξ²-aminoketyl grouping and are promising targets for the synthesis of azahetorocyclic compounds through their interaction with methyl ethers of acetylenedicarboxylic (DMAD) and acetylene monocarboxylic acids (MAC). The set of compounds formed depends on the structure and type of activated acetylene. The reaction begins with an DMAD or MAC attack on the tertiary nitrogen of the Mannich base with the formation of a 1,3-zwitter-ion. Next the domino reaction comes, the driving force of which is the neutralization of nitrogen through the formation and/or breaking of a number of C-C bonds. In 1,3-zwitter-ion, formed from the indanon base and DMAD, its negative pole is attacked by the carbonyl group of the indane component. The following domino-reaction leads to the formation of 3,4-di(methoxycarbonyl)-2-methyl-1,2-dihydro-9 H -indeno[2,1- c ]pyridine. The use of the MAC for the same Mannich base creates conditions for the flow of 1,3-sigmatropic rearrangement. In the intermediate structure, the nitrogen is neutralized, and the negative charge apparently moves to the oxygen of the carbonyl group. Next, an aldol-crotonic interaction with the second Ξ²-aminocarbonyl fragment occurs and methyl-5-methyl-1,2,5,6tetrahydro-7 H -spiro[indeno[2,1- c ]azocine-1,2'-indane]-1'-on-3-carboxylate is formed. LC-MS in both reaction mixtures detected another direction of the reaction - the formation of linear enamines due to the intramolecular shift of the proton from the indane fragment to the C-anion center in the 1,3-zwitterion with simultaneous cleavage of one 2- methylindan group. This line of reaction was realized for the foundation of Mannich. Enamines methyl-3-[ N -methyl- N -(1,2,3,4-tetrahydronaphthalen-1-on-2-yl)methyl]acrylate and dimethyl-2-[ N methyl- N -(1,2,3,4-tetrahydronaphthalen-1-on-2-yl)methyl]maleate were isolated and characterized. The formation of 1-azabicyclo[3.3.1]nonans from the Mannich bases described earlier by us was reproduced. With a more thorough analysis of the composition of the reaction mixture, the products of elimination of one alkylaryl group from the intermediate zwitterion were isolated. The presence of linear enamines dimethyl-1-[ N -methyl- N (2-benzoyl)ethyl-1-amino]maleate and dimethyl-1-[ N -methyl- N -(2-thienoyl-2)ethyl-1-amino]maleate in the reaction mixture allowed us to suggest the ease of retro-aldol transformation of 3-aroylpiperidols as a necessary stage for the formation of linear enamines. Testing of all newly synthesized compounds in the PASS Internet system demonstrates a variety of potential biological activity with a probability of 65-80%.Π”Π²ΠΎΠΉΠ½Ρ‹Π΅ основания ΠœΠ°Π½Π½ΠΈΡ…Π°, ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Π½Π° основС Ξ±-ΠΈΠ½Π΄Π°Π½ΠΎΠ½Π° ΠΈ Ξ±-Ρ‚Π΅Ρ‚Ρ€Π°Π»ΠΎΠ½Π°, содСрТат бис-Ξ²Π°ΠΌΠΈΠ½ΠΎΠΊΠ΅Ρ‚ΠΎΠ½Π½ΡƒΡŽ Π³Ρ€ΡƒΠΏΠΏΠΈΡ€ΠΎΠ²ΠΊΡƒ ΡΠ²Π»ΡΡŽΡ‚ΡΡ пСрспСктивными ΠΎΠ±ΡŠΠ΅ΠΊΡ‚Π°ΠΌΠΈ для синтСза азагСтороцикличСских соСдинСний Ρ‡Π΅Ρ€Π΅Π· взаимодСйствиС ΠΈΡ… с ΠΌΠ΅Ρ‚ΠΈΠ»ΠΎΠ²Ρ‹ΠΌΠΈ эфирами Π°Ρ†Π΅Ρ‚ΠΈΠ»Π΅Π½Π΄ΠΈΠΊΠ°Ρ€Π±ΠΎΠ½ΠΎΠ²ΠΎΠΉ (ΠΠ”ΠšΠ­) ΠΈ Π°Ρ†Π΅Ρ‚ΠΈΠ»Π΅Π½ΠΌΠΎΠ½ΠΎΠΊΠ°Ρ€Π±ΠΎΠ½ΠΎΠ²ΠΎΠΉ кислот (АМКЭ). Набор ΠΎΠ±Ρ€Π°Π·ΡƒΡŽΡ‰ΠΈΡ…ΡΡ соСдинСний зависит ΠΎΡ‚ структуры ΠΈ Ρ‚ΠΈΠΏΠ° Π°ΠΊΡ‚ΠΈΠ²ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ Π°Ρ†Π΅Ρ‚ΠΈΠ»Π΅Π½Π°. РСакция начинаСтся с Π°Ρ‚Π°ΠΊΠΈ ΠΠ”ΠšΠ­ ΠΈΠ»ΠΈ АМКЭ Π½Π° Ρ‚Ρ€Π΅Ρ‚ΠΈΡ‡Π½Ρ‹ΠΉ Π°Π·ΠΎΡ‚ основания ΠœΠ°Π½Π½ΠΈΡ…Π° с ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ 1,3-Ρ†Π²ΠΈΡ‚Ρ‚Π΅Ρ€-ΠΈΠΎΠ½Π°. Π”Π°Π»Π΅Π΅ происходит Π΄ΠΎΠΌΠΈΠ½ΠΎ-рСакция, Π΄Π²ΠΈΠΆΡƒΡ‰Π΅ΠΉ силой ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΉ являСтся нСйтрализация Π°Π·ΠΎΡ‚Π° ΠΏΡƒΡ‚Π΅ΠΌ образования ΠΈ/ΠΈΠ»ΠΈ Ρ€Π°Π·Ρ€Ρ‹Π²Π° ряда Π‘-Π‘ связСй. Π’ 1,3-Ρ†Π²ΠΈΡ‚Ρ‚Π΅Ρ€-ΠΈΠΎΠ½Π΅ ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½Π½ΠΎΠΌ ΠΈΠ· ΠΈΠ½Π΄Π°Π½ΠΎΠ½ΠΎΠ²ΠΎΠ³ΠΎ основания ΠΈ ΠΠ”ΠšΠ­ происходит Π°Ρ‚Π°ΠΊΠ° Π΅Π³ΠΎ ΠΎΡ‚Ρ€ΠΈΡ†Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ полюса Π½Π° ΠΊΠ°Ρ€Π±ΠΎΠ½ΠΈΠ»ΡŒΠ½ΡƒΡŽ Π³Ρ€ΡƒΠΏΠΏΡƒ ΠΈΠ½Π΄Π°Π½ΠΎΠ²ΠΎΠΉ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚Ρ‹. Π‘Π»Π΅Π΄ΡƒΡŽΡ‰Π°Ρ Π·Π° этим Π΄ΠΎΠΌΠΈΠ½ΠΎ-рСакция ΠΏΡ€ΠΈΠ²ΠΎΠ΄ΠΈΡ‚ ΠΊ ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΡŽ 3,4-Π΄ΠΈ(мСтоксикарбонил)-2-ΠΌΠ΅Ρ‚ΠΈΠ»-1,2-Π΄ΠΈΠ³ΠΈΠ΄Ρ€ΠΎ-9 Н -ΠΈΠ½Π΄Π΅Π½ΠΎ[2,1- с ]ΠΏΠΈΡ€ΠΈΠ΄ΠΈΠ½Π°. ИспользованиС АМКЭ для этого ΠΆΠ΅ основания ΠœΠ°Π½Π½ΠΈΡ…Π° создаСт условия для протСкания 1,3-сигматропной ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠΏΠΏΠΈΡ€ΠΎΠ²ΠΊΠΈ. Π’ ΠΏΡ€ΠΎΠΌΠ΅ΠΆΡƒΡ‚ΠΎΡ‡Π½ΠΎΠΉ структурС Π°Π·ΠΎΡ‚ нСйтрализуСтся, Π° ΠΎΡ‚Ρ€ΠΈΡ†Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ заряд, ΠΏΠΎ-Π²ΠΈΠ΄ΠΈΠΌΠΎΠΌΡƒ, пСрСмСщаСтся Π½Π° кислород ΠΊΠ°Ρ€Π±ΠΎΠ½ΠΈΠ»ΡŒΠ½ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏΡ‹. Π”Π°Π»Π΅Π΅ происходит альдольно-ΠΊΡ€ΠΎΡ‚ΠΎΠ½ΠΎΠ²ΠΎΠ΅ взаимодСйствиС со Π²Ρ‚ΠΎΡ€Ρ‹ΠΌ Ξ²-Π°ΠΌΠΈΠ½ΠΎΠΊΠ°Ρ€Π±ΠΎΠ½ΠΈΠ»ΡŒΠ½Ρ‹ΠΌ Ρ„Ρ€Π°Π³ΠΌΠ΅Π½Ρ‚ΠΎΠΌ иобразуСтся ΠΌΠ΅Ρ‚ΠΈΠ»-5-ΠΌΠ΅Ρ‚ΠΈΠ»-1,2,5,6-Ρ‚Π΅Ρ‚Ρ€Π°Π³ΠΈΠ΄Ρ€ΠΎ-7 Н -спиро[ΠΈΠ½Π΄Π΅Π½ΠΎ[2,1- с ]Π°Π·ΠΎΡ†ΠΈΠ½-1,2'-ΠΈΠ½Π΄Π°Π½]-1'-ΠΎΠ½-3-карбоксилат. ΠœΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ Π’Π­Π–Π₯-МБ Π² ΠΎΠ±Π΅ΠΈΡ… Ρ€Π΅Π°ΠΊΡ†ΠΈΠΎΠ½Π½Ρ‹Ρ… смСсях Π±Ρ‹Π»ΠΎ зафиксировано Π΅Ρ‰Ρ‘ ΠΎΠ΄Π½ΠΎ Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½ΠΈΠ΅ Ρ€Π΅Π°ΠΊΡ†ΠΈΠΈ - ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ Π»ΠΈΠ½Π΅ΠΉΠ½Ρ‹Ρ… Π΅Π½Π°ΠΌΠΈΠ½ΠΎΠ² Π·Π° счСт внутримолСкулярного сдвига ΠΏΡ€ΠΎΡ‚ΠΎΠ½Π° ΠΎΡ‚ ΠΈΠ½Π΄Π°Π½ΠΎΠ²ΠΎΠ³ΠΎ Ρ„Ρ€Π°Π³ΠΌΠ΅Π½Ρ‚Π° ΠΊ Π‘-Π°Π½ΠΈΠΎΠ½Π½ΠΎΠΌΡƒ Ρ†Π΅Π½Ρ‚Ρ€Ρƒ Π² 1,3-Ρ†Π²ΠΈΡ‚Ρ‚Π΅Ρ€-ΠΈΠΎΠ½Π΅ с ΠΎΠ΄Π½ΠΎΠ²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹ΠΌ ΠΎΡ‚Ρ‰Π΅ΠΏΠ»Π΅Π½ΠΈΠ΅ΠΌ ΠΎΠ΄Π½ΠΎΠΉ 2-ΠΌΠ΅Ρ‚ΠΈΠ»ΠΈΠ½Π΄Π°Π½ΠΎΠ²ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏΡ‹. Π­Ρ‚ΠΎ Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½ΠΈΠ΅ Ρ€Π΅Π°ΠΊΡ†ΠΈΠΈ ΠΎΡΡƒΡ‰Π΅ΡΡ‚Π²ΠΈΠ»ΠΎΡΡŒ для Ρ‚Π΅Ρ‚Ρ€Π°Π»ΠΎΠ½ΠΎΠ²ΠΎΠ³ΠΎ основания ΠœΠ°Π½Π½ΠΈΡ…Π°. Π•Π½Π°ΠΌΠΈΠ½Ρ‹ ΠΌΠ΅Ρ‚ΠΈΠ»-3-[ N -ΠΌΠ΅Ρ‚ΠΈΠ»- N -(1,2,3,4-Ρ‚Π΅Ρ‚Ρ€Π°Π³ΠΈΠ΄Ρ€ΠΎΠ½Π°Ρ„Ρ‚Π°Π»ΠΈΠ½-1-ΠΎΠ½-2-ΠΈΠ»)ΠΌΠ΅Ρ‚ΠΈΠ»]Π°ΠΊΡ€ΠΈΠ»Π°Ρ‚ ΠΈ Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»-2-[ N -ΠΌΠ΅Ρ‚ΠΈΠ»- N -(1,2,3,4-Ρ‚Π΅Ρ‚Ρ€Π°Π³ΠΈΠ΄Ρ€ΠΎΠ½Π°Ρ„Ρ‚Π°Π»ΠΈΠ½-1-ΠΎΠ½-2-ΠΈΠ»)ΠΌΠ΅Ρ‚ΠΈΠ»]ΠΌΠ°Π»Π΅Π°Ρ‚ Π±Ρ‹Π»ΠΈ Π²Ρ‹Π΄Π΅Π»Π΅Π½Ρ‹ ΠΈ ΠΎΡ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΠΎΠ²Π°Π½Ρ‹. ОписанноС Π½Π°ΠΌΠΈ Ρ€Π°Π½Π΅Π΅ ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ 1-Π°Π·Π°Π±ΠΈΡ†ΠΈΠΊΠ»ΠΎ[3.3.1]Π½ΠΎΠ½Π°Π½ΠΎΠ² ΠΈΠ· оснований ΠœΠ°Π½Π½ΠΈΡ…Π°, Π±Ρ‹Π»ΠΎ воспроизвСдСно. ΠŸΡ€ΠΈ Π±ΠΎΠ»Π΅Π΅ Ρ‚Ρ‰Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΌ Π°Π½Π°Π»ΠΈΠ·Π΅ состава Ρ€Π΅Π°ΠΊΡ†ΠΈΠΎΠ½Π½ΠΎΠΉ смСси Π±Ρ‹Π»ΠΈ Π²Ρ‹Π΄Π΅Π»Π΅Π½Ρ‹ ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚Ρ‹ элиминирования ΠΎΠ΄ΠΎΠΉ Π°Π»ΠΊΠΈΠ»Π°Ρ€ΠΈΠ»ΡŒΠ½ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏΡ‹ ΠΎΡ‚ ΠΏΡ€ΠΎΠΌΠ΅ΠΆΡƒΡ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ†Π²ΠΈΡ‚Ρ‚Π΅Ρ€ΠΈΠΎΠ½Π°. НаличиСлинСйных Π΅Π½Π°ΠΌΠΈΠ½ΠΎΠ² Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»-1-[ N -ΠΌΠ΅Ρ‚ΠΈΠ»- N -(2-Π±Π΅Π½Π·ΠΎΠΈΠ»)этил-1-Π°ΠΌΠΈΠ½ΠΎ]ΠΌΠ°Π»Π΅Π°Ρ‚Π° ΠΈ Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»-1[ N -ΠΌΠ΅Ρ‚ΠΈΠ»- N -(2-Ρ‚ΠΈΠ΅Π½ΠΎΠΈΠ»-2)-этил-1-Π°ΠΌΠΈΠ½ΠΎ]ΠΌΠ°Π»Π΅Π°Ρ‚Π° Π² Ρ€Π΅Π°ΠΊΡ†ΠΈΠΎΠ½Π½ΠΎΠΉ смСси ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ ΠΏΡ€Π΅Π΄ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚ΡŒ Π»Π΅Π³ΠΊΠΎΡΡ‚ΡŒ Ρ€Π΅Ρ‚Ρ€ΠΎΠ°Π»ΡŒΠ΄ΠΎΠ»ΡŒΠ½ΠΎΠ³ΠΎ прСвращСния 3-Π°Ρ€ΠΎΠΈΠ»ΠΏΠΈΠΏΠ΅Ρ€ΠΈΠ΄ΠΎΠ»ΠΎΠ², ΠΊΠ°ΠΊ Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΡƒΡŽ ΡΡ‚Π°Π΄ΠΈΡŽ образования Π»ΠΈΠ½Π΅ΠΉΠ½Ρ‹Ρ… Π΅Π½Π°ΠΌΠΈΠ½ΠΎΠ². ВСстированиС всСх вновь синтСзированных соСдинСний Π² ΠΈΠ½Ρ‚Π΅Ρ€Π½Π΅Ρ‚-систСмС РАSS дСмонстрируСт Ρ€Π°Π·Π½ΠΎΠΎΠ±Ρ€Π°Π·Π½ΡƒΡŽ ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΡƒΡŽ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ с Π²Π΅Ρ€ΠΎΡΡ‚Π½ΠΎΡΡ‚ΡŒΡŽ 65-80%

    Ξ²-endorphin-like peptide SLTCLVKGFY is a selective agonist of nonopioid Ξ²-endorphin receptor

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    It has been found that Ξ²-endorphin (Ξ²-END) and a synthetic Ξ²-END-like decapeptide Ser-Leu-Thr-Cys-Leu-Val-Lys-Gly-Phe-Tyr (termed immunorphin, IMN) corresponding to the sequence 364-373 of human IgG heavy chain stimulate Con A-induced proliferation of T lymphocytes from the blood of healthy donors. [Met5]enkephalin ([Met5]ENK) and an antagonist of opioid receptors naloxone (NAL) tested in parallel were not active. The stimulating effect of Ξ²-END and IMN on T lymphocyte proliferation was not inhibited by NAL. Studies on receptor binding of 125I-labeled IMN to T lymphocytes revealed that it binds with high affinity to NAL-insensitive binding sites (Kd = 7.0 Β± 0.3 nM). Unlabeled Ξ²-END completely inhibited the specific binding of 125I-labeled IMN to NAL-insensitive binding sites on T lymphocytes (Ki = 1.1 Β± 0.2 nM). Thus, Ξ²-END and IMN bind to common NAL-insensitive binding sites on T lymphocytes and enhance Con A-induced proliferation of these cells. Β© 2002 Elsevier Science (USA)

    Central regulatory disorders in clinical pattern of early post-operative period in patients with tumors of midbrain

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    Neurological, clinical, biochemical examinations, electroencephalography, computer and magnetic resonance tomography of the brain of 336 patients with brain stem and para-brain stem tumors resulted in conclusion that nonspecific autonomic-endocrine reaction caused by disorders in central regulation was the main component of early postoperative period, The first type of such disorders included cases with rather stable indices of both hemodynamics and ionic-osmotic homeostasis characterized by favourable course. Unstable hemodynamics and tendency to increase of osmolarity and serum levels of sodium and glucose as well as unfavourable course of this period were typical for the second type

    Central regulatory disorders in clinical pattern of early post-operative period in patients with tumors of midbrain

    No full text
    Neurological, clinical, biochemical examinations, electroencephalography, computer and magnetic resonance tomography of the brain of 336 patients with brain stem and para-brain stem tumors resulted in conclusion that nonspecific autonomic-endocrine reaction caused by disorders in central regulation was the main component of early postoperative period, The first type of such disorders included cases with rather stable indices of both hemodynamics and ionic-osmotic homeostasis characterized by favourable course. Unstable hemodynamics and tendency to increase of osmolarity and serum levels of sodium and glucose as well as unfavourable course of this period were typical for the second type

    Diagnosis, therapy and prophylaxis of early stages cerebral circulation's insufficiency

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    Biomicroscopy of bulbar conjuctiva as well as oencephalography were quite informative for discovery of subclinical manifestations of disorders of cerebral circulation (DCC). That conclusion resulted from the observation of 133 patients with early Corms of vascular pathology of brain. Besides, to find the early signs, it was also worth while to perform some biochemical studies (coagulogram, studies of both theologic properties and lipids of blood). In order to establish discirculatory encephalopathy it was also expedient to use ultrasonic dopplerography and electroencephalography. Efficiency of some medical prophylactic measures (normalization of the diet, weight, muscular activity, administration of antiatherosclerotic drugs) that prevented the progression of aorta's stenosis was also demonstrated

    Cerebrocardial disorders in hemorrhagic stroke

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    Aim. To elucidate relationships brain-heart in hemorrhagic stroke depending on the size and location of hematoma and initial state of the heart. Material and methods. Clinical and paraclinical methods were used in acute and rehabilitation periods in 160 patients with hemorrhagic stroke. Results. Symptoms of cerebrocardial syndrome in hemorrhagic stroke include arrhythmias (tachycardia, bradycardia, extrasystole, cardiac fibrillation, sick sinus syndrome), blocks (transient bundle-branch block), myocardial dystrophy, in IHD-ischemic myocardial disorders up to subendocardial myocardial infarction. Its severity in massive hemispherical hematomas was due to compression of the brain trunk. Conclusion. Pathogenesis of cerebrocardial syndrome rests on impaired central autonomic regulation occurring in stroke

    Spinal cord damage in multiple myeloma

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    Myelomic spinal cord damage may be a result of both its compression and vascular disorders (squeezing of an artery, disorders of venous outflow), Diagnosis is based on evaluation of the following signs: normochromic anemia; increase of ESR, total protein and calcium levels; discovery of M-gradient in protein fractions of gamma-zone; multiple regions of destruction in spondylogramme. In doubtful cases magneto-resonance and computer tomography were the most informative, Highly effective was therapy with intensive chemoprogramme including either a range of preparations (alkeran, BGNU, cyclophosphan, adriblastina, prednisolon) or a combination of polychemotherapy with irradiation, The operation was indicated in both insufficiency of conservative therapy and increasing of the symptoms of the damage

    Diagnosis, therapy and prophylaxis of early stages cerebral circulation's insufficiency

    No full text
    Biomicroscopy of bulbar conjuctiva as well as oencephalography were quite informative for discovery of subclinical manifestations of disorders of cerebral circulation (DCC). That conclusion resulted from the observation of 133 patients with early Corms of vascular pathology of brain. Besides, to find the early signs, it was also worth while to perform some biochemical studies (coagulogram, studies of both theologic properties and lipids of blood). In order to establish discirculatory encephalopathy it was also expedient to use ultrasonic dopplerography and electroencephalography. Efficiency of some medical prophylactic measures (normalization of the diet, weight, muscular activity, administration of antiatherosclerotic drugs) that prevented the progression of aorta's stenosis was also demonstrated
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