RESULTS OF A COMPARATIVE INSTRUMENTAL STUDY OF THE DISEASE IN MEN AND WOMEN WITH COGNITIVE IMPAIRMENT IN CIRCULATORY ENCEPHALOPATHY

Abstract

Objective: To conduct ultrasound and transcranial dopplerography examinations of patients for early detection of
cognitive impairment in circulatory encephalopathy and prevention of dementia. Materials and methods: DE has 66
patients with CB (mean age 64.5 ± 1.5 years), including 28 men (mean age 65.2 ± 1.4 years) and 38 women (mean age
63,8 ± 1.6 years). Duplex scanning (DS) and transcranial duplex scanning (TKDS) of the main trunk vessels and extracranial
sections of the cerebral vessels were performed. According to the DS data of extracranial vessels, both in stage
1 of the disease (1.16 mm ± 0.03 and 0.92 ± 0.02 mm, respectively) and in stage 2 (1.2 ± 0.04 and 1.02 ± 0) , 03 mm)
also showed that the mean size of the intima-media complex (IMC) was significantly higher in men (r <0.01) than in
women with DE in the distal parts of the common carotid artery (CCA). Results: according to extracranial vascular DS
data, obvious structural and stenotic changes in the walls of the cerebral trunk vessels range from 40% to 70% of the
vascular wall, mainly in the early stages of DE in male patients. In the examined patients, a decrease in blood flow from
the extracranial areas of BMA and OMAs detected in the cerebral vessels DS, as well as an increase in cerebrovascular
tone were detected. No significant differences were found between blood flow rates from the extracranial areas of
BMA and OMAs, as well as CVR rates, in men and women who had DE in CD. Conclusion: In women examined with DE,
morphotype, somatic status, and behavioral specificity (short neck, overweight, somatic disease, prolonged homework
with the head bowed) are important.