Прогностическое значение симптомов дисциркуляторной энцефалопатии в кардиохирургии

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Abstract

Prognostic significance of some mild neurological disturbances that are frequently seen in cardiac surgery patients remains unclear. This study addressed prognostic value of preoperative neurological complains (vertigo, tinnitus, etc.) and neurological soft signs (primitive reflexes, slight unilateral hyperreflexia, etc.) towards neurological outcomes of on-pump surgery. Patients with symptoms of chronic disturbances of circulation in vertebro-basilar vasculature developed acute perioperative encephalopathia significantly more often in comparison to patients with normal neurological status. At the same time reflex alterations did not predict early neurological outcomes in cardiac surgery patients.

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Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery