[The preventive treatment of stroke in patients with discirculatory encephalopathy with a depressive syndrome]
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Published on: May 22, 2019
Insights
Cytoflavin improved neurological symptoms and cognitive functions in patients with discirculatory encephalopathy and depression. This treatment may prevent cerebrovascular disease progression and stroke.
Area of Science:
- Neurology
- Pharmacology
Context:
- Discirculatory encephalopathy (DE) and depressive syndrome are common in patients with arterial hypertension.
- Standard treatments may not fully address neurological and depressive symptoms.
Purpose:
- To evaluate the clinical efficacy of cytoflavin in patients with discirculatory encephalopathy (DE) and depressive syndrome associated with arterial hypertension.
- To assess the impact of cytoflavin on neurological symptoms, cognitive functions, and depression severity.
Summary:
- Cytoflavin, administered intravenously and orally for 35 days, showed significant improvements in neurological symptoms and subjective disorders compared to placebo.
- Patients receiving cytoflavin demonstrated enhanced attention, reasoning, speech, and memory restoration.
- The efficacy of cytoflavin in alleviating depression was more pronounced in cases of mild depression, with a notable reduction in severity for moderate and severe cases.
Impact:
- Cytoflavin may be recommended for managing DE with depressive syndrome in hypertensive patients.
- It shows potential as a preventive medication against cerebrovascular pathology progression and stroke development.
- The findings suggest a beneficial role for cytoflavin in improving cognitive and mood disturbances associated with vascular conditions.
Abstract:
We studied the clinical efficacy of cytoflavin in 30 patients (group 1) with I and II stages of discirculatory encephalopathy (DE) and a depressive syndrome associated with arterial hypertension. Cytoflavin was added to standard treatment intravenously in drops in dose 10 ml per 200 ml of 0,9% NaCl during 10 days and then in dose 2 tablets twice a day during 25 days. The control group (n=29 patients) received placebo. The treatment duration was 35 days but patients were followed up for 90 days with control visits at 5, 10, 20-35 and 65-90 days of treatment. After the treatment, there was the reduction of neurological symptoms and subjective disorders in patients of group 1. The improvement of attention concentration, reasoning and speech activity as well as the gradual restoration of memory were noted at 20-35 days. The positive impact of cytoflavin on depression was dependent on its severity. The effect was higher in mild depression, also, the treatment decreased the severity of depression from "moderate" or "severe' to "mild". Cytoflavin may be recommended for patients with DE and a depressive syndrome associated with arterial hypertension as a preventive medication from the progression of cerebrovascular pathology and development of stroke.
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