[Treatment of asthenoneurotic disorders in children]

O A Milovanova1, S Yu Astanina2

  • 1Russian Medical Academy of Postgraduate Education, Moscow, Russia; Z.A.Bashlaeva Children's City Clinical Hospital, Moscow, Russia.

Insights

Cogitum effectively improved cognitive functions in children recovering from bacterial meningitis or brain injuries. Eighty percent of patients showed significant gains in accuracy and verbal retention after treatment.

Area of Science:

  • Pediatric Neurology
  • Neurorehabilitation

Background:

  • Asthenoneurotic disorders are common sequelae in children following bacterial meningitis (BM) and brain injury (BI).
  • Cognitive deficits can significantly impact a child's quality of life and developmental trajectory.

Purpose of the Study:

  • To assess the therapeutic efficacy of cogitum in pediatric patients experiencing asthenoneurotic symptoms post-BM or BI.
  • To evaluate the impact of cogitum on cognitive functions and neurological status.

Main Methods:

  • A cohort of 24 children (7-12 years) with BM (n=14) or BI (n=10) received cogitum (250-500 mg/day) for 8 weeks.
  • Neurological, neuropsychological (Bourdon's, Luria's tests), EEG, and MRI assessments were conducted pre- and post-treatment.

Main Results:

  • Significant improvements were observed in 80% of patients in Bourdon's test accuracy (p<0.01) and verbal retention (p<0.001).
  • Post-treatment EEG revealed distinct theta, alpha, and beta rhythms with clear zonal differences.
  • Clinical observations indicated a broad spectrum of positive effects.

Conclusions:

  • Cogitum demonstrates significant efficacy in ameliorating asthenoneurotic disorders and improving cognitive functions in children after BM or BI.
  • The drug's positive impact on cognitive performance and neurological markers supports its use in pediatric practice.
Abstract

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