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Парадоксальная психоневрология: необычное течение обычных заболеваний
https://doi.org/10.33667/2078-5631-2025-2-41-47
Аннотация
В обзорной статье рассматриваются необычные с точки зрения традиционной психоневрологии ситуации, когда поражение головного мозга приводит не к нарастанию дефекта, а к его уменьшению или исчезновению. Подобные необычные и неожиданные эффекты церебральных поражений отмечаются при различных по генезу заболеваниях. Особое внимание уделено инсульту и черепно-мозговой травме. Приводятся результаты работ, в которых показано уменьшение выраженности экстрапирамидных нарушений, болевых синдромов, обсессивно-компульсивных нарушений, различного рода аддикций у пациентов после перенесенного инсульта. Также рассматриваются случаи регресса эпилептических приступов и нарушений поведения после черепно-мозговой травмы. Подчеркивается то, что в основе подобных необычных эффектов лежит реорганизация церебральных связей с активацией тормозящих механизмов, в норме клинически себя не проявляющих, либо с определенными особенностями протекающих в патологических условиях процессов нейропластичности
При поддержке: Работа выполнена в рамках госзадания «Разработка клинико-патогенетической модели и диагностического модуля расстройств тревожно-депрессивного спектра у больных с коморбидной патологией». Регистрационный номер: 124020800061–8.
Об авторе
И. В. Дамулин
Московский научно-исследовательский институт психиатрии – филиал ФГБУ «Национальный медицинский исследовательский центр психиатрии и наркологии им. В. П. Сербского» Минздрава России; ФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н. И. Пирогова» Минздрава России (Пироговский университет)
Россия
Россия
Дамулин Игорь Владимирович, д. м. н., проф., ведущий научный сотрудник отделения экзогенно-органических расстройств и эпилепсии; проф. кафедры неврологии Факультета дополнительного профессионального образования Института непрерывного образования и профессионального развития
Москва
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Рецензия
Для цитирования:
Дамулин И.В. Парадоксальная психоневрология: необычное течение обычных заболеваний. Медицинский алфавит. 2025;(2):41-47. https://doi.org/10.33667/2078-5631-2025-2-41-47
For citation:
Damulin I.V. Paradoxical neuropsychiatry: an unusual course of common diseases. Medical alphabet. 2025;(2):41-47. (In Russ.) https://doi.org/10.33667/2078-5631-2025-2-41-47
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