Syndrome of moderate cognitive disorders in occlusal-stenotica lesions of the brachiocephal arteries (analysis of clinical observations)

This article analyzes two clinical observations of patients with stenotic and occlusive atherosclerotic lesions of the brachiocephalic arteries in various combinations. Both patients had a stroke-free course and early formation of the syndrome of moderate cognitive disorders. In the course of working with patients, a thorough analysis of complaints, anamnesis of the disease, clinical and neuropsychological examination was carried out, an expanded volume of studies was performed: general clinical, biochemical, ultrasound, magnetic resonance, angiographic. Based on the data obtained, a diagnosis was made and surgical treatment was performed. A subsequent detailed neurological examination, which included a neuropsychological examination, revealed an increase in the total score on the Montreal cognitive function assessment scale and a positive trend in indicators of control functions. The results of the analysis of these cases emphasize the importance of early detection and an integrated approach to therapy to improve the quality of life of patients and prevent further progression of cognitive deficits.