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The clinical essence of the term "the initial manifestations of cerebral circulatory insufficiency"

Pankov, D.D.

Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova 96(6): 12-15

1996

ISSN/ISBN: 1997-7298
PMID: 9072886
Document Number: 460074
The clinical meaning of the "initial manifestations of cerebrovascular insufficiency" term (IMCI) is discussed. The IMCI term is interpreted either as the establishment of cerebrovascular insufficiency or of the clinical phase that precedes discircular encephalopathy (DE) development. The author suggested on the basis of 873 cases that the intermediate stage may exist between IMCI and DE. So the idea of "pre-encephalopathic cerebral discirculations" (PCD) or simply "cerebral discirculations" was proposed as the clinical form including all the conditions before DE development. IMCI was described as initial stage of DE. Taking into consideration clinical peculiarities, duration and frequency three variations of cerebrovascular insufficiency debut are recognized. Such approach to IMCI problem is supposed to make it more unambiguous and more directed to cerebrovascular insufficiency study which is important both for early diagnosis of such diseases and for active prophylaxis of their unfavourable course.

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