Saratov JOURNAL of Medical and Scientific Research

Lukina E.V.

Saratov State Medical University n.a. V.I. Razumovsky, Department of Neurology n.a. K.N. Tretyakov, Associate Professor, Candidate of Medical Sciences

Public knowledge of risk factors, signs and treatment of stroke: Analysis of the survey results in 2014 and 2017

Year: 2018, volume 14 Issue: №1 Pages: 177-185
Heading: Neurology Article type: Original article
Authors: Shchanitsyn I.N., Razdorskaya V.V., Kolokolov O.V., Lukina E.V., Loi'ko V.S,
Organization: Center of Medical Inspection, Moscow, Saratov State Medical University
Summary:

Aim. This study was conducted to establish levels of knowledge in the general population, and also to determine the impact of educational sessions on stroke knowledge. Material and Methods. Two groups (2014 and 2017 years) completed a stroke knowledge questionnaire (435 respondents). Results. Overall, most of respondents could list 2 or more risk factors, but only 50% in 2014 could list 3 warning signs. More than 80% would call emergency number in response to stroke, but only 25% had heard of thrombolytic therapy. Overall stroke knowledge scores decreased in 2017 despite the public awareness in the media. Conclusion. Currently the knowledge of stroke risk factors, warning signs, and treatment is poor in Saratov. Our study demonstrates that more educational campaigns should be conducted for improve knowledge of stroke symptoms, and therapy.

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Features of psychoemotional disorders in patients with multiple sclerosis in different clinical and demographic groups

Year: 2018, volume 14 Issue: №1 Pages: 151-153
Heading: Neurology Article type: Short message
Authors: Lukina E.V., Chernysheva О.А., Eliseeva V.A.
Organization: Saratov State Medical University
Summary:

Purpose: to conduct an analysis of psychoemotional disorders in patients with multiple sclerosis, who are not receiving any treatment for these disorders. Material and Methods. A cohort of patients with a reliable diagnosis of multiple sclerosis, according to the criteria of С Poseur, consisting of 163 people, was selected for the research. A four-dimensional symptomatic questionnaire was used to assess distress, depression, anxiety and somatization (4DSQ) and a self-questionnaire for evaluating the symptoms of fibromyalgia with quantitative measures (WPI, SS, FS). Re-sults. Differences in the average values of the level of distress, depression, anxiety and somatization in patients with multiple sclerosis of different sex, age, with different type of course and duration of the disease are shown. Conclusion. The neuropsychological status of patients depends on the type of course of the disease, the level of distress — from age and sex, the level of somatization —from the age of this category of patients. In the complex treatment of this category of patients it is necessary to use symptomatic treatment in addition to pathogenetic therapy, which has not only neurotrophic and vasoactive effects, but also affects the psychoemotional background of patients.

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The possibility of using low-intensity helium-neon laser radiation in the treatment of patients with trigeminal neuralgia

Year: 2018, volume 14 Issue: №1 Pages: 149-150
Heading: Neurology Article type: Original article
Authors: Lukina Е.М., Kolesov V.N., Skulovich S.Z., Chernysheva O.A.
Organization: Saratov State Medical University
Summary:

Purpose: to evaluate the effectiveness of low-intensity helium-neon laser radiation in patients with trigeminal neuralgia. Material and Methods. With the help of low-intensity helium-neon laser radiation, 76 patients with trigeminal neuralgia were treated. For this purpose, helium-neon laser devices AFL-1 and AFDL-1 with a wavelength of laser radiation of 0.63 microns were used, the power flux was 20-25 mW. Results. It is shown that as a result of treatment with this type of radiation in most cases, both nociceptive and neuropathic components of the pain syndrome are stopped. Conclusion. For the management of pain syndrome in trigeminal neuralgia, it is advisable to use low-intensity laser radiation in complex treatment.

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The modern view of the examination and treatment of patients with intracranial cystic formations

Year: 2017, volume 13 Issue: №1 Pages: 147-149
Heading: Neurology Article type: Author's opinion
Authors: Kolesov V.N., Lukina Е.М., Chekhonatsky А.А.
Organization: Saratov State Medical University
Summary:

Objective: to determine the diagnostic and treatment policy (conservative and operative) in patients with intracranial cysts of various origins. We observed 116 patients with different brain cystic formations. Diagnostic tactics and principles of treatment were refined. The evaluation of treatment results was made.

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Polyneuropathy: clinical polymorphism and the algorithms of diagnostics

Year: 2016, volume 12 Issue: №2 Pages: 292-296
Heading: Neurology Article type: Review
Authors: Sitkali I.V., Kolokolov O.V., Lukina E.V., Grigorieva E.A., Popova O.V.
Organization: Saratov State Medical University
Summary:

The information about epidemiology and clinical polymorphism of neuropathies is summarized on the base of Russian and foreign literature. The algorithm of clinical observation in patients with polyneuropathy is presented.

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The role of transient ischemic attacks in the occurrence of cognitive impairment

Year: 2016, volume 12 Issue: №2 Pages: 273-277
Heading: Neurology Article type: Review
Authors: Maleina A.U., Kolokolov O.V., Lukina E.V.
Organization: Saratov State Medical University
Summary:

The information about cognitive impairment of patient, suffered from transient ischemic attack (TIA) is summarized on the base of Russian and foreign literature. There were considered primary risk factors and pathogenesis of the occurrence of TIA and cognitive impairment. The algorithm of examination of patients with TIA was presented.

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Headache features in persons with anxiety disorders

Year: 2016, volume 12 Issue: №2 Pages: 270-273
Heading: Neurology Article type: Original article
Authors: Lukina E.V., Rusanova A.M., Makarov N.S.
Organization: Saratov State Medical University
Summary:

The aim of the article is to estimate the impact of anxiety on personality characteristics of headache in young adults studying full-time. Material and Methods. We observed 92 people aged from 15 to 25 years old, socially adapted, students in schools, colleges and universities on a full-time offices. Results. The perception of headache strongly depends on the emotional state of the individual, so it is very important to take this into account in the analysis of complaints and anamnesis of patients. Conclusion. Anxiety personality disorders hinder objectifying cephalgia, leading to misdiagnosis and incorrect treatment tactically with the possible development of abuse headaches. Therefore, it is necessary to convey to the patient the importance of reducing the impact of modifiable risk factors to explain the relationship of his condition with these factors and create a positive attitude to treatment.

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The use of low intensity laser radiation in the treatment of patients with closed traumatic brain injury consequences

Year: 2016, volume 12 Issue: №2 Pages: 256-259
Heading: Neurology Article type: Original article
Authors: Kolesov V.N., Lukina Е.М., Novikov A.G., Chekhonatsky А.А.
Organization: Saratov State Medical University
Summary:

Objective: to determine the effectiveness of the use of low-intensity helium-neon laser radiation in patients with post-traumatic cerebral arachnoiditis. Material and Methods. We observed 164 patients with the effects of closed craniocerebral injuries of a various severity. Methods of percutaneous laser irradiation of blood in the projection of the common carotid artery at the level of IV cervical vertebra was carried out underthe supervision of the clinical evaluation of hemodynamic data survey methods. Results. Positive results of hemodynamic parameters of examination methods indicate regression of cerebral vasospasm and improving brain vascular reserve, which led to a decrease in cerebral and focal neurological symptoms. Conclusion. The method allows the use of this technique in these patients both in the hospital and at the outpatient stage.

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Effciency of HIV-infected patients detection in neurological hospitals of large industrial center

Year: 2012, volume 8 Issue: №2 Pages: 563-567
Heading: Neurology Article type: Short message
Authors: Shuldyakov A.A., Kolokolov O.V., Potemina L.P., Abramova T.P., Kolokolova A.M., Lukina E.V., Sholomov I.I., Be-lousov M.I., Gryaznеv R.А., Salina E.A., Ornatskaya N.А., Mysovskaya O.V., Shmelev V.V., Eystrakh V.A., Shumilova A.V., Sotskova V.A.
Organization: Clinical hospital n.a. S. R. Mirotvortsev SSMU, Clinical Hospital № 12, Saratov, Clinical Hospital № 9, Saratov, Saratov State Medical University
Summary:

Aim of the study: to evaluate the effciency of detection for HIV-infection in patients of neurological departments of Saratov. Materials and methods. We retrospectively analyzed 25 250 medical histories of patients hospitalized into neurological departments of Saratov hospitals between January 2007 and April 2012. Results. Blood samples of 2010 patients (7,96 %) were tested for the presence of HIV-antibodies. 37 patients were HIV-positive (1,84 % of examined patients and 0,15 % of the total number of patients). Conclusion. Increasing popularity and variety of clinical manifestations of HIV-infection requires the expansion of neurological patients whom serum test for antibodies against HIV is needed.

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Fatal cerebrospi-nal meningitis due to Treponema pallidum infection

Year: 2012, volume 8 Issue: №2 Pages: 494-499
Heading: Neurology Article type:
Authors: Maslyakova G.N., Kolokolov O.V., Lukina, E.V., Kolokolova A.M., Abramova T.P., Moiseev A.A.
Organization: Saratov State Medical University
Summary:

We report the case of young patient, whose cause of death was generalized syphilitic cerebrospinal meningitis. The results of autopsy and histological examination are presented. The possibility of using magnetic resonance imaging to verify the form of neurosyphilis is discussed.

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