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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2019-6-27-33</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-2972</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НЕВРОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NEUROLOGY</subject></subj-group></article-categories><title-group><article-title>Практические алгоритмы ведения пациентов с когнитивными нарушениями</article-title><trans-title-group xml:lang="en"><trans-title>Practical algorithms for managing patients with cognitive impairments</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захаров</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Захаров Владимир Владимирович – доктор медицинских наук, профессор кафедры нервных болезней и нейрохирургии</p><p>119991, г. Москва, ул. Трубецкая, 8, стр. 2 </p></bio><bio xml:lang="en"><p>Zakharov Vladimir Vladimirovich – Dr. of Sci.(Med.), Professor, Chair for Nervous Diseases and Neurosurgery</p><p>8, Trubetskaya Street, Moscow, 119991, p. 2 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вахнина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vakhnina</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вахнина Наталья Васильевна – кандидат медицинских наук, доцент кафедры нервных болезней и нейрохирургии</p><p>119991, г. Москва, ул. Трубецкая, 8, стр. 2 </p></bio><bio xml:lang="en"><p>Vakhnina Natalya Vasilyevna – Cand. of Sci. (Med.), Associate Professor, Chair for Nervous Diseases and Neurosurgery</p><p>8, Trubetskaya Street, Moscow, 119991, p. 2 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет имени И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Autonomous Educational Institution of Higher Education Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>25</day><month>04</month><year>2019</year></pub-date><volume>0</volume><issue>6</issue><fpage>27</fpage><lpage>33</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Захаров В.В., Вахнина Н.В., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Захаров В.В., Вахнина Н.В.</copyright-holder><copyright-holder xml:lang="en">Zakharov V.V., Vakhnina N.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/2972">https://www.med-sovet.pro/jour/article/view/2972</self-uri><abstract><p>В статье изложены современные подходы к ведению пациентов с когнитивными нарушениями различной этиологии. Приведены алгоритмы синдромальной (легкие, умеренные, выраженные) и нозологической дифференциальной диагностики когнитивных расстройств, показано место диагностических лабораторных, инструментальных и нейрорадиологических методов исследования. Обсуждаются данные последних исследований об эффективности когнитивного тренинга, оптимизации образа жизни, физической активности, профилактическом значении своевременного лечения сердечно-сосудистых и иных заболеваний. Показаны возможности современной нейропротективной и симптоматической терапии когнитивных нарушений различной этиологии, место EGB 761 в лечении заболеваний с когнитивными нарушениями.</p></abstract><trans-abstract xml:lang="en"><p>The article presents modern approaches to the management of patients with cognitive impairment of different etiology. The authors presented the algorithms for syndromic (mild, moderate, severe) and nosological differential diagnosis of cognitive disorders, and showed the importance of diagnostic laboratory, instrumental and neuroradiological research methods. They discussed the latest research data on the effectiveness of cognitive training, lifestyle optimization, physical activity, and the prophylactic value of timely treatment of cardiovascular and other diseases. The paper shows the possibilities of modern neuroprotective and symptomatic therapy of cognitive impairment of different etiology, the role of EGB 761 in the treatment of diseases with cognitive impairment.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>когнитивные нарушения</kwd><kwd>деменция</kwd><kwd>нейропротективная терапия</kwd><kwd>экстракт гинкго билоба</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cognitive impairment</kwd><kwd>dementia</kwd><kwd>neuroprotective therapy</kwd><kwd>ginkgo biloba extract</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Захаров В.В. Всероссийская программа исследований эпидемиологии и терапии когнитивных расстройств в пожилом возрасте («Прометей»). Неврологический журнал. 2006;11:27-32.</mixed-citation><mixed-citation xml:lang="en">Zakharov V.V. 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