[Objective evaluation of neurocirculatory asthenia and psychoemotional disorders in patients with vibration disease].
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The working capacity and the oxygen supply during exercise were studied in 83 patients with neurocirculatory dystonia of various severity and 50 healthy subjects on the basis of the spiroergometric findings. The patients with neurocirculatory dystonia showed a decrease in such parameters of the oxygen supply during "maximum" exercise as the maximum consumption of oxygen at the threshold exercise level, the maximum oxygen pulse, the maximum pulmonary ventilation and the index of the oxygen cost per 1 kgm of work. The correlation of the disorders of the oxygen supply during exercise with the severity of the clinical course of the disease elucidated their relationship: a decrease in the maximum oxygen consumption at the threshold exercise level and an increase in the "oxygen cost" of 1 kgm of work were most pronounced in a group of patients with a severe course of the disease.
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The results of a comprehensive study of central and cerebral hemodynamics in individuals with the syndrome of neurocirculatory dystonia by means of radionuclide diagnosis are discussed. The shifts revealed provide evidence that hypertonic type of the dystonia syndrome is characterized by increase in the minute cardiac volume, vascular resistance, and minute cardiac output with moderate decrease in the volumetric rate of the cerebral circulation. In hypotonic type of dystonia the volumetric rate of the cerebral circulation is considerably diminished, while central hemodynamics is normal. The study also showed that in the syndrome of neurocirculatory dystonia there was lack of coordination between the systemic and regional cerebral hemodynamics manifested by decrease in the cerebral fraction of the cardiac minute volume.
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The authors analyze the personality of cranial-traumatized patients in the years that follow the accident or neuro-surgery. They point out the negative aspect of the behaviors noted: abulia, apathy, selfdenial, passiveness, and especially the failure to recognize the very special syndrome, that is no pure psychosis, nor actual neurosis, not even dementia that is well-known by the neuro-surgeons, badly-known by the experts and forgotten in the tables. The evolution of this syndrome of long duration, it lasts from two to five years, according to circumstances, and for some symptoms or occasionally chronic patients.
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