• Terapevt Arkh · Jan 2001

    Randomized Controlled Trial Comparative Study Clinical Trial

    [Treatment and prevention of cognitive dysfunction in patients with arterial hypertension and atherosclerosis: results of a randomized double-blind placebo-controlled trial of cerebrolysin].

    • N V Vereshchagin, Z A Suslina, S L Timerbaeva, E M Kashina, V V Gnezditskiĭ, M Iu Maksimova, O Iu Rebrova, and I N Smirnova.
    • Terapevt Arkh. 2001 Jan 1;73(4):22-7.

    AimTo assess therapeutic and prophylactic effect of large-dose cerebrolysin (15 ml/day for 28 days) in hypertensive and atherosclerotic patients with cognitive disorders.Material And MethodsCerebrolysin was given annually (15 ml/day for 28 days) for 2 years to 42 patients in a randomized double-blind placebo-controlled study. The effect was stated by clinical status, neuropsychological and neurophysiological data.ResultsIn mild disturbances of cognitive functions in patients with arterial hypertension and atherosclerosis courses of cerebrolysin with one-year interval produce stable improvement of subjective status, productivity of memory, attention and thinking which persist for at least a year after the course. The clinical data agree with positive trend in neurophysiological parameters of cognitive component of the response of evoked potentials P-300.ConclusionA course of 28-day annual treatment with cerebrolysin (15 ml/day) of patients with mild defects of cognitive functions stabilizes the process, leads to regression of cognitive disorders predicting vascular dementia.

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