[Comparative characteristic of cognitive impairment at alcoholic and discirculatory encephalopathy]

OBJECTIVE

Identification of features of cognitive impairment at patients with alcoholic and discirculatory encephalopathy.

MATERIAL AND METHODS

30 patients with the alcoholic encephalopathy (AE) and 32 - with discirculatory encephalopathy (DE) participated in research. To patients conducted clinical examination, a computer electroencephalography with determination of cognitive evoked potentials, neuropsychological testing.

RESULTS

General and distinguishing characters of a clinical picture, cognitive deficiency, disturbances in the emotional and personal sphere at patients with encephalopathies alcoholic and vascular genesis are established.

CONCLUSION

It is established that a basis of a clinical picture of encephalopathy of various genesis are the cognitive disturbances (CD) and an asthenic syndrome, of AE it is characteristic hyposthenic, and at DE - hyper - and hyposthenic syndromes. Changes of bioelectric activity of a brain at DE had primary localization in occipitoparietal departments of a brain, at AE - in temporal and occipitoparietal assignments. Disorder of categorial thinking, the long-term memory, reciprocal coordination, manual gnosis indicating dysfunction by a frontal, parietal lobe of the left hemisphere, a hippocampus, a corpus collosum are provided to CD in DE and AE patients. It is established that distinguishing characters of CD in AE and DE patients are values of indexes Δ-, β1-, β2-rhythms, the indicators characterizing the impressive speech, volume of visual figurative memory, level of severity of hypochondria.

Neuronal Bases of Systemic Organization of Behavior

Despite the years of studies in the field of systems neuroscience, functions of neural circuits and behavior-related systems are still not entirely clear. The systems description of brain activity has recently been associated with cognitive concepts, e.g. a cognitive map, reconstructed via place-cell activity analysis and the like, and a cognitive schema, modeled in consolidation research. The issue we find of importance is that a cognitive unit reconstructed in neuroscience research is mainly formulated in terms of environment. In other words, the individual experience is considered as a model or reflection of the outside world and usually lacks a biological meaning, such as describing a given part of the world for the individual. In this chapter, we present the idea of a cognitive component that serves as a model of behavioral interaction with environment, rather than a model of the environment itself. This intangible difference entails the need in substantial revision of several well-known phenomena, including the long-term potentiation.The principal questions developed here are how the cognitive units appear and change upon learning and performance, and how the links between them create the whole structure of individual experience. We argue that a clear distinction between processes that provide the emergence of new components and those underlying the retrieval and/or changes in the existing ones is necessary in learning and memory research. We then describe a view on learning and corresponding neuronal activity analysis that may help set this distinction.