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Cerebranic syndrome

 
, medical expert
Last reviewed: 23.04.2024
 
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Cerebrasthenic syndrome is a neurological disease. Deterioration of memory and concentration of attention, absent-mindedness, irritability are the main signs of this disease. The patient quickly gets tired, the usual work becomes difficult and difficult. Increased drowsiness, fatigue and there is a kind of apathy.

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Causes of the cerebrosthenic syndrome

From Latin, the name of the disease is translated as the weakness of the brain. All of the above signs of cerebrosthenic syndrome are quite similar to the usual overwork. But what are the causes of cerebrosthenic syndrome?

The majority of patients with this syndrome are children of breast, preschool and school age. There are also adults with cerebrosthenic syndrome. Causes of the disease:

  • In new-born children, the cause of cerebral-senic syndrome could be oxygen starvation, infections of amniotic fluid, the intake of mother drugs that adversely affect the development of the nervous system of the fetus. Thanks to modern medicine, these children have a chance to recover.
  • In pre-school children, schoolchildren and adults, the causes of cerebrosthenic syndrome may be concussions and brain trauma, meningitis, a bite of an encephalitic tick or mosquito. Also, there is a big risk in children during surgical operations. Hypoxia of various kinds can also become the beginning of cerebral development.
  • Also in an adult, cerebrosthenia can be caused by bacterial and viral infections, which is very common among residents of large cities. Injuries, shocks and bumps also take up the last place. Atherosclerosis.

But neonatal remains the main risk group. This disease basically originates from the bearing of the fetus and the mother's attitude to her health during pregnancy.

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Pathogenesis

A detailed and thorough study by physicians of the emergence and development of the disease is called pathogenesis. Due to this, it is possible to determine the exact causes of cerebrosthenia and thereby speed up the selection of medications and the beginning of treatment.

The pathogenesis of cerebrosthenic syndrome is primarily an infection or damage to the brain tissue, a lack of oxygen, which leads to "brain weakness." Transmission of nerve impulses is greatly reduced, as a result of which the patient becomes distracted and loses concentration of attention. Lack of oxygen leads to drowsiness, there is a desire to relax, stop all sorts of activities. The whole nervous system suffers, so the patient becomes irritable, there is a constant state of stress.

Cerebrenia affects the overall development of children, so this disease for many years could not be investigated and treated. A newborn with a similar diagnosis can subsequently have difficulties in development, which is especially noticeable in the children's and school community. Such children are recommended to visit special institutions, where there are specialists with experience in training and development assistance.

All of the listed signs of cerebral embolism may well be similar to overfatigue or a beginning catarrhal disease. The only difference is that cerebration does not go away for a few days or a week. The state of irritability and fatigue becomes constant and intrusive. The state of the brain and nervous system generally worsens. The main thing is to understand in time that there are problems with health and turn to a good specialist.

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Symptoms of the cerebrosthenic syndrome

"As a squeezed lemon" or "Not at home" - so you can roughly describe the condition of the patient with cerebral-senic syndrome. Especially health problems are visible in those whose work is related to concentration of attention, large volumes of information, communication with people. A person can not grasp the essence of the conversation, is constantly distracted by something, already in the middle of the working day there are no forces to perform normal duties.

If this condition becomes a permanent companion, it is worth immediately contacting a doctor. Earlier detection of symptoms of cerebrosthenic syndrome and a properly prescribed course of treatment will help to speed up the process of recovery to a considerable extent.

Symptoms of cerebrosthenic syndrome can be confused with the usual overwork or nervous stress. The main indicator of the disease is fast fatigue and drowsiness, which can not be "expelled" even by invigorating drinks. But there are a number of other obvious symptoms of cerebrosthenic syndrome. As the saying goes: "Who is aware - he is armed."

The first signs - do not miss it!

  1. When cerebration, a person begins to suffer extremely badly the heat and stay in stuffy, slightly ventilated rooms. If you do not have such a wound, this can be the first sign and an occasion to turn to a specialist.
  2. At differences of atmospheric pressure the state of health also worsens. The pressure may increase or vice versa, it may go down a lot. Also there is dizziness.
  3. Weakness, a desire to relax. The patient for a long time can not force himself to get out of bed, after a short wakefulness there is an irresistible desire to rest again.
  4. Nausea for no apparent reason.
  5. Apathy.
  6. Asthenia.
  7. Emotional imbalance, irritability without special reasons.
  8. A marked deterioration in memory. The patient can not remember the essence of the conversation, some recent events. Obscureness is also evident. This all leads to a decrease in performance in general.
  9. Headache for no apparent reason. Pain can begin regardless of time of day.

Analyze your health status If most of the indicators of the disease coincide, do not hesitate, consult a doctor. Even if the cerebrosthenic syndrome is not found, it will be an excellent reason to undergo diagnostics.

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Cerebral Disease Syndrome of somatic genesis

Genesis is the mechanism of the onset of the disease. The somatic nervous system is responsible for the transmission of motor and sensitive impulses. That is why cerebrasthenic syndrome is considered a somatic disease.

With cerebrosthenic syndrome of somatic genesis, the patient feels sharp mood swings - from irritability to complete interest in anything. Poor transmission of impulses slows the reaction, increasing fatigue. Everyday duties become difficult.

The fibers of the somatic nervous system directly connect the spinal cord and the brain. The difference between these fibers is that they are not interrupted anywhere. These fibers are impulses to the spinal cord. When the somatic nervous system is affected, the transmission becomes inaccurate, inconsistent. Cerebrasthenic syndrome of somatic genesis is considered one of the most complex diseases. If you do not start treatment immediately, it can lead to a number of other adverse effects. If the body or system is not working properly, the work of the whole organism is knocked down.

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Posttraumatic cerebrosthenic syndrome

Post-traumatic syndrome usually occurs in patients with a weak nervous system after any trauma. Cerebranic syndrome very weakens and exhausts the nervous system, resulting in the risk of a complex post-traumatic period in most patients.

Post-traumatic cerebrosthenic syndrome is characterized by such complications:

  • The state of the alarm. It can occur for no apparent reason.
  • Memories of sensations and a difficult period of recovery.
  • Possible disturbance of sleep.
  • Disorders from the cardiovascular and endocrine system.

A constant nervous overexertion can lead to a secondary depletion of the nervous system. Post-traumatic cerebrosthenic syndrome may not appear immediately, but after 3 or more weeks. Duration of treatment depends on the patient, very important is the help of relatives. It is also necessary to exclude all stimuli.

In mildly expressed form, the syndrome can be cured with simple medications to reduce heart rate. In more complex cases, a course of antidepressants is prescribed. From the help of relatives 50% of rapid recovery of the patient depends.

Cerebranic syndrome on a residual background

Cerebranic syndrome on a residual background is a disease that was formed on the basis of a residual phenomenon after a nervous shock, which has greatly depleted the nervous system.

The residual period can be very long, it occurs after the post-traumatic period. Patients should be constantly examined by a doctor to reduce the burden on the nervous system. The psychic of a person remembers a long time all the sensations and severe physical condition with cerebration, due to this, and there is a residual period.

The post-traumatic period does not last as long as residual. The problems of restoring the nervous system are more pronounced. The residual period can be characterized as a residual, "sedimentary" phenomenon. Cerebrasthenic syndrome on a residual background can occur with some complications, since the nervous system is already weakened by a not completely healed trauma. It is necessary to consult a doctor if any symptoms of a nerve ailment occur, to avoid the recurrence of the disorder.

Severe cerebrosthenic syndrome

Each person's cerebrostenic syndrome manifests itself in different ways. This may be some of the signs from the above list, and maybe almost everything. All diseases are divided into well-defined and hidden.

Severe cerebral sinus syndrome are visible signs of the disease. The person is irritable, quickly gets tired, can not penetrate into the essence of the conversation. This condition is accompanied by headaches and pressure drops.

The hidden type is a more dangerous form of the disease. May disturb some or all of the following symptoms. For example, if all the time there is a feeling of fatigue or a headache. Gradually the patient gets used to this condition, he turns to the doctor with a more neglected form.

Expressed cerebrosthenic syndrome is easier to identify in a small child, when he begins to behave restlessly, often cries, does not show interest in subjects, toys, events. An adult takes this disease for some other one with similar symptoms and tries to heal independently.

Cerebranic syndrome in adults

Due to head trauma, meningitis, concussion, or surgical intervention in an adult, cerebrosthenic syndrome may develop.

Cerebranic syndrome in adults is often expressed as follows:

  • The portability of psychological and physical loads decreases.
  • Scattering, the concentration of attention decreases.
  • Noticeably deteriorates the storage of information. The patient can not remember the simplest things and information.
  • Violations from the vegetative nervous system. This can be expressed by a violation of the blood and lymphatic system, the work of the glands of internal and external secretion.
  • Insomnia or a constant desire to sleep.
  • Lack of appetite or, conversely, a constant feeling of hunger.
  • Pressure jumps.
  • Sweating.
  • Headache.
  • Poor portability of travel in transport, stuffiness, bright light, noise.

Cerebranic syndrome in adults is expressed by other complications, which adversely affects the work and communication with people. On the deterioration of well-being affects almost everything: the weather, light, noise, walking. Driving a car patients with cerebral sinus syndrome should be excluded.

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Cerebranic syndrome in children

In children, cerebrosthenic syndrome is expressed in different ways, this depends on the child's age. In infants, cerebral embolism is expressed by anxiety, appetite swings, and developmental lag. Children of preschool age can suffer from fears, anxiety, enuresis. It is much more difficult for schoolchildren to learn the material of the program.

Cerebrasthenic syndrome in children manifests itself as follows:

  • Inattention, decreased concentration.
  • Headache.
  • Emotional instability.
  • Jumps of appetite.
  • Insomnia, awakening much earlier than required
  • A trip in any transport becomes unbearable. Stifling stuffiness, noise around, a sharp light.
  • The child quickly rocks on the attractions or swings.
  • Schoolchildren and students have poor academic performance in all disciplines.

Cerebranic syndrome in children can result from trauma or tremor, severe fright or other kind of stress. It is necessary to carefully monitor the state of health of the baby, so that with the first manifestation of the syndrome immediately consult a doctor.

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Complications and consequences

The consequences of cerebrosthenic syndrome differ depending on the cause of the disease. In an adult this is expressed approximately like this:

  • At a posttraumatic cerebrosthenic syndrome the sensitivity to noise and light, flashes of irritability, anxiety is noticed.
  • When postinfection cerebrosthenic syndrome, excessive vulnerability, tearfulness, unstable emotional state are noted.

The effects of cerebrosthenic syndrome in infants and children may be more severe. There is a gap in the development of newborns, it is necessary to constantly support and stimulate procedures. Older children also notice a lag in the perception of educational material, low academic performance. Perhaps anxiety and enuresis.

The length of the recovery period may take several weeks, months or even years. Patients should undergo regular diagnosis and examination of the doctor, in order to completely and comprehensively restore the nervous system.

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Complications

Cerebrasthenic syndrome is considered one of the most severe stress conditions for the nervous system. Therefore, like any disease, there can be not only consequences, but also complications. In the main degree, the nature of the complications depends on how quickly the patient turned to the doctor, the state of the nervous system and the correctness of the chosen method of treatment.

Most complications are manifested in children of preschool and school age. They are expressed as follows:

  1. Lag in development.
  2. Unwillingness to do anything if it requires an intellectual load.
  3. In schoolchildren complications are manifested in the fact that the child does not learn and does not have time to perceive the material of the program. Such children are recommended to visit specialized institutions.

When identifying complications, you must carefully monitor the behavior of the child. The syndrome can lead to disruption of personality formation. Therefore, such a child should be constantly encouraged, surrounded by positive emotions, exclude stressful or emotional situations.

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Diagnostics of the cerebrosthenic syndrome

Diagnosis of cerebrosthenic syndrome is a whole complex of studies and analyzes. It is necessary to make an accurate examination of the patient with suspicion of cerebration. This disease is very similar to other typical complications of the person's mental and physical state, such as stress, neuroses, overwork and so on.

In order to determine cerebration in children and adults, modern diagnostic methods are used - instrumental and differential diagnostics. Thanks to this, doctors can determine the disease much faster and prescribe treatment.

Analyzes will help to identify possible infections that have adversely affected the nervous system and the brain. External examination and testing of the patient are aimed at checking the state of memory, mindfulness, memorization and so on. Diagnosis of cerebrosthenic syndrome takes relatively little time. Since the disease does not always have specific outlines, the diagnosis can be carried out again. Diseases of this type should be treated systematically and carefully to avoid repeated unwanted complications.

Analyzes

If a cerebrosthenic syndrome is suspected, the patient will first take a blood test from a vein.

If it is an infectious disease, there are any pathogens in the blood, a laboratory blood test will certainly show it. Also, this analysis helps to prescribe treatment. If a pathogen is not found in the blood, the doctor will be much easier to navigate in the direction in which to conduct research.

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Instrumental diagnostics

This type of diagnosis involves examining the patient with special equipment that will help determine the state of the brain and the nervous system as a whole. The most common are ZZG and MRI.

  • EEG - an electroencephalogram of the brain. This technique allows you to determine the activity of the brain. The entire surface of the head, forehead, whiskey and occipital part are attached special sensors. They fix activity at each point of contact, allowing to determine exactly which part of the brain is active, which is not.
  • MRI - magnetic resonance imaging. With the help of magnetic waves, it is possible to study in detail the state of the brain. This technique allows you to identify abnormalities, changes, the appearance of tumors and the like.

Instrumental diagnostics makes it possible to conduct a patient examination without serious consequences, quickly and accurately. Any procedure takes relatively little time. The result obtained after diagnosis is summarized with blood tests. This gives the most accurate picture of the patient's health.

What do need to examine?

Differential diagnosis

Differential diagnosis is aimed at excluding a number of diseases in a complex disease. This type of diagnosis is especially relevant for diseases of the nervous system. When the symptoms are sufficiently blurred and resemble many other complications of this kind. With the exception method, you can get the only correct result.

Especially effective is a new type of diagnosis - PCR diagnostics. Polymerase chain reaction allows the most accurate detection of any infectious diseases, deviations and anomalies at the gene level. Thanks to this technique, all suspected diseases can be easily eliminated. In the end, there will be one diagnosis, which will be correct.

Who to contact?

Treatment of the cerebrosthenic syndrome

Treatment should be carried out in several directions at once. Prescribed drugs that relieve the tension of the nervous system, to normalize sleep. Also very effective is the visit of sanatoriums, highly specialized in the treatment of nervous disorders. Medications in combination with a positive and tranquil environment are beneficial to the patient's psyche. Gradually, anxiety, nervousness passes, blood pressure returns to normal.

Treatment of cerebrosthenic syndrome in more complex forms is performed with the help of surgical intervention. After the operation, the patient must be under constant medical supervision. Antidepressants and sedatives are prescribed. Of great importance is the psychological help and support of relatives.

The nervous system should receive a signal that the environment does not carry irritants, the emotional background of a person gradually improves. Normalization of blood pressure helps to adjust the work of all organs in the body. Normalization of sleep helps to restore motor activity and ability to work.

Medications

There are many drugs that can effectively help restore a patient with cerebrosthenic syndrome. Most popular and available:

Bilobil - refers to nootropics. The medicine helps to restore cerebral and peripheral blood circulation. Normalization of blood flow helps to improve and restore the work of the brain, which contributes to the early recovery of the patient.

Dosage and administration: 1 capsule 3 times a day. Drink a small amount of water. The drug is taken without interruption for 3 months. Improvement becomes visible only after a month, but there is a persistent effect.

Overdose and side effects: there is no information on cases of overdose. But it is better not to deviate from the proposed regimen of taking the drug. There are practically no adverse reactions. It is extremely rare to have a skin rash, itching. Sometimes there is dizziness or insomnia. With prolonged use of the drug may bleed. Therefore, it is so important to consult a doctor before each course of taking the drug.

Fezam - nootrop in combination. The drug perfectly normalizes blood circulation and brain metabolism. The work of all systems and organs quickly comes to normal.

Dosage and reception: the drug can be taken not only by adults, but also by children older than 5 years. Adults recommended 1-2 capsules 3 times a day. Children 1-2 capsules 2 times a day. The course should not exceed 3 months.

Overdose adverse reactions: No cases of overdose. Adverse reactions can be expressed in the form of skin rashes, headaches and sleep disturbances.

Nicergoline is an anti-anginal drug. The action is aimed at improving the work and blood circulation of the brain.

Dosage and administration: make a solution for oral administration, as written in the instructions. Take 2 = 4 mg twice daily.

Overdose and adverse reactions: a noticeable reduction in blood pressure, dizziness, headaches. Drowsiness, nausea, diarrhea. In case of an overdose, side effects increase.

Curantyl No. 25 - a wonderful drug for restoring blood circulation in the brain, preventing fetal development pathology in pregnant women (placental insufficiency).

Dosage and use: the tablet is taken orally, without chewing. Wash with water. Dosage depends on the disease and the course of the disease. The daily dose can be from 50 mg to 600 mg.

Side effects and overdose: Adverse reactions can occur in an extremely rare case. They are expressed in the form of headaches, dizziness, nausea. Skin rashes may also occur.

Vitamins

With this kind of diseases of the nervous system, complex treatment is necessary. Do not be superfluous will be vitamins of different groups. Particularly important are vitamins of group B, vitamin A and D, acids and microelements. The intake of vitamins in the first place should be aimed at strengthening the walls of blood vessels, enriching the blood with oxygen.

In the pharmacy you can buy drugs containing the entire complex of essential vitamins and minerals. For example, Vitrum. These vitamins have appeared in pharmacies for a long time, mostly have only positive reviews. In one capsule the whole necessary complex of vitamins is collected for the complete restoration of the organism. As a rule, take 1 tablet for 4-6 weeks. In a few months, you should repeat the course of admission.

You can also buy a complex of vitamins, aimed specifically at restoring the uneven system and the work of the brain. You should pay attention to preparations containing vitamin A, B1, B3, B6, B12, C, E, D. "Vitbalans Multivitis" is a balanced complex for the recovery of the nervous system.

Physiotherapeutic treatment

Physiotherapy is an area in medicine that uses various natural and artificially created factors to positively influence the human body. Physiotherapeutic treatment of cerebrosthenic syndrome is carried out in several directions:

  • UHF-therapy. Due to this type of treatment, the walls of blood vessels become more permeable, which facilitates the penetration of drugs into the site of localization of the disease.
  • Therapeutic massage with the elements of manual therapy. Helps improve blood circulation. The masseur massages the points responsible for relieving nervous tension. The muscles and nervous system relax, the patient's condition gradually returns to normal.
  • Balneotherapy. This is one of the types of hydrotherapy. The patient is offered treatment of the body with natural or artificially prepared solutions of mineral salts.
  • Light therapy. The body is affected by the rays. Due to this tissue warms up, blood circulation is restored, the metabolism is normalized.

Alternative treatment

When there were no pills and injections, cerebrostheni was treated with alternative means - herbs that grew in the nearest forests and meadows. Now it's much easier to go to the pharmacy and buy a couple of packs of pills. Few people know that the recipes and herbs of alternative medicine have the same, and sometimes much stronger, positive effects on the body.

Pine bark. This method is suitable for both adults and children. 300 g of pine bark pour 5 liters of water, boil, insist for about an hour. Pour a filtered decoction into the tub. The bath should be taken no more than 15 minutes.

Also a positive effect has similar baths with the root of dog rose, juniper, oregano, mint. It is necessary to make not strongly concentrated broth, especially if the bath is prepared for the child. In broths of mint and lemon balm, it is best for children not more than 10 minutes, as there can be skin rashes.

Another alternative is potato cleaning. In a small saucepan bring to a boil some potato peelings. Allow the water to cool so that you can lower your hands. Put your hands in the water for a few seconds. The procedure is tedious to repeat for several days. This helps to remove nervousness.

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Herbal Treatment

Motherwort or usual. It has a calming effect, several times higher than valerian. Motherwort is used to relieve nervous tension, relax the heart muscle and lower blood pressure.

In the middle of summer, the motherwort is harvested, cutting off the flowering tops. Most often from a dry motherwort do infusion: 2 tbsp. L. Pour boiling water and allow to cool. Filter and take 2 tablespoons. D. 3 times a day. If there is a fresh motherwort, you can take 20-30 drops of fresh juice.

Melissa officinalis. This plant has a wide range of applications. Melissa grows all summer. For drying, only the tops with undiscovered colors are suitable. Melissa infusion is used as an anticonvulsant, sedative, analgesic.

Essential oil perfectly removes nervousness (15 drops each). You can also cook the infusion. 1 tbsp. Dry melissa pour a glass of boiling water and insist in the heat for about an hour. Filter and take ¼ cup before meals 3 times a day.

Take 100 g of fresh birch leaves, chop and pour 2 cups of non-tight boiling water. Insist 6 hours. Then strain. Take half a cup 2-3 times daily before meals.

Homeopathy

To treat cerebrosthenic syndrome, homeopathic remedies are often used. Here are the most effective ones offered by doctors:

Anevro - the drug helps restore the body after infectious diseases, helps to improve the functioning of the nervous system after concussions, injuries.

Dosage and reception: can be taken as adults, and children from 1 year. Children take 2 granules 3 times a day. From 3 years you can take 3-4 pills. Adults - 8 pellets.

Overdose and adverse reactions: the drug is almost harmless. No contraindications and adverse reactions have been identified.

Bellandine - the drug helps with insomnia, intense excitability, neuroses.

Dosage reception: children from 7 years old take 4-6 capsules 3 times a day. Adults take 8 = 10 granules 3 times a day

Adverse reactions and overdose: not specified.

Cefalgin - granules, which are prescribed for head plaques, migraines and vegetoneurosis.

Dosage and reception: take 3 granules 2-3 times a day.

Adverse reactions and overdose: no data.

Cerebrum compositum - the drug prescribed for violations of the brain, developmental deficits in children, multiple sclerosis.

Dosage and reception: the patient is given injections intramuscularly. 1 ampoule from 1 to 3 times a week.

Adverse reactions and overdose: no data.

Physiotherapy

Physiotherapy is a complex of departments aimed at strengthening and restoring the body and muscles. When certain muscle groups are affected, the musculoskeletal system, back, spine, and blood circulation improve.

Physiotherapy is usually prescribed in conjunction with the main treatment. As a separate procedure, it is rarely prescribed. Exercises and duration of the session are selected for each patient individually. If the symptoms are similar in several patients, a group session is conducted.

The first few classes take place in just 10-15 minutes. It can be a few simple exercises that you need to repeat 10-20 times, several stretch marks, breathing exercises. After the end of the exercises, the patient feels a rush of strength, vigor and emotional uplift.

In the future, the load will gradually increase. Number of lessons per week - no more than 3 times. With overstrain of the muscles, the patient may feel a decline in strength, depression. This will have a bad effect on the general psychological state.

Prevention

Cerebrasthenic syndrome greatly affects the state of the nervous system. Therefore, care must be taken to eliminate possible factors for the appearance of stimuli. Prevention of cerebrosthenic syndrome consists of:

  • Avoidance of stressful situations.
  • Proper nutrition.
  • Walks in the open air.
  • Rest outside the city in nature.
  • Emotional relaxation. More positive emotions.

The state of the nervous system can be affected by too nervous work, an unfavorable stress environment, constant conflicts. In order to avoid nervous overwork, try to rest more, visit quiet quiet places. For example, once a week stroll through the forest or park, spend a day without a TV and the Internet.

Prevention of cerebrosthenic syndrome will also be the intake of vitamins to strengthen the nervous system. Excellent B vitamins, magnesium preparations. If there are any neuroses of an easy nature, use one of the alternative means or recipes.

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Forecast

The prognosis or expected consequences after the cerebrosthenic syndrome are quite favorable. It is necessary to carefully monitor the state of health and behavior of the patient, not to violate the established regime of the day, nutrition, exercise. It is also very desirable to exclude from the environment all the irritants and stressors.

In children of school age, cerebration can grow into upholding in some disciplines in school. Such children easily fall under bad influence, are easily vulnerable, can become locked in themselves.

Therefore, this group of patients - schoolchildren - should be given the most attention. With some signs of regression, nootropic drugs are prescribed. Such children need positive emotions and constant psychological support.

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Cerebranic syndrome and the army

The decision on military service in the presence of cerebrosthenic syndrome is decided by a special medical commission in the military registration and enlistment office.

Very often, when the situation changes from the usual to the stressful one, the cerebrosthenic syndrome can also develop. That is why the cerebrosthenic syndrome and the army are so closely connected. Recruits, accustomed to a measured free life, fall under strict control in a rigid framework. The psyche refuses to accept the new environment. Against this background, and the disease begins.

Also in the army is very large risk of injury or concussion of the head. This is also one of the reasons for the development of a disease of this kind. Unfortunately, cerebrosthenic syndrome and the army are two indicators that are not compatible with each other. If in everyday life, with ailment, a person can go to the doctor, then in the conditions of constant stress, stress, training and watch, the visit to the doctor is constantly postponed.

The physical and psychological condition of soldiers and all military personnel must be carefully monitored, not only physical health, but also memory, attention.

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