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Comparative Dynamics of EEG Parameters in Elderly Patients with Depression during Monotherapy and Combined Treatment

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Objective. To perform a comparative analysis of changes in the functional status of the brain by quantitative electroencephalography (EEG) during combined antidepressant treatment (venlafaxine and Cerebrolysin) and monotherapy (venlafaxine) of elderly patients with depression. Materials and methods. A total of 40 patients aged 60–79 (mean 67.1 ± 5.7) years took part in the study and were randomized to two groups. Patients of group 1 received venlafaxine at a dose of 75–150 mg/day for four weeks. Patients of group 2 received venlafaxine for four weeks along with Cerebrolysin (20 i.v. drip infusions of 20.0 ml in 100 ml of isotonic NaCl solution). Results and discussion. Both groups of patients noted signifi cant improvements in status by the end of treatment courses in terms of clinical assessment and the HAMD-17, CGI-S, CGI-I, and MMSE scales. Quantitative EEG studies showed that combined therapy with venlafaxine and Cerebrolysin in patients of group 2 led to more marked improvements in the functional state of the brain (increases in spectral power and normalization of the frequency of the parietal-occipital α rhythm) than seen in patients of group 1, who received monotherapy with venlafaxine.

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References

  1. A. A. Churkin, Epidemiology of Mental Disorders, T. B. Dmitrieva et al. (eds.), GEOTAR-Media, Moscow (2009).

  2. A. F. Iznak, “Neuronal plasticity as one aspect of the pathogenesis and treatment of affective disorders,” Pskhiatr. Psikhofarmakoter., 7, No. 1, 24–27 (2005).

    Google Scholar 

  3. A. N. Bogdan, P. V. Morozov, and Yu. V. Seiku, “Nootropic agents in the complex pathogenetically based therapy of depression (literature review),” Psikhich. Rasstr. Obshch. Med., No. 3–4, 68–73 (2011).

  4. B. L. Jacobs, H. van Praag, and F. H. Gage, “Depression and the birth and death of brain cells,” Am Sci., 88, 340–345 (2000), doi: 10.1511/2000.4.340.

    Article  Google Scholar 

  5. H. K. Manji and R. S. Duman, “Impairments of neuroplasticity and cellular resilience in severe mood disorder: implications for the development of novel therapeutics,” Psychopharmacol Bull., 35, 5–49 (2001).

    CAS  PubMed  Google Scholar 

  6. Y. Tatebayashi, “The dentate gyrus neurogenesis: a common therapeutic target for Alzheimer disease and senile depression?” Seishin Shinkeigaku Zasshi, 105, 398–404 (2003).

    PubMed  Google Scholar 

  7. Y. Noda, N. Nakamura, T. Saeki, et al., “Potentiation of quantitative electroencephalograms following prefrontal repetitive transcranial magnetic stimulation in patients with major depression,” Neurosci. Res., 77, No. 1–2, 70–77 (2013); 10.1016/j.neures.2013.06.002.

    Article  PubMed  Google Scholar 

  8. A. F. Iznak, “Neuroprotectors in the prophylaxis of depressive disorders,” Sibir. Vestn. Psikhiatr. Narkol., Supplement, 103–105 (2006).

  9. M. Windisch, A. Gschanes, and B. Hutter-Paier, “Neurotrophic activities and therapeutic experience with a brain derived peptide preparation,” JNeuralTransm., 53,289–298(1998), doi: 10.1007/978-3-7091-6467-9_25.

    CAS  Google Scholar 

  10. S. I. Gavrilov, “Potential for preclinical diagnosis and preventive therapeutic interventions in Alzheimer’s disease,” Psikhiatriya, No. 1, 18–29 (2009).

  11. A. F. Iznak, E. V. Iznak, N. N. Zavadenko, and L. S. Guzilova, “Dynamics of measures of the P300 component in adolescents during the treatment of the asthenic sequelae of craniocerebral trauma,” Psikhiatriya, No. 4, 25–31 (2009).

  12. E. V. Iznak, A. F. Iznak, E. A. Pankratova, et al., “Electrophysiological correlates of the efficacy of the nootropic sequelae of craniocerebral trauma in adolescents,” Zh. Nevrol. Psikhiat., 110, No. 5, 27–32 (2010).

    CAS  Google Scholar 

  13. M. Funke, J. Fiehler, I. Mewes, et al., “Dose-dependent effects of Cerebrolysin on EEG and short term memory of healthy volunteers during control and hyperventilation induced cerebral ischemia,” J. Neural Transm., 53, 385–398 (1998), doi: 10.1007/978-3-7091-6467-9_34.

    Article  CAS  Google Scholar 

  14. X. A. Alvarez, V. R. Lombardi, L. Corzo, et al., “Oral Cerebrolysin enhances brain alpha activity and improves cognitive performance in elderly control subjects,” J Neural Transm., 59, 315–328 (2000).

    CAS  Google Scholar 

  15. G. P. Panteleeva, V. V. Artyukh, W. S. Krylova, et al., “Cerebrolysin as a substance optimizing the psychopharmacotherapy of endogenous depression,” Psikhiatriya, No. 4–6, 70–84 (2008).

  16. A. Ciobanu, C. Petcu, and A. Surdu, “Cerebrolysin augmentation in treatment-resistant depression at elderly,” in: Proc. 10th World Congr. of Biological Psychiatry (2011).

  17. A. F. Iznak, E. V. Iznak, V. V. Kornilov, and V. A. Kontsevoi, “Dynamics of neurophysiological measures on the treatment of protracted psychogenically provoked depression,” Psikhiatriya, No. 1, 32–37 (2011).

  18. A. F. Iznak, E. V. Iznak, O. B. Yakovleva, et al., “Neurophysiological measures of the efficacy of the treatment of depression in the elderly,” Zh. Nevrol. Psikhiat., 112, No. 6, 49–54 (2012).

    CAS  Google Scholar 

  19. A. A. Mitrofanov, A Computer System for the Analysis and Topographic Mapping of Brain Electrical Activity with a Neurometric EEG Database (description and application), Moscow (2005).

  20. N. Gorbachevskaya, V. Bashina, V. Gratchev, and A. Iznak, “Cerebrolysin therapy in Rett syndrome: clinical and EEG mapping study,” Brain Dev., 23, Suppl. 1, 90–93 (2001), doi: 10.1016/s0387-7604(01)00349-7.

    Article  Google Scholar 

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Correspondence to A. F. Iznak.

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Translated from Zhurnal Nevrologii i Psikhiatrii imeni S. S. Korsakova, Vol. 116, No. 1, Iss. 1, pp. 47–50, January, 2016.

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Iznak, A.F., Iznak, E.V., Kalyn, Y.B. et al. Comparative Dynamics of EEG Parameters in Elderly Patients with Depression during Monotherapy and Combined Treatment. Neurosci Behav Physi 47, 382–385 (2017). https://doi.org/10.1007/s11055-017-0410-6

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