bekhterevОбозрение психиатрии и медицинской психологии имени В.М.БехтереваV.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY2313-70532713-055XV. M. BEKHTEREV NATIONAL RESEARCH MEDICAL CENTER FOR PSYCHIATRY AND NEUROLOGY OF THE RUSSIAN FEDERATION MINISTRY OF HEALTH10.31363/2313-7053-2023-812bekhterev-876Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWТранзиторные потери сознания как междисциплинарная проблема диагностикиTransitional loss of consciousness as an interdisciplinary problem of diagnosishttps://orcid.org/0000-0003-4096-6208ПетроваН. Н.PetrovaN. N.

Петрова Наталия Николаевна — д.м.н. профессор, заведующая кафедрой психиатрии и наркологии

Санкт-Петербург

Nataliya N. Petrova

Saint Petersburg

petrova_nn@mail.ruhttps://orcid.org/0000-0002-2798-8800СеменоваН. В.SemenovaN. V.

Семенова Наталия Владимировна — д.м.н., заместитель директора по научно-организационной и методической работе

Санкт-Петербург

Nataliya V. Semenova

Saint Petersburg

org@bekhterev.ruСанкт-Петербургский государственный университетРоссияSaint Petersburg State UniversityRussian FederationНациональный медицинский исследовательский центр психиатрии и неврологии им. В.М. БехтереваРоссияV.M. Bekhterev National Medical Research Center for Psychiatry and neurologyRussian Federation2023191020235733040Copyright © Петрова Н.Н., Семенова Н.В., 20232023Петрова Н.Н., Семенова Н.В.Petrova N.N., Semenova N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.bekhterevreview.com/jour/article/view/876

Обзор посвящен вопросам классификации, диагностики и дифференциальной диагностики транзиторных потерь сознания. Описана патофизиология транзиторных потерь сознания. Сделано заключение, что критерии дифференциальной диагностики транзиторных расстройств сознания нуждаются в дальнейшей разработке и валидации. Проблема пароксизмальных расстройств сознания носит междисциплинарный характер и требует объединения усилий врачей разных специальностей для разработки единого алгоритма клинической, лабораторной и инструментальной диагностики, определения тактики ведения и правильной маршрутизации пациентов.

The review is devoted to the classification, diagnosis and differential diagnosis of transient loss of consciousness. The pathophysiology of transient loss of consciousness is described. It is concluded that the criteria for the differential diagnosis of transient disorders of consciousness need further development and validation. The problem of paroxysmal disorders of consciousness is interdisciplinary in nature and requires the combined efforts of doctors of different specialties to develop a unified algorithm for clinical, laboratory and instrumental diagnostics, determine management tactics and correct patient routing.

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The authors declare that there are no conflicts of interest present.