Post-surgery cognitive dysfunctions
The analysis of the publications devoted to post-surgery cognitive dysfunctions of the patients affected by the stenosis of carotid arteries is done, with the special attention to the alterations of cognitive psychic processes after operative treatment being paid. Various aspects important for the creation of patent's cognitive dysfunctions, as well as probable dysfunctions of cognitive mental processes under such aspects both during and after surgeries are demonstrated. Artificial circulation and associated cerebral embolism and intraoperative hypoperfusion play an important role in the genesis of the brain damages. Reduction of embologenic load contributes to the prophylaxis of postoperative cognitive dysfunctions and other neural disorders. The necessity of comprehensive purpose-made psycho physiological assessments before and after surgical interventions in cardiac surgery patients is discussed. The authors conclude that no standard is available at present to diagnose and prevent define risk groups and levels of severity for timely correct cognitive dysfunctions prior to surgery.