Background. Epilepsy is one of the most common neurological diseases globally. The unified concept about the role of hippocampus in the development of pharmacoresistant temporal lobe epilepsy is currently missing. Patients with pharmacoresistant temporal lobe epilepsy is often carried out by invasive electrocorticography to identify an epileptic focus. Registration of bioelectric activity of the hippocampus and comparison of data from the MRI pattern of the patient will determine the neurophysiological correlates of structural changes in hippocampus.
Objective. The aim of the work was to determine the neurophysiological correlates of structural changes in the hippocampus in patients with focally caused temporal lobe epilepsy.
Design and methods. The study was based on the analysis of the results of extraoperative invasive monitoring of the bioelectrical activity of the cortex and hippocampal complex, performed in 19 patients with focally caused drug-resistant epilepsy. The quantitative analysis included 34 tracks of hippocampal activity.
Results. A distinctive feature of the bioelectrical activity of the hippocampal complex with its structural damage is the stable dominance of delta activity, which makes up 40–45 % of the total spectrum power. When the hippocampal complex is included in the epileptic system, high-index epileptiform activity is recorded. In the absence of structural damage to the hippocampal complex, the pattern is predominantly formed by the activity of theta and alpha frequency ranges. However, in the group of patients with the absence of a neuroimaging picture of sclerotic changes in the hippocampus, in 63 % of cases, a neurophysiological pattern of “prolapse” was recorded on the electrocorticogram. The spontaneous activity of the hippocampus had a low coherent relationship with the parameters of activity in the cortex of the ipsilateral and contralateral temporal lobes.
Conclusions. The electrophysiological correlate of MR-positive structural changes in the hippocampal complex in drug-resistant epilepsy is the pattern of “loss of bioelectric activity”. Spontaneous hippocampal activity is generated independently of activity in the cortex of the ipsilateral and contralateral temporal lobes.

Background. The use of modern hepatotropic contrast compounds is associated with the risk of side-effects, like accumulation of metal ions in tissues and the development of systemic pathological reactions. Therefore, currently, obtaining of high-affinity hepatotropic drugs is under investigation.
Objective. There was studied the dependence of specific contrast properties of the paramagnetic complex 2-(2-carboxymethyl-(4-hexa-decyloxyphenyl-carbamoyl-methyl))-aminoethyl-(4-hexadecyl-oxyphenylcarbamoyl methyl)-aminoacetic acid with manganese — GDOF-Mn-DTPA — in magnetic resonance imaging from the administered dose of the drug.
Design and methods. The dynamics of changes in the liver contrast ratio over time at different dosages of the contrast compound GDOF-Mn-DTPA was evaluated, and changes in the T1 relaxation time of liver and kidney tissue of laboratory animals (Wistar rats, more than 300 g) at different dosages of GDOF-Mn-DTPA were calculated.
Results. Visual analysis of contrast-enhanced MRI scans with GDOF-Mn-DTPA already at a dose of 0.025 mmol/kg reliably visualized the accumulation of paramagnet in the liver, while further concentration of the drug in the bile ducts of animals was noted, with the actual absence of visually detectable kidney contrast. When evaluating the T1 relaxation time for the liver and kidneys, a persistent decrease in the T1 time for liver tissue was obtained for doses of 0.1, 0.05 and 0.025 mmol/kg, in particular for 0.025 mmol/kg from the initial 760 (747–755) MS to 488 (474–505) MS (p < 0.02). On the contrary, the obtained values of T1 relaxation time for kidney tissue showed no significant accumulation of the paramagnetic contrast compound GDOF-Mn-DTPA to the renal parenchyma at a dosage of 0.025 mmol / kg or lower. GDOF-Mn-DTPA showed a high degree of hepatoselectivity, with a pronounced reduced excretion through the kidneys.
Conclusion. The GDOF-Mn-DTPA complex is a stable compound with a high degree of selective contrast of the hepatic parenchyma, with minimal or no renal excretion, a reliable basis for a hepatoselective contrast agent for imaging and functional studies of the liver with MRI and clinical use in the near future.

Background. In last decades, the number of babies born preterm has increased significantly. Premature newborns are more susceptible to cardiovascular disease in the long-term. To identify subclinical myocardial impairment in premature infants, an assessment of of the left ventricle (LV) deformation could be used.
Objective. The aim of the study was to study the left ventricle (LV) Longitudinal Strain of the endocardial, middle and epicBardial layers in children born with very low and extremely low body weight, at the age from one to five years.
Design and methods. The study included 88 children aged from one to 5 years old, born very premature with very low and extremely low body weight. The comparison group consisted of 43 healthy children of the same age, born full-term. The LV Longitudinal Strain of the endocardial, middle and epicardial layers was studied using the Speckle Tracking Imaging-2D Strain.
Results. In children aged 1 to 5 years, born with very low and extremely low body weight, changes in the gradient of transmural wall Strain and a decrease in LV segments longitudinal strain were detected in 15.90 % and 14.77 % of cases, respectively. Mothers of children born prematurely and who subsequently registered disturbance of the transmural gradient of left ventricular strain in 10 cases (71.43 %) had a history of threatened termination of pregnancy. The threat of termination of pregnancy was noted in all women whose children had a decrease in LV segmental strain. In children who have normal of LV segmental strain, the threat of termination of pregnancy in mothers was registered in 16 cases (26.23 %). LV remodeling is observed in children with a change in the gradient of transmural wall strain or and with a decrease in LV longitudinal segment strain.
Conclusion. Changes in the transmural gradient of wall deformation or reduction of segmental LV deformation in the longitudinal direction in premature infants require correction of the conventional algorithm of dispensary observation in an outpatient setting.

Background. Nervous system diseases and neurodevelopmental disorders are detected in children of preschool and school age approximately thrice as frequently as nervous system disorders in neonates. To investigate this dynamic, we admitted the necessity of standard neurological assessment of children in the interim period, that is at the age of 3–4 years old.
Objective. The aim of the present research is practical testing of standard neurological assessment method for children at the approximate age of 3.5 years old.
Design and methods. We studied neurological status characteristics in 26 low-risk children at the age 31–48 months with the adapted standard Neurological Profile of B. C. L. Touwen.
Results. It is shown that in neurological status of children of the specified age, qualified as «neurologically healthy», not less than two deviations from optimal values were detected. The most common deviations were impaired sitting up from supine position, reduction of reaction to push in sitting position and passive muscle tone changes. The average neurological profile for these children was received. The detected neurological status deviations have correlation with speech development disorders (speech development milestones and phrase speech) (r = 0.69–0.74). At the same time, we noted dissociation between values of some neurological functions and development, and that may suggest individual of development.
Conclusion. Comparison of neurological morbidity in neonatal period and in early preschool age, data about influence of neurological deviations at the approximate age of 3.5 years old on the future cognitive and behavioral disorders, as well as the findings obtained in the present research about prevalence and character of individual deviations in low-risk children, may suggest a probable mechanism of neurological, cognitive, and behavioral disorders increase in elder children.

Pulmonary embolism (PE) is the third most common cardiovascular disease. It is still associated with high hospital mortality, as well as with the development of acute and chronic complications. Treatment and prevention of PE and its complications requires high-tech approaches aimed at improving the prognosis of patients. In this regard, experimental studies aimed at studying the pathogenesis, improving diagnostic methods and searching for new pharmacological substances for the prevention and treatment of PE are in demand from the point of view of clinical practice. Considering the current trends in preclinical research, experimental work on rodents — mice, rats, hamsters, as well as on medium-sized laboratory animals (rabbits) is becoming more and more common. The use of these animal species is ethically acceptable and economically viable. The choice of a specific type of animal and a method for modeling PE is primarily determined by the objectives of the study. This article provides an overview of the main approaches to modeling PE, as well as discusses the advantages and disadvantages of each method. Special attention is paid to the modeling of chronic thromboembolic pulmonary hypertension (CTEPH) as one of the most dangerous complications of PE. The work analyzed publications from 1978 to 2020, in which PE was simulated in rodents and medium laboratory animals.