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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ssmu</journal-id><journal-title-group><journal-title xml:lang="ru">Бюллетень сибирской медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Siberian Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-0363</issn><issn pub-type="epub">1819-3684</issn><publisher><publisher-name>Siberian State Medical University, the Ministry of Healthcare of the Russian Federation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20538/1682-0363-2016-5-178-183</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-747</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>СЛУЧАЙ ИЗ КЛИНИЧЕСКОЙ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASES</subject></subj-group></article-categories><title-group><article-title>Синдром Коуден – фактор риска развития ишемического инсульта</article-title><trans-title-group xml:lang="en"><trans-title>Cowden syndrome is a risk factor for ischemic stroke</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Валикова</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Valikova</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед наук, доцент кафедры неврологии и нейрохирургии,</p><p>634050, г. Томск, Московский тракт, 2</p></bio><bio xml:lang="en"><p>PhD, Associate Professor of the Department of Neurology and Neurosurgery,</p><p>2, Moscow Trakt, Tomsk, 634050</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алифирова</surname><given-names>В. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Alifirova</surname><given-names>V. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д-р мед. наук, профессор, зав. кафедрой неврологии и нейрохирургии,</p><p>634050, г. Томск, Московский тракт, 2</p></bio><bio xml:lang="en"><p>MD, Professor, Head of the Department of Neurology and Neurosurgery,</p><p>2, Moscow Trakt, Tomsk, 634050</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Королева</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Koroleva</surname><given-names>E. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед наук, доцент кафедры неврологии и нейрохирургии,</p><p>634050, г. Томск, Московский тракт, 2</p></bio><bio xml:lang="en"><p>PhD, Associate Professor of the Department of Neurology and Neurosurgery,</p><p>2, Moscow Trakt, Tomsk, 634050</p></bio><email xlink:type="simple">kattorina@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Филимонова</surname><given-names>М. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Filimonova</surname><given-names>M. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>зав. отделением наследственных болезней,</p><p>г. Томск, 634050, Набережная р. Ушайки, 10</p></bio><bio xml:lang="en"><p>Head of Department Hereditary Diseases, </p><p>10, Nab. Ushaiki, Tomsk, 634050</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пугаченко</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pugachenko</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед наук, доцент кафедры неврологии и нейрохирургии,</p><p>634050, г. Томск, Московский тракт, 2</p></bio><bio xml:lang="en"><p>PhD, Associate Professor of the Department of Neurology and Neurosurgery,</p><p>2, Moscow Trakt, Tomsk, 634050</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Сибирский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberian State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научно-исследовательский институт медицинской генетики (НИИМГ), Томский национальный исследовательский медицинский центр (ТНИМЦ) Российской академии наук (РАН)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>The Research Institute for Medical Genetics, Tomsk National Research Medical Center (TNRMC), Russian Academy of Sciences (RAS)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>31</day><month>01</month><year>2017</year></pub-date><volume>15</volume><issue>5</issue><fpage>178</fpage><lpage>183</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Валикова Т.А., Алифирова В.М., Королева Е.С., Филимонова М.Н., Пугаченко Н.В., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Валикова Т.А., Алифирова В.М., Королева Е.С., Филимонова М.Н., Пугаченко Н.В.</copyright-holder><copyright-holder xml:lang="en">Valikova T.A., Alifirova V.M., Koroleva E.S., Filimonova M.N., Pugachenko N.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://bulletin.ssmu.ru/jour/article/view/747">https://bulletin.ssmu.ru/jour/article/view/747</self-uri><abstract><p>Синдром Коуден – это редкое генетическое заболевание, обусловленное аномалией развития всех трех зародышевых листков. Учитывая мезодермальное происхождение мезенхимальной ткани, из которой формируется сосудистая система, патология сосудов головного мозга может иметь место при данном заболевании и послужить фоном для развития у таких пациентов нарушений мозгового кровообращения.</p></abstract><trans-abstract xml:lang="en"><p>Cowden syndrome is a rare genetic disorder caused by the abnormal development of all three germ layers. Taking into consideration the mesodermal origin of mesenchymal tissue that gives rise to the vascular system, the pathology of cerebral blood vessels can occur in conjunction with this disease and cause the development of cerebrovascular disease in such patients.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>синдром Коуден</kwd><kwd>ишемический инсульт</kwd><kwd>аутосомно-доминантное заболевание</kwd><kwd>ано- малии зародышевых листков</kwd><kwd>множественные гамартомы</kwd><kwd>гиподенсный очаг</kwd><kwd>постишемическая киста</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Cowden syndrome</kwd><kwd>ischemic stroke</kwd><kwd>autosomal dominant disease</kwd><kwd>abnormalities of germ layers</kwd><kwd>multiple hamartomas</kwd><kwd>hypodense lesion</kwd><kwd>postischemic cyst</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Riegert-Johnson D.L., Gleeson F.C., Roberts M. et al. 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