Examination Methods After Ischemic Stroke
Keywords:
Ischemic stroke, Examination, Neuroimaging, Rehabilitation, Quality of life, Neglect syndrome, Drug therapy, DiagnosticsAbstract
Vascular diseases of the brain are one of the most urgent medical and social problems. Ischemic stroke leads to long-term disability, and only a small number of patients return to work. Therefore, improving rehabilitation methods is very important. Examination after ischemic stroke is aimed at determining the type of stroke, localization of the lesion, identifying the cause, and preventing recurrence. The main examination methods include neuroimaging (CT, MRI), vascular ultrasound, electrocardiography, and laboratory tests. Rehabilitation includes physical, neuropsychological, social methods, and drug therapy, but the effectiveness of many treatments remains controversial. Quality of life is an important indicator in evaluating patient recovery. Special attention is given to patients with neglect syndrome, which complicates rehabilitation. The study analyzes the effectiveness of neurometabolic and vasoactive drugs, as well as combined rehabilitation methods, in restoring motor, sensory, coordination, and cognitive functions. Despite progress, further research is still required.
References
[1] Appelros P., Nydevic I., Karlsson G.M., et.al. Recovery from unilateral neglect after right-hemisphere stroke. // Disabil Rehabil. - 2004. - Vol. 22. -P.471—477. 160. Barbeau H., Visintin M. Optimal outcomes obtained with body-weight support combined with treadmill training in stroke subjects // Arch Phys Med Rehabil. - 2003. - Vol. 84. - P. 1458-1465.
[2] Connolly S.J., Ezekowitz M.D., Yusuf S. et al. Dabigatran versus warfarin in patients with atrial fibrillation // N. Engl. J. Med. - 2009. - Vol. 361. - № 12. -P.l 139-1151.
[3] Danells C.J., Black S.E., Gladstone D.J. et al. Poststroke "pushing" // Stroke. - 2004. -Vol. 35. - P.2873-2880.
[4] Gilbertson L., Langhorne P., Walker A. et al. Domiciliary occupational therapy for patients with stroke discharged from hospital: a randomised controlled trial // Br Med J. - 2000. - Vol. 320. - P.603-606.
[5] Harding P., Riddoch J. Functional Electrical Stimulation (FES) of the upper limb alleviates unilateral neglect: a case series analysis // Neuropsychological rehabilitation. - 2009. - Vol. 19. - P.41-63.
[6] Johansson B.B. Brain plasticity and stroke rehabilitation // Stroke. - 2000. -Vol. 20. - P.223-230.
[7] Karnath H.O., Rorden C. The anatomy of spatial neglect // Neuropsychologia. -2012.-Vol. 50.-P.1010-1017.
[8] 8. Laurat E. Proirier B., Tupin E. et al. In vivo dowregulation of T helper cell 1 immune responses reduces atherogenesis in apolipoprotein E knockout mice //Circulation. - 2001. - Vol.104. - P. 197-202.
[9] Miyai I., Yagura H., Oda I. Premotor cortex is involved in restoration of gait in stroke // Ann Neurol. - 2002. - Vol. 52. - P. 188-194.
[10] Rossini P., Dal Forno G. Integrated technology for evaluation of brain function and neural plasticity // Phys Med Rehabil Clin N Am. — 2004. - Vol. 22. - P.656-664.
[11] Savas S., Delibas N., Savas C. et al. Pentoxifylline reduces biochemical markers of ischemia-reperfusion induced spinal cord injury in rabbits // Spinal Cord. - 2002. - Vol. 40. - P.224-229.
