Cognitive Disorders in Patients after Ischemic Stroke and Modern Methods of their Rehabilitation
Abstract
Cognitive impairment is one of the most disabling complications of ischemic stroke, significantly impairing the patient's adherence to rehabilitation and long-term life-long treatment, reducing the quality of life of the patient and his relatives. The article deals with the issues of epidemiology, etiology, pathophysiology of post-stroke cognitive impairments. Improving the efficiency of rehabilitation of patients after stroke remains one of the most important strategic tasks of Russian healthcare. Cognitive impairments that develop early after a stroke negatively affect the rehabilitation process. Their timely identification and correction can improve the functional outcome. Currently, the use of many drugs with neuroprotective properties does not have a strong evidence base. Risk factors, classification, treatment and prevention of post-stroke cognitive disorders are discussed.
References
2. Gusev EI, Kamchatov PR Plasticity of the nervous system. Journal of Neurology and Psychiatry. S.S. Korsakov 2004; 3: 73-78.
3. Ilyasova F.N., Levin O.S. The effect of hypoglycemic therapy on the dynamics of cognitive impairment in type 2 diabetes mellitus in the early recovery period after ischemic stroke. Zemsky doctor 2015; 3 (27): 19-22.
4. Karpova E.N., Muravyov K.A., Muravyov V.N., Karpov S.M., Shevchenko P.P., Vyshlova I.A., Dolgova I.N., Khatueva A.A. Epidemiology and risk factors for ischemic stroke. Modern problems of science and education 2015; 4: 441-450.
5. Kovalchuk V.V. Influence of Mexidol on neurological deficit, social adaptation, and neglect and "repulsion" syndromes in patients after stroke. Journal of Neurology and Psychiatry. C.C. Korsakov 2011; 111 (12-2): 52-57.
6. Kosivtsova OV Management of patients in the recovery period of stroke. Neurology, neuropsychiatry, psychosomatics 2014; 4: 101-105.
7. Kotov S.V., Isakova E.V., Chataeva GS, Prokhorova N.V. Akatinol memantine in the treatment of patients with ischemic stroke. Psychiatry and psychopharmacotherapy 2005; 7 (6): 343-345.
8. Kryzhanovsky G.N. Plasticity in the pathology of the nervous system. Journal of Neurology and Psychiatry. C.C. Korsakova 2001; 101 (2): 4-7.
9. Levin O.S., Vasenina E.E. Application of Akatinol Memantine in clinical practice. Modern therapy in psychiatry and neurology 2015; 1: 24-33.
10. Luria AR Higher cortical functions of a person and their disorders in local brain lesions. 3rd ed. M .: Academic project 2000; 512s.
11. Imomjonovich I. I. et al. Immunogenetic changes in kidney transplantation //International Engineering Journal For Research & Development. – 2021. – Т. 6. – №. 3. – С. 3-3.
12. Makotrova T.A., Trusova N.A., Shrader N.I., Levin O.S. The neuroprotective potential of akatinol-memantine in ischemic stroke. Journal of Neurology and Psychiatry. C.C. Korsakov 2013; 113 (7-2): 82-85.
13. Pustokhanova L.V., Kulesh A.A., Morozova E.M. Features of cognitive and affective disorders in the early recovery period of ischemic stroke. Family health - 21st century. 2010; 2. Available at: http://elibrary.ru/contents asp? Issueid = 862398 Link accessed on 22.22.2016.
14. Rumyantseva S.A., Orlova A.S., Orlov V.A., Silin S.V. Early diagnosis and prevention of post-stroke depression. Modern Medical Science 2011; 1: 104-115.
15. Rumyantseva S.A., Silina E.V., Orlova A.S., Bolevich S.B. Assessment of the rehabilitation potential in comorbid stroke patients. Bulletin of Restorative Medicine 2014; 3: 91-92.
16. Рузиев, Ш. С., Уринов, М. Б., & Набиева, С. (2020). Ретроспективные Клинико-Динамические Характеристики Больных С Мозговым Инсультом. Журнал Неврологии И Нейрохирургических Исследований, 1(4).
17. Sobirovna N. S. Features and dynamics of static-locomotor and cognitive impairment after postponed ischemic stroke. – 2021.