http://www.ncbi.nlm.nih.gov/pubmed/26841523
[Article in Russian]
Abstract
This
article was designed to analyze the results of the investigations with
the purpose of elucidation of the prognostic factors relevant to the
rehabilitation of the patients who survived after stroke. Special
attention is given to the role of demographic (age and sex) factors and
the data of the clinical, neurological, psychological, cognitive, and
instrumental examination of the patients. The results of the original
studies based on the treatment of 203 stroke patients are discussed in
the context of modern concepts of the significance of the factors
contributing to the recovery of the patients in the course of the
post-stroke rehabilitation. The prognostic value of the selected
factors, such as leukoareosis (for the patients presenting with
hemorrhagic stroke), has been demonstrated for the first time. The new
data on the duration of the rehabilitation period are presented with
reference to its dependence on the type of stroke and localization of
the lesions. Specifically, it is estimated to be 2 years for the
patients who suffered from ischemic stroke in the brain stem, 31 months
for those with ischemic stroke of the hemispherical localization, and 38
months for the patients presenting with hemorrhagic stroke
(hemispherical hematoma). In addition, the data on the magnitude of the
post-ischemic atrophic changes of prognostic values are presented.
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