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Management of a post-stroke patient

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The management of a post-stroke patient represents is a challenge to modern neurology. Complete recovery of all functions requires only recurrent stroke prevention. If the patient continues to have motor, speech, and/or other disorders that are promising to recover function, there is a need for rehabilitation. Patient care and prevention of recurrent stroke and akinesia-associated complications are required if there are no promises for functional recovery. The paper describes the current methods for the prevention of recurrent stroke, which include lifestyle modification, blood pressure normalization, and the use of surgical procedures (in some patients), antithrombotic agents, and statins (after ischemic stroke). It analyzes the possibilities and methods of treatment in lost motor and speech functions, neuropsychic (cognitive and depressive) disorders, and urination disorders. It is noted that the application of current treatment options makes it possible to substantially reduce the risk of recurrent stroke and to improve recovery of lost functions and quality of life in the patient.

About the Authors

Vladimir Anatolyevich Parfenov
Department of Nervous System Diseases, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia
Russian Federation

S V Verbitskaya
Department of Nervous System Diseases, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia
Russian Federation


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For citations:

Parfenov V.A., Verbitskaya S.V. Management of a post-stroke patient. Neurology, Neuropsychiatry, Psychosomatics. 2013;5(2S):23-27. (In Russ.)

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