MANAGEMENT OF PATIENTS AFTER ISCHEMIC STROKE WITH MOTOR DISTURBANCES
https://doi.org/10.21518/2079-701X-2017-17-6-10
Abstract
Management of patients after ischemic stroke is based on the prevention of the repeated ischemic stroke and other cardiovascular diseases. It’s necessary to use drugs (antiplatelet drugs or anticoagulants, statins, antihypertensive drugs), non-drug methods (smoking cessation, alcohol abstinence, rational diet, increase of physical activity), surgical therapy is indicated for a share of patients (carotid endarterectomy). In motor disturbances the remedial gymnastics targeted at training of movements in paretic extremities and prevention of contractures plays the leading role. Currently the effectiveness of drugs to improve restoration of the motor functions is not proved. Possibilities of cerebrolysin and results of the recently published study ECOMPASS are discussed, in which effectiveness of cerebrolysin was studied on 70 patients (30 ml intravenously for 7–28 days of IS) versus placebo. Improvement of restoration of the motor functions in a subgroup of patients with pronounced motor disturbances has been observed as well as improvement of neuroplasticity processes by results of the diffuse and tensor and functional magnetic and resonance tomography in use of cerebrolysin (versus placebo). Use of all effective methods in management of patients after ischemic stroke allows reducing the risk of development of repeated stroke, improving the restoration and quality of life of patients.
About the Author
V. A. Parfenov
Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
MD, Prof.
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Review
For citations:
Parfenov VA. MANAGEMENT OF PATIENTS AFTER ISCHEMIC STROKE WITH MOTOR DISTURBANCES. Meditsinskiy sovet = Medical Council. 2017;(17):6-10. (In Russ.) https://doi.org/10.21518/2079-701X-2017-17-6-10
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