UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325

Neglect syndrome after ischemic stroke: diagnosis, treatment options

Type of Article

In the Section

Index UDK:

Abstract

The purpose of the study: the study of clinical efficacy and safety of the Neuromidin® in the rehabilitation period in patients with primary ischemic stroke, its eff ect on motor, cognitive function, level of household adaptation, depending on the presence or absence of neglekt syndrome and "push-syndrome". 60 patients aged 49 to 82 years in the recovery period of ischemic stroke were examined (30 patients — the main group: treatment with the addition of Neuromidin®; 30 patients — control group: standard treatment without adding Neuromidin®). Investigation of motor, cognitive, and sensitive disorders was carried out with the use of clinical scales. The effectiveness of the treatment was evaluated in the absence of signs of neglekt syndrome and "push-syndrome", reduction of motor and cognitive impairment. Patients with neglekt syndrome showed greater dependence on third-party care and more severe cognitive impairment than in patients who had not been diagnosed neglekt syndrome. After treatment, the majori ty of patients achieved elimination of neglekt syndrome, but in the group where patients received Neuromidin®, the number of such patients was higher. In addition, patients in the main group improved cognitive function. The use of Neuromidin® in complex rehabilitation measures in patients with ischemic stroke contributes to the restoration of lost functions, reduces the phenomena of visual-spatial neglect, positively affects self-care and improves the quality of life of patients and their relatives

Pages

References

  1. Galkin A. С. Possibilities to improve the effectiveness of rehabilitation of patients after stroke with the ignoring syndrome / Galkin A. S. et al. S et al. // Journal of Neurology and Psychiatry. С. С. Korsakov. 2014. № 10. С. 30-34.
  2. Galkin A. S., Kovalchuk V. V., Gusev A. O. S., Kovalchuk V. V., Gusev A. O. Comparative characterization of the effectiveness of neurometabolic and vasoactive drugs in the rehabilitation of patients with ischemic stroke // Ibidem. 2011. № 10. С. 47-50.
  3. Kovalchuk V. V., Shvartsman G. I., Gusev A. O. Reasons for the need and ways to eliminate the syndromes of neglect and "repulsion" in patients after stroke - factors that prevent adequate rehabilitation // Medico-social expertise and rehabilitation. 2013. № С. 50-53.
  4. Kovalchuk V. V., Khafizova T. L., Galkin A.. S Application of neurometabolic therapy as part of complex rehabilitation of patients after stroke // Journal of Neurology and Psychiatry. С. С. Korsakov. 2014. 114. № 11. С. 61-66.
  5. Mishchenko TS, Shestopalova LF, Mishchenko VN Neuromidine in the treatment of cognitive impairment in post-stroke patients // Ukrainian Journal of Psychoneurology. 2008. Vol. 16, No. 3 (56). С. 12-15.
  6. Cognitive and affective disorders in the post-stroke period in patients with metabolic syndrome / [T. I. Nasonova, G. V. Goreva, Y. I. Golovchenko, K. V. Raichenko] // Family Medicine. 2016. № 1 (63). С. 70-75.
  7. Stakhovskaya L. V., Tyutyumova E. A., Fedin A. I. Modern approaches to neuroprotective therapy of ischemic stroke // Journal of Neurology and Psychiatry. I. Modern approaches to neuroprotective therapy of ischemic stroke // Journal of Neurology and Psychiatry named after S. S. Korsakov. Special issues. 2017. 117 (8). С. 75-80. DOI: https://doi.org/10.17116/jnevro20171178275-80.
  8. Shevchenko L. A. Neglect syndrome in hemispheric stroke // Ibid. 2012. 112 (12). С. 40-43.
  9. Albert M. A  simple test of  visual neglect  // Neurology. 1973; 23(6): 658—664. DOI: https://doi.org/10.1212/WNL.23.6.658.
  10. The role of the temporo-parietal cortex in  subcortical visual extinction / Ticini L. F., de Haan B., Klose U. [et al.] // J Cogn Neurosci. 2010; 22(9): 2141—2150. DOI: https://doi.org/10.1162/jocn.2009.21315.
  11. Looking while imagining. The influence of visual input on  representational neglect  / Rode  , Revol  P., Rossetti  Y. [et  al.]  // J  Neurol. 2007; 68: 432—437. DOI: https://doi.org/10.1212/01.wnl.0000252936.54063.b0.