The work is devoted to the objective assessment of affective disorders in patients who underwent thrombectomy for thrombotic occlusion in the early postoperative period.

During 2023—2024, a prospective study of 96 patients who underwent thrombectomy for thrombotic occlusion was conducted at the Center for Roentgen Endovascular Neurosurgery of the Kyiv City Clinical Hospital No. 1 (Kyiv, Ukraine). The determination of the features of the affective sphere took place 7 days after surgical intervention for the extraction of thrombotic occlusion using The Hamilton Anxiety Rating Scale (HARS), The Hamilton Depression Rating Scale (HDRS) and Young Mania Rating Scale (YMRS); the results obtained in this way were compared with the anamnesis data and the assessment of stroke severity using the NIHSS and ASPECTS scales.

The spectrum and severity of affective disorders in the selected contingent of patients were objectified, in particular, it was determined that they are characterized by moderate and severe manifestations of anxiety and depression, low rates of manic symptoms, mixed (atypical) affective states, and a relative rarity of complaints about their emotional state, which is due, firstly, to the inability to adequately assess their own condition independently and, secondly, to the short period from the brain accident to the assessment of the affective sphere.

The cohort of patients who underwent thrombectomy for thrombotic occlusion has a number of features that determine specific mechanisms for the formation of secondary mental disorders and determine the relevance of further research.