Correction of speech and autonomic disorders after the ischemic stroke

Abstract

Неврология original research Neurology 318 In Russia more than 650000 people suffer a stroke each year, and approximately two-thirds of these individuals survive and require rehabilitation. The goals of rehabilitation are to help survivors become as independent as possible and to attain the best possible quality of life. Even though rehabilitation does not «cure» the effects of stroke in that it does not reverse brain damage, rehabilitation can substantially help people achieve the best possible long-term outcome [1, 6].The ischemic stroke is an accident, which, at a favorable outcome, leads to cardinal changes in human life and his relatives [12]. There is no patient without these changes in a way of life, mood and behavior. At the same time traditionally in a clinical picture of a stroke the main influence is given to the focal neurologic deficiency bound to a physical disability, first of all to disturbance of motor function. Meanwhile the psychoemotional disorders, speech problems and dysfunctionof autonomic nervous system arising at appreciable number of the poststroke patients, render on household, social and professional adaptation nearly larger effect, than motor deficiency and become an important problem [8, 11].Changes of autonomic regulation in case of acute brain ischemia are including both direct damage of the suprasegmental centers, and the neurometabolic shifts caused by stress factors. The deviations, arising in the regulating parts of the autonomic nervous system precede hemodynamic, metabolic, respiratory disturbances and, thus, can be the most valuable prognostic symptoms of the patient after the stroke [5]. Investigation of 106 patients in the early recovery period of an ischemic stroke is conducted. Autonomic nervous system dysfunction, speech problems and the psychoemotional disturbances are revealed. Strong correlation of aphasia and depression was demonstrated. Efficiency of an antioxidant treatment in correction of the revealed problems at the patients with an ischemic stroke is shown. Keywords: ischemic stroke, autonomic dysfunction, aphasia, dysarthriaПроведено исследование 106 пациентов в раннем восстановительном периоде ишемического инсульта. Выявлены дисфункция вегетативной нервной системы, речевые проблемы и психоэмоциональные наруше-ния. Была продемонстрирована сильная корреляция афазии и депрессии. Показана эффективность антиок-сидантного лечения при коррекции выявленных проблем у пациентов с ишемическим инсультом Ключевые слова: ишемический инсульт, вегетативная дисфункция, афазия, дизартрия