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NEUROPSYCHOLOGICAL SYMPTOMS AND THERAPY IN PATIENT WITH A BILATERAL THALAMIC ISCHEMIC STROKE DUE TO THE ARTERY OF PERCHERON TERRITORY INFARCT

100%

Peda B., Kotlęga D., Gołąb-Janowska M., Nowacki P.

Acta Neuropsychologica

2017

vol. 15(3)

341-355

A bilateral thalamic ischemic stroke is a rare clinical manifestation resulting mainly from cardioembolism or small vessel disease. The ischemic stroke affecting the thalamus bilaterally may lead to memory and executive dysfunction, dis o rientation, oculomotor and conjugated gaze disturbances, motor deficit, cerebellar symptoms, apathy, stupor, somnolence and a coma. There have only been a few descriptions of the neuropsychological condition prevalent in this group of patients. The aim of the study was to present a detailed neuropsychological manifestation and follow-up with systematic rehabilitation. We present a 57-year-old female patient suffering from a bilateral thalamic ischemic stroke due to cardiogenic embolism of the artery of Percheron. The presented case summarizes the dynamics of the changes in cognitive and executive functions in the patient over the course of six months from the onset. We conclude that all bilateral stroke patients should undergo a detailed neuropsychological assess ment, an early, intensive rehabilitation process and a full cardiac investigation to unearth the potential causes.

Assessment of Impact of Early Stroke Rehabilitation on Hip Joint Mobility of the Affected Leg in Patients after Cerebrovascular Accidents

75%

Łubkowska W., Zdeb T., Mroczek B.

Central European Journal of Sport Sciences and Medicine

2015

vol. 12

issue 4

17-23

One of the main priorities of stroke rehabilitation is regaining patients’ independence in basic everyday activities. This paper is aimed at assessing impact of early stroke rehabilitation on hip joint mobility of the affected leg in patients after cerebrovascular accidents. The study included 30 subjects (13 men and 17 women) aged on average ±66.1, with hemiparesis, who were treated at the stroke unit and participated in a 4-week rehabilitation program. Measurements of passive and active motion ranges were conducted with a goniometer in both limbs: healthy and affected ones by stroke. There were statistically significant differences in motion ranges between healthy and affected limbs. Examination I revealed that affected limbs amounted to only 40% of physiological range, while in Examination II, the result reached 73%. The most significant motion limitations were noted in terms of bending, adduction and internal rotation, while the least significant in terms of external rotation and abduction. Exercises used during early stroke rehabilitation of hemiparesis patients considerably increased active motion ranges and maintained passive motion ranges in the hip joint of the affected limb. Patients with right-sided hemiparesis experienced much better improvement in hip joint motion of the affected limb. The 4-week period was insufficient to mobilize patients and help them regain full active mobility in the hip joint of the affected limb. These patients required further physiotherapy, until they fully regained functionality.

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1 Acta Neuropsychologica

1 Central European Journal of Sport Sciences and Medicine

1 2017

1 2015

1 Gołąb-Janowska M.

1 Kotlęga D.

1 Mroczek B.

1 Nowacki P.

1 Peda B.

1 Zdeb T.

1 Łubkowska W.

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NEUROPSYCHOLOGICAL SYMPTOMS AND THERAPY IN PATIENT WITH A BILATERAL THALAMIC ISCHEMIC STROKE DUE TO THE ARTERY OF PERCHERON TERRITORY INFARCT

Assessment of Impact of Early Stroke Rehabilitation on Hip Joint Mobility of the Affected Leg in Patients after Cerebrovascular Accidents