[Dynamics of the focal neurological disorders in stroke survivors]

A study of the neurological disorders was performed in the population of 34-80 year-old stroke survivors. The duration of the period after the stroke was in the range from some weeks till 17 years. The patients were included into the computer post-stroke patients data bank set up in the V.M. Bekhterev Institute. The follow up study has found that aphasic and motor disorders regress more frequently. Tonic disorders of extrapyramidal character aggravate, probably, due to progression of the main vascular process. In patients with location of focus in different hemispheres a decrease of the pyramidal spasticity was observed in the approximately equal degree, while its increase was more often found in patients with right focal process as compared with the left one (22.3% and 9.2%, respectively). Manifestation of the amyostatic disorders was stable (72.7%) in patients with damage of the left hemisphere, as compared with the damage of the right one (50%). Efficiency of restoration of the movements was approximately equal in patients with cortical, subcortical and combined foci in the right or in the left hemisphere of the brain.