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Isakova E.V.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

Kotov S.V.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

Guts E.S.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

Chervinskaya A.D.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

Ponomareva E.S.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

High effectiveness of cognitive rehabilitation in the late recovery period after revascularization

Authors:

Isakova E.V., Kotov S.V., Guts E.S., Chervinskaya A.D., Ponomareva E.S.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2026;126(4‑2): 100‑106

DOI: 10.17116/jnevro2026126042100

Read: 335 times

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Table of contents

HIGH EFFECTIVENESS OF COGNITIVE REHABILITATION IN THE LATE RECOVERY PERIOD AFTER REVASCULARIZATION
HIGH EFFECTIVENESS OF COGNITIVE REHABILITATION IN THE LATE RECOVERY PERIOD AFTER REVASCULARIZATION

To cite this article:

Isakova EV, Kotov SV, Guts ES, Chervinskaya AD, Ponomareva ES. High effectiveness of cognitive rehabilitation in the late recovery period after revascularization. S.S. Korsakov Journal of Neurology and Psychiatry. 2026;126(4‑2):100‑106. (In Russ.)
https://doi.org/10.17116/jnevro2026126042100

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
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Abstract:

The article presents a clinical case of recovery of a patient after ischemic stroke with cognitive impairment, including aphasic disorders, and hemiparesis after systemic thrombolytic therapy and total selective endovascular mechanical thromboextraction, stent placement in the left ICA in the acute period, with a delayed start of further rehabilitation activities after nine months. The comprehensive rehabilitation program included classes with a computerized complex for training the upper limb with cognitive modules, modified mirror therapy, and classes with a speech therapist-neuropsychologist, and was aimed primarily at restoring cognitive functions, including all forms of impaired speech activity, through the cognitive load components of the program and restoring the movement function of the paretic right limb. Excellent outcomes were observed, confirmed by clinical and neuropsychological evaluations and electroencephalographic data, indicating a decrease in abnormal slow-wave activity and interhemispheric asymmetry after treatment.

Keywords:

ischemic stroke
aphasia
mirror therapy
electroencephalography
interhemispheric asymmetry
late recovery period
revascularization

Authors:

Isakova E.V.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

Kotov S.V.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

Guts E.S.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

Chervinskaya A.D.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

Ponomareva E.S.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

Received:

16.12.2025

Accepted:

24.12.2025

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References:

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