1 research outputs found
InteRhemispheric differences in clinical outcome after intravenous thrombolysis
Π§ΠΎΠ²Π΅ΡΠΊΠΈΡΡ ΠΌΠΎΠ·ΡΠΊ ΡΠ΅ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΠ·ΠΈΡΠ° Ρ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»Π½Π° Π°ΡΠΈΠΌΠ΅ΡΡΠΈΡ, Π²ΠΊΠ»ΡΡΠ²Π°ΡΠ° ΠΌΠ΅ΠΆΠ΄ΡΡ
Π΅ΠΌΠΈΡΡΠ΅ΡΠ½ΠΈ, ΠΊΠΎΡΠΎΠ²ΠΈ ΠΈ ΠΏΠΎΠ΄ΠΊΠΎΡΠΎΠ²ΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ. ΠΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ Ρ ΠΠΠ Π² Π»ΡΠ²Π° Ρ
Π΅ΠΌΠΈΡΡΠ΅ΡΠ° ΠΈ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΡΡΠΎΠΌΠ±ΠΎΠ»ΠΈΡΠΈΡΠ½ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ (Π’Π) ΠΈΠΌΠ°Ρ Π΄Π²Π° ΠΏΡΡΠΈ ΠΏΠΎ-Π³ΠΎΠ»ΡΠΌΠ° Π²Π΅ΡΠΎΡΡΠ½ΠΎΡΡ Π·Π° Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ΅Π½ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅Π½ ΠΈΠ·Ρ
ΠΎΠ΄ Π½Π° ΡΡΠ΅ΡΠΈΡ ΠΌΠ΅ΡΠ΅Ρ ΡΡΠ°Π²Π½Π΅Π½ΠΎ Ρ Π΄ΡΡΠ½ΠΎΡ
Π΅ΠΌΠΈΡΡΠ΅ΡΠ½ΠΈΡΠ΅ ΠΈΠ½ΡΠ°ΡΠΊΡΠΈ. ΠΠ΅Π½ΡΠΊΠΈΡΡ ΠΏΠΎΠ» ΠΈ Π»Π΅Π²ΠΎΡΡΡΠ°Π½Π½Π°ΡΠ° Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΡ ΡΠ° ΠΏΡΠ΅Π΄ΠΈΠΊΡΠΎΡΠΈ Π½Π° Π·Π½Π°ΡΠΈΠΌΠΎ ΠΏΠΎΠ΄ΠΎΠ±ΡΠ΅Π½ΠΈΠ΅ Π½Π° Π½Π΅Π²ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΈΡ Π΄Π΅ΡΠΈΡΠΈΡ Π½Π° 24-Ρ ΡΠ°Ρ ΡΠ»Π΅Π΄ Π’Π. ΠΡ Π΄ΡΡΠ³Π° ΡΡΡΠ°Π½Π° Π°ΡΠΎΡΠΈΠ°ΡΠΈΡΡΠ° Π½Π° ΠΌΡΠΆΠΊΠΈ ΠΏΠΎΠ» ΠΈ Π΄ΡΡΠ½ΠΎΡ
Π΅ΠΌΠΈΡΡΠ΅ΡΠ½Π° Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΡ Π½Π° ΠΈΠ½ΡΡΠ»ΡΠ° Π΅ ΡΠ²ΡΡΠ·Π°Π½Π° Ρ ΠΏΠΎ-Π³ΠΎΠ»ΡΠΌΠ° Π²Π΅ΡΠΎΡΡΠ½ΠΎΡΡ Π·Π° Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ΅Π½ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅Π½ ΠΈΠ·Ρ
ΠΎΠ΄ ΠΎΡΠΊΠΎΠ»ΠΊΠΎΡΠΎ ΠΏΡΠΈ ΠΆΠ΅Π½ΠΈΡΠ΅ ΡΡΡ ΡΡΡΠ°ΡΠ° Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΡ. Π‘ΡΡΠΎ ΡΠ°ΠΊΠ° Π΄ΡΡΠ½ΠΎΡ
Π΅ΠΌΠΈΡΡΠ΅ΡΠ½Π°ΡΠ° Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΡ Π½Π° ΠΈΠ½ΡΡΠ»ΡΠ° ΠΏΡΠΈ ΠΌΡΠΆΠ΅ΡΠ΅ ΡΠ΅ ΡΠ²ΡΡΠ·Π²Π° Ρ ΠΏΠΎ-Π΄ΠΎΠ±ΡΡ ΠΈΠ·Ρ
ΠΎΠ΄ ΠΎΡΠΊΠΎΠ»ΠΊΠΎΡΠΎ ΠΏΡΠΈ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΡ Π½Π°Π»Π΅Π·ΠΈΡΡΠ° Π² Π»ΡΠ²Π° Ρ
Π΅ΠΌΠΈΡΡΠ΅ΡΠ°.The human brain is characterized by functional asymmetry including interhemispheric, cortical and subcortical interactions. Patients with acute ischemic stroke (AIS) in the left hemisphere and conducted thrombolytic therapy (IVT) have a two-fold greater likelihood of favorable clinical outcome of the third month compared with right hemispheric infarcts. Petticoats and left - sided location are predictors of significant improvement in neurological deficit 24 hours after IVT. On the other hand the association of male and right - sided location of stroke is associated with a greater likelihood of favorable clinical outcomes than women with the same location. In men it is associated with a better outcome than left-sided localization of the lesion