[On the diagnostics and rehabilitation of stenosing processes of cerebral vessels (author's transl)].
In rehabilitation, patients suffering from stenosing processes of cerebral vessels represent a particular target group with particularly difficult diagnostic and therapeutic problems. On the basis of own experiences it was possible to test on 25 persons (age: 37 to 83 years) suffering from carotid and vertebral stenosis the capability of the cerebral vessels echography--alone and in combination with the DOPPLER flowmetry--:. This highly valuable cerrebrovascular screening method coupled with clinical findings makes it possible to give a more definite indication for angiography, and represents under certain circumstances (inoperability or undue strain in the presence of a reduced general and vascular status) a safe alternative to invasive methods. The modern programs involving in-patient rehabilitation and, in particular, vasoactive, blood pressure stabilising and cardiac protection accentuating long-term treatment were all successful--notwithstanding the sometimes very severe and prognostically unfavorable neurological involvement, the frequent associated internistic diseases, the risk factors and the intercurrent complications: All rehabilitants (age: 37 to 73 years) were discharged partly or fully mobile (6 in each case) following on average a 55-day stay in this ward. In each case it was possible to achieve a distinct improvement in the cerebral functional disorders, the subjective state and general condition, as well as a high degree of social reintegration.
D000328:Adult; D000368:Aged; D001314:Auscultation / Q000295:instrumentation; D002340:Carotid Artery Diseases / Q000175:diagnosis*; D002343:Carotid Artery, Internal; D002533:Cerebral Angiography; D002561:Cerebrovascular Disorders / Q000175:diagnosis* / Q000534:rehabilitation; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities / Q000379:methods; D014463:Ultrasonography; D014711:Vertebral Artery
Zur Diagnostik und Rehabilitation stenosierender Hirngefässprozesse.