title: A fight for life and dignity: A case of massive traumatic brain injury and the paths for treatment and neurorehabilitation.
abstract: We present a clinical case of treatment and neurorehabilitation of a patient with severe neurological deficit due to extensive traumatic lesion of the left hemisphere of the brain. Until recently, such cases were considered incurable and remained marginalized throughout their lives. This clinical case illustrates the compensatory brain possibilities under long-term integrated multidisciplinary treatment and neurorehabilitation with mandatory application of medical, medico-psychological, medico-pedagogical, and medico-social methods, the importance and intensity of which vary at different stages of the disease. This process is addressed in the individual patient. The greatest efficiency of the neurorehabilitation treatment of patients with severe consequences of a stroke and traumatic brain injury can be reached under the following conditions: the earliest possible start of rehabilitation with a sufficient duration and intensity; interdisciplinary and integrative rehabilitation process at various stages of rehabilitation treatment; systematic clinical and neuropsychological diagnostics; systematic monitoring of somatic, neurological, psychiatric, and psychological condition of the patient; assistance with sociopsychological and labor issues; and problem-solving support.
authors.affiliation: Department of Health of Moscow, Center of Speech Pathology and Neurorehabilitation, Mental Health Research Center of RAMS, Moscow, Russia.
authors.forename: Viktor M
authors.initials: VM
authors.lastname: Shklovsky
authors.affiliation: Department of Health, Center of Speech Pathology and Neurorehabilitation, Moscow, Russia.
authors.forename: Lybov I
authors.initials: LI
authors.lastname: Zotova
authors.affiliation: Department of Health, Center of Speech Pathology and Neurorehabilitation, Moscow, Russia.
authors.forename: Natalia G
authors.initials: NG
authors.lastname: Malyukova
authors.affiliation: Department of Health, Center of Speech Pathology and Neurorehabilitation, Moscow, Russia.
authors.forename: Elena D
authors.initials: ED
authors.lastname: Mamicheva
authors.affiliation: Department of Health, Center of Speech Pathology and Neurorehabilitation, Moscow, Russia.
authors.forename: Alexey G
authors.initials: AG
authors.lastname: Petrushevsky
authors.affiliation: Department of Health of Moscow, Center of Speech Pathology and Neurorehabilitation, Mental Health Research Center of RAMS, Moscow, Russia.|Laboratory of Applied Physiology of Human Higher Nervous Activity, Institute of Higher Nervous Activity of RAS, Moscow, Russia.
authors.forename: Larisa A
authors.initials: LA
authors.lastname: Mayorova
authors.affiliation: Department of Social Protection, Rehabilitation Center for Persons with Disabilities, Moscow, Russia.
authors.forename: Bela A
authors.initials: BA
authors.lastname: Syrnikova
mesh_terms: D000328:Adult; D001921:Brain / Q000473:pathology*; D000070642:Brain Injuries, Traumatic / Q000473:pathology / Q000503:physiopathology / Q000534:rehabilitation*; D001931:Brain Mapping; D003131:Combined Modality Therapy; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D000066530:Neurological Rehabilitation / Q000379:methods*; D009483:Neuropsychological Tests; D020127:Recovery of Function; D016896:Treatment Outcome
keywords: aphasia; apraxia; brain injury; follow-up; neurorehabilitation