COMBINED CLINICAL-ELECTROPHYSIOLOGICAL AS SESSMENT OF MOTOR AFFECTIONS IN EARLY CONVALESCENCE AFTER ISCHEMIC APOPLEXY

A neurophysiological analysis of motor affections has been made in pos tapopleptic patients during early convalescence. Altogether 26 patient s aged 45-68 were examined on week 3-4 since ischemic hemispheric apop lexy. Magnetic stimulation of cerebral cortex motor zones, measurement of M-response and evoked skin sympathetic potential. Mild or moderate motor dysfunctions were characterized by reduced amplitude of the M-r esponse and prolonged central pyramid conduction on the affected side. Severe paresis is associated with no M-response to magnetic stimulati on of the cortex on the affected side. Pathogenetic mechanisms of the above disorders and their implications for treatment and rehabilitatio n are discussed.