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Volume 7, Issue 4 (Suppl) J Neurol Neurophysiol
ISSN:2155-9562 JNN, an open access journal
Page 39
Notes:
Neurology Congress 2016
September 21-23, 2016
conferenceseries.com
September 21-23, 2016 Amsterdam, Netherlands
8th European Neurology Congress
Improving the control on post-stroke complications in Georgia
Tamar Janelidze1,2
1Evex Medical Corporation, Georgia
2Akaki Tsereteli State University, Georgia
In Georgia, there is an observed growth trend in cerebrovascular diseases. For last years, at the National Health Sector level, special
attention is paid to acute strokes. In general, stroke is one of the main causes of incapacitation of the population of Georgia. In
particular, most of patients that survived stroke are disabled, and 30-40% of them needed permanent care. Because of a deficiency
in rehabilitation services in Georgia, no correction of neurologic impairment can be made completely for stroke patients that reduce
the quality of life. In response to the urgency of this disease, it is very important to study the methods for fighting this disease and
for the management of its complications, as well as for its prior diagnosis. In this context, for the first time in Georgia, at the Kutaisi
Referral Hospital, at the premises of the neurology department, there have been established the stroke management units, the so
called stroke units, which allow not only for effective treatment of stroke patients, but also for assessing the complications and
possible risks associated with stroke. During the 2015-2016, 1249 stroke patients passed through the mentioned Hospital, and 65%
of them had dysphagia, which evolves as a result of infringement of brain blood circulation, and appears as inhibition of swallowing
reflex, or as its complete elimination. Of course, in this case, there is the risk of an aspiration of foods in the airway that consequently
may lead to aspiration pneumonia. The analysis of the mentioned complications among stroke patients during the 2015-2016 has
shown that the studies in this area should be enhanced and improved. Since 2016, the studies were actively started for the detection of
dysphagia. First, swallowing reflex is checked and lingual condition is assessed in all patients, as well as there is differentiated whether
dysphagia is a neurological complication or not. Then the studies are carried out through video-photofluorography roentgenoscopy.
Patient swallows the contrast substances of different consistencies, and radiologist assesses radioscopically the swallowing process.
Also, in some cases, of high importance is to assess the pharynx condition, for which we apply to an endoscopy. After the mentioned
examination, an attending physician and radiologist make decision on how the dietary regime of patient should be carried out. Of all
120 examined patients, dysphagia was detected in 85, and an appropriate examination regime and treatment were chosen for them,
and in some of them the need of gastrostomy was identified. Analysis of latest data has shown that the problem of proper diagnosis of
dysphagia allows for reducing the complications, even such as aspiration pneumonia that in turn is the most dangerous complication
in terms of mortality. Thus, proper diagnosis is a guarantee of preventing possible incapacitation and anticipated mortality.
Biography
Tamar Janelidze is a Doctor-Neurologist and Neuroradiologist, a graduate of the Akaki Tsereteli State University Medical Faculty, and a Certified General Medical
Practitioner (2000-2006). She has worked as a Doctor-Neurologist; participated in Clinical Studies and has worked as a Researcher. She is an author of 7 scientific
publications, an Organizer of scientific conferences in the Medical field. She is the Head of Department of Therapy at the Kutaisi Referral Hospital since 2010 and
a Member of European Stroke Organization (ESO).
Tamar Janelidze, J Neurol Neurophysiol 2016, 7:4 (Suppl)