This article reviewed the literatures on brain plastic reorganization theory, time of treatment, Methods and techniques of rehabilitation treatment, which inclued Bobath, Brunnstrom, Rood, PNF, MRP, biofeedback electrical stimulation therapy, constraint induced movement therapy, nerve muscle electrical stimulation therapy, acupuncture, body weight support treadmill training, motor imagery therapy, robot assisted therapy, and comprehensive rehabilitation therapy. It can provide theory basis and technique for early rehabilitation treatment after stroke.

Objective To explore the factors correlated with low extremity muscle strength in inpatients with acute stroke. MethodsThe low extremity muscle strength determined with manual muscle test (MMT) in 100 inpatients were multiple linear regression analyzed with other 11 factors. ResultsThe low extremity muscle strength were positively correlative with low extremity paralysis (RR=0.613,P=0.000) and rehabilitation (RR=1.178,P=0.000). ConclusionRehabilitation might be a main factor for recover of low extremity muscle strength in patient with stroke.

ObjectiveTo explore the effects of type and hemisphere of acute stroke on balance function and activity of daily living (ADL). Methods50 stroke patients were studied retrospectively. ResultsThe scores of balance subscale of Fugle-Meyer Assessment (FMB) (t=5.888, P=0.000) and Modified Barthel Index (MBI) (t=3.504, P=0.001) were lower in the hemorrhagic stroke patients than in the ischemic ones. Factor analysis showed that there was interaction between types and hemispheres of stroke for the scores of FMB (P=0.525), the score of FMB in the difference types (hemorrhagic or ischemic) was significantly different (P<0.05), but was not between left and right hemisphere focus (P<0.05). There were interaction between types and hemispheres of stroke for the scores of MBI (P=0.534), the score of MBI in the difference types (hemorrhagic or ischemic) of stroke patients was significantly different (P<0.05), but was not between left and right hemisphere focus (P>0.05). ConclusionPatients with hemorrhagic stroke result in more poor balance function and ADL than those with ischemic stroke.

Cerebral venous sinus thrombosis (CVST) in children has been previously regarded as a rare cerebrovascular disease. With the development of neuroimaging, we have more knowledge and understanding about CVST in children. The etiologies of CVST can be divided into infectious and noninfectious. Its clinical manifestations are various and lack of specificity. These characteristics make the clinical diagnosis of CVST have some difficulties.Now, it is considered that in combination with magnetic resonance imaging and magnetic resonance venography is the best means of diagnosis of CVST. Anticoagulation is the preferred treatment for CVST. Interventional thrombolysis, mechanical thrombectomy or decompressive craniotomy can be used for children whose symptoms continue to deteriorate after systematic anticoagulation therapy. The prognosis of CVST is relatively good if it is diagnosed and treated in time.

The metabolic syndrome represents a complex combination of the symptoms obesity, hypertension, diabetes, and dyslipoproteinemia. Insulin resistance is the major pathophysiologjcal basis of the metabolic syndrome. There is a close association between the metabolic syndrome and its various components and vascular cognitive impairment. This article briefly reviews the mechanisms of metabolic syndrome caused vascular cognitive impairment, and summarizes the significance of controlling metabolic syndrome on the prevention and treatment of vascular cognitive impairment.

Cerebral autosomal dominant arteriopathy with subcortical infarcts and lecukoencephalopathy (CADASIL) is a recently described neurovascular disease affecting young to middle aged individuals. The disease is caused by mutations in the Notch3 gene located in the long arm of chromosome 19. The disease clinically is characterized by migrainous headaches ,mood disturbances, focal neurologic deficits, transient ischemic attaches, strokes and dementia. Pathologically, the disease is characterized by a stereotypic degeneration of the arterial walls with deposition in the media of a nonatheromatous,(nonamyloidotic) substance that under the electron microscope (EM) appears as a granular osmiophilic material (GOM). A review of current literature is presented concerning the clinical, radiological, pathologic and genetic feature of CADASIL.

Endovascular intervention is an effective method in the treatment of cerebrovascular stenosis. With the advancement of techniques and improvement of equipment, the application area of this treatment is expanding and the number of patients treated is increasing. Accordingly, the use of contrast media is improving continuously in endovascular intervention. An increasing number of contrast media-related complications have also been reported. This paper briefly reviews the contrast media-related complications and their management in endovascular intervention.

Intracranial stentosis is one of the important causes of ischemic stroke. In recently years, with the continuously development of endovascular intervention, angioplasty and stenting have become effective treatment options for intracranial stenosis. However, the indications, technical points, complications and prognosis of this treatment remain to be investigated and explored.

Approximately one-quarter of ischemic stroke occurred in vertebrobasilar artery system. Atherosclerotic vertebrobasilar artery stenosis is one of the major causes of posterior circulation stroke. In addition to the conventional medical and surgical treatment, endovascular intervention has received more and more attention, and it has become the most promising therapeutic approach.

Endovascular treatment is becoming a novel technique in the treatment of carotid stenosis. Since this technique is in its infancy, there are many controversies on this technique and theory now. This paper briefly reviews the most recent advances in endovascular treatment of carotid stenosis.