Round Table “Challenges in the Treatment of Patients with Acute Cerebrovascular Disorders”

On December 12, 2025, a round table titled “Challenges in the Treatment of Patients with Acute Cerebrovascular Disorders in the Almaty Region” was held at the Almaty Multidisciplinary Clinical Hospital.

During the round table, participants discussed issues of timely diagnosis, patient transportation, and effective treatment methods for various types of stroke.

Invited participants included Deputy Medical Directors, heads of outpatient clinics, and staff of stroke centers and inpatient neurological departments providing care to this category of patients.
Format: Round table (offline).

Organizer: A.L. Kokurov — Chief External Neurologist of the Almaty Region, Head of the Neurovascular Department of the Almaty Multidisciplinary Clinical Hospital.

Participants: Neurologists, rehabilitation specialists, representatives of related specialties, and Deputy Directors of district hospitals.

Objective of the Event

To discuss organizational issues of stroke centers in the Almaty Region, current aspects of stroke patient management, the role of early rehabilitation, and to exchange practical experience among members of a multidisciplinary team.

Key Agenda Topics

L. Kokurov, Chief External Neurologist of the Almaty Region, Head of the Neurovascular Department of AMCH:“Analysis and organizational aspects of stroke centers in the Almaty Region.”

Sh. Izbasarova, Neurologist of the highest category, PhD (Candidate of Medical Sciences), Associate Professor, Head of the Department of Physical Medicine and Rehabilitation, Sports Medicine, NJSC Asfendiyarov Kazakh National Medical University:
“Ischemic stroke: clinical presentation and treatment. Thrombolytic therapy: indications, contraindications, and procedural techniques.”

S. Zhanaidarov, Chief External Neurosurgeon of the Almaty Region, Head of the Neurosurgical Department of AMCH, Professor: “The state of neurosurgical care for patients with acute cerebrovascular disorders in the Almaty Region.”

During the event, presentations were delivered on organizational aspects of stroke centers in the Almaty Region, clinical aspects of stroke, principles of early patient mobilization, and neurosurgical care.

Special attention was given to rehabilitation in intensive care settings, issues of verticalization, and prevention of contractures, pressure ulcers, and aspiration complications.

Participants discussed the importance of an individualized approach to each patient, the need for continuity in the rehabilitation process, and interdisciplinary collaboration.

Clinical cases were presented demonstrating successful patient recovery following pathogenetic treatment (thrombolytic therapy) and early initiation of rehabilitation.

Key Conclusions

To refine organizational measures in accordance with the Order of the Minister of Health of the Republic of Kazakhstan dated June 4, 2025, No. 53, “On Approval of the Standard for Organizing Neurological Care for the Adult Population in the Republic of Kazakhstan.”

To actively implement principles of early rehabilitation in intensive care units.

To strengthen interdisciplinary collaboration among specialists.

To conduct regular educational activities for medical staff and patients’ relatives.

Conclusion

The round table demonstrated the high relevance of stroke and rehabilitation issues. The discussion facilitated experience sharing, enhanced the professional competence of participants, and contributed to the development of a unified approach to stroke patient management at all stages of treatment and recovery.

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