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Постановление Европейского суда по правам человека от 30.07.2009 «Дело Алехин (Alekhin) против России» [англ.]





nd refused to eat.
51. On 11 September 2006 the applicant was discharged. On the next day the area beneath his right ear swelled again.
52. On 13 September 2006 he was taken to Haass prison hospital and diagnosed with mumps (an acute contagious viral disease of the salivary glands). The doctors noted that the disease was due to the deterioration of the applicant's immune system caused by a one-month hunger strike. Judging by the state of his health, however, it was unlikely that the applicant had completely refused food for a month. He had been seen by doctors eating pureed baby food. The applicant underwent more medical tests and received treatment for mumps. On several occasions during his stay in hospital the doctors tried to persuade him to stop the hunger strike.
53. On 25 September 2006 the applicant was discharged and on 28 September 2006 he was transported back to remand centre SIZO-3. On an unspecified date he discontinued the hunger strike.
54. On 29 December 2006 the applicant had an ischaemic stroke and was taken into Haass prison hospital. He was examined by a neurosurgeon and an intensive-care specialist. The doctors noted that his right limbs were paralysed and his tongue was crooked. They prescribed treatment.
55. On the next day the doctors noted no improvement. As his condition was unstable, he was transferred to the intensive-care unit.
56. The applicant remained in the intensive-care unit until 9 January 2007. By that time he had become stable and had regained the ability to speak and walk, albeit with difficulty. His right arm remained paralysed. On 9 January 2007 he was transferred to a neurosurgery unit.
57. The applicant was examined daily and received treatment. Additional medication was sent to him by his relatives.
58. On 30 January 2007 the applicant was examined by Dr S., chief neurologist of St Petersburg and a member of the Russian Academy of Medical Science. Dr S. confirmed the diagnosis of the Haass prison hospital doctors, noted that long-term rehabilitation treatment was necessary and prescribed nootropics, vasoactive substances, muscle relaxants, vitamins, massage and exercise. It transpires from the applicant's medical record that he received the prescribed medication both from the hospital doctors and from relatives. However, the doctors noted that there was a risk of a further ischaemic stroke.
59. On 28 February 2007 the applicant was discharged with a recommendation to continue the treatment and to avoid poorly ventilated spaces. Constant medical supervision was necessary. On 1 March 2007 the applicant was transported to remand centre SIZO-3.
60. On 6 March 2007 the applicant had another ischaemic stroke. He was immediately taken to Haass prison hospital, where he remained until 26 April 2007. He was diagnosed with chronic impairment of his cerebral blood circulation. He received the same treatment as before. His right arm remained paralysed, the motor functions of his right leg remained partly impaired and he had difficulty walking and speaking. A doctor noted on 3 April 2007 that the applicant's participation in investigative measures was inadvisable.
61. On 26 April 2007 the applicant was transported back to remand centre SIZO-3. The hospital doctors recommended that the treatment be continued.
62. On 1 June 2007 the applicant fainted and was again taken to Haass prison hospital. He was diagnosed as having a hypertensive attack. He was unable to speak or move his legs and right arm. However, the doctors noted that "there was no clinical evidence of motor aphasia (a deficit in speech production) or triplegia (paralysis of three limbs)." His symptoms were likely to be caused by neurasthenia.
63. During his stay in Haass prison hospital the applicant was regularly examined by a neurologist, who diagnosed him with functional hemiplegia (paralysi



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