Abstract. Post-stroke cognitive impairment (PSCI) represents one of the most significant complications following an Insult, contributing substantially to long-term disability and reduced quality of life. Cognitive deficits may involve memory, attention, executive function, and language abilities, often persisting even after physical recovery. Despite advances in acute stroke management, the burden of cognitive dysfunction remains underrecognized and undertreated. This study aims to evaluate the effectiveness of structured neurorehabilitation strategies in improving cognitive outcomes among post-stroke patients. A prospective observational cohort design was employed, involving 150 patients diagnosed with ischemic or hemorrhagic stroke. Cognitive function was assessed using standardized neuropsychological tools, and individualized rehabilitation programs were implemented over a six-month period. Preliminary findings suggest that targeted cognitive rehabilitation, combined with physical therapy and psychosocial support, significantly improves cognitive performance and functional independence. These results highlight the importance of early identification and personalized intervention in managing PSCI.