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Academia Mexicana de Neurología, A.C.

2007, Number 3

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Rev Mex Neuroci 2007; 8 (3)

Complications in hemiplegic patients of chronic stroke. Relation to lesional topography

Serra VY, Martínez SS, Rodríguez ML, López PM

Language: Spanish
References: 36
Page: 222-227
PDF size: 54.32 Kb.


ABSTRACT

Introduction: The Cerebrovascular Illness represents the third cause of death and the first of handicap in the developed world. The motile sequels constitute the main handicap caused and hemiplegia is the most frequent form. Hemiplegia is subject to changes, influenced by the complications that arise during the patient’s evolution. We analyze the complications in hemiplegic patients due to chronicle Cerebrovascular Diseases, and the relationship with the lesional topography. Material and methods: 110 patients were studied and the diagnosis was Stroke and hemiplegia was the main sequel. The demographic data and lesional topography were kept in mind as independent variables. Presence and types of complications were considered as dependent variables. The information was processed by the mean for quantitative variables and the use of percents for qualitative variables, with an IC (Interval of confidence) of 95%. For the analysis of statistical significance the multiple regression tests was used. Results: 73.63% of the studied patients suffered some complication. The most frequent were depression, painful shoulder, epilepsy and joint contracture. It doesn’t exist significant relationship between the complications in a global way and the lesional topography, but it was found a significant relationship with epilepsy and depression. Conclusions: The hemiplegic patient’s complications due to Cerebrovascular Illness are frequent, specially, those related to musculoskeletical origin. The lesional topography is not defined as a clinical factor associated to the presence of complications.


REFERENCES

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  2. Minsap. Anuario Estadístico de Salud Pública. Cuba 2004. Disponible: http://www.sld.cu/sitios/dne/ temas.php?idv=3264

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  6. Royall DR, Chiodo LK, Mouton C, Polk MJ. Cognitive predictors of mortality in elderly retirees: results from the freedom house study. Am J Geriatr Psychiatry 2007; 15(3): 243-51.

  7. Carod-Artal FJ. Depresión postictus (I). Epidemiología, criterios diagnósticos y factores de riesgo. Rev Neurol 2006; 42(3): 169-75.

  8. Robinson RG, Lipsey JR, Rao K, Price TR. Two year longitudinal study of poststroke mood disorders: comparison of acute-onset with delayed-onset depression. Am J Psychiatry 1986; 143: 1238-44.

  9. Parikh RM, Lipsey JR, Robinson RG, Price TR. Two-year longitudinal study of post-stroke mood disorders: dynamic changes in correlates of depression at one and two years. Stroke 1987; 18: 579-84.

  10. Chen JC, Shaw FZ. Recent progress in physical therapy of the upper-limb rehabilitation after stroke: emphasis on thermal intervention. J Cardiovasc Nurs 2006; 21(6): 469-73.

  11. Barrón ML, Laguna C, de Dios R, Alfaro R, Martín S, Pascual F. Hemiplejía y fracturas: nuestra experiencia. Rehabilitación 1994; 28: 320-4.

  12. Kalra L, Langhorne P. Facilitating recovery: Evidence for organized stroke care. J Rehabil Med 2007; 39(2): 97-102.

  13. Bender del Busto JE, Álvarez González E, Rodríguez Mutuberría L. Enfermedad Cerebrovascular y epilepsia. Análisis casuístico del CIREN. Rev Mex Neuroci 2006; 7(4): 325-9.

  14. Vercueil L. Seizure and epilepsy after stroke. Presse Med 2007; 36(1 Pt 2): 176-81.

  15. García MC, Velasco Ayuso S, Amat Román C. Síndromes dolorosos en relación con el accidente Cerebrovascular: dolor de hombro y dolor central. Rehabilitación (Madr) 2000; 34(6): 459-67.

  16. Seghier ML, Lazeyras F, Vuilleumier P, Schnider A, Carota A. Functional magnetic resonance imaging and diffusion tensor imaging in a case of central poststroke pain. J Pain 2005; 6(3): 208-12.

  17. Anderson WS, O’Hara S, Lawson HC, Treede RD, Lenz FA. Plasticity of pain-related neuronal activity in the human thalamus. Prog Brain Res. 2006; 157: 353-64.

  18. Cerrato P, Baima C, Bergui M, Grasso M, Lentini A, Giraudo M, Azzaro C, Bergamasco B. Restricted pain and thermal sensory loss in a patient with pontine lacunar infarction: a clinical MRI study. Eur J Neurol 2005; 12(7): 564-5.

  19. Bonita R. Epidemiology of stroke. Lancet 1992; 339: 342-4.

  20. Minsap. Anuario Estadístico de Salud Pública. Cuba 2004. Disponible: http://www.sld.cu/sitios/dne/ temas.php?idv=3264

  21. Pinedo S, Miguel de la Villa F. Valor de la clasificación MSH en el paciente hemipléjico tras un ictus. Rev Neurol 2000; 31(12): 1151-4.

  22. Task Force on stroke impairment, disability, and handicap. Symposium recommendations for methodology in stroke outcome research. Stroke 1990; 21(Suppl. II): 68-73.

  23. Pinedo S, Manuel de la Villa F. Complicaciones en el paciente hemipléjico durante el primer año tras el ictus. Rev Neurol 2001; 32(3): 206-9.

  24. Royall DR, Chiodo LK, Mouton C, Polk MJ. Cognitive predictors of mortality in elderly retirees: results from the freedom house study. Am J Geriatr Psychiatry 2007; 15(3): 243-51.

  25. Carod-Artal FJ. Depresión postictus (I). Epidemiología, criterios diagnósticos y factores de riesgo. Rev Neurol 2006; 42(3): 169-75.

  26. Robinson RG, Lipsey JR, Rao K, Price TR. Two year longitudinal study of poststroke mood disorders: comparison of acute-onset with delayed-onset depression. Am J Psychiatry 1986; 143: 1238-44.

  27. Parikh RM, Lipsey JR, Robinson RG, Price TR. Two-year longitudinal study of post-stroke mood disorders: dynamic changes in correlates of depression at one and two years. Stroke 1987; 18: 579-84.

  28. Chen JC, Shaw FZ. Recent progress in physical therapy of the upper-limb rehabilitation after stroke: emphasis on thermal intervention. J Cardiovasc Nurs 2006; 21(6): 469-73.

  29. Barrón ML, Laguna C, de Dios R, Alfaro R, Martín S, Pascual F. Hemiplejía y fracturas: nuestra experiencia. Rehabilitación 1994; 28: 320-4.

  30. Kalra L, Langhorne P. Facilitating recovery: Evidence for organized stroke care. J Rehabil Med 2007; 39(2): 97-102.

  31. Bender del Busto JE, Álvarez González E, Rodríguez Mutuberría L. Enfermedad Cerebrovascular y epilepsia. Análisis casuístico del CIREN. Rev Mex Neuroci 2006; 7(4): 325-9.

  32. Vercueil L. Seizure and epilepsy after stroke. Presse Med 2007; 36(1 Pt 2): 176-81.

  33. García MC, Velasco Ayuso S, Amat Román C. Síndromes dolorosos en relación con el accidente Cerebrovascular: dolor de hombro y dolor central. Rehabilitación (Madr) 2000; 34(6): 459-67.

  34. Seghier ML, Lazeyras F, Vuilleumier P, Schnider A, Carota A. Functional magnetic resonance imaging and diffusion tensor imaging in a case of central poststroke pain. J Pain 2005; 6(3): 208-12.

  35. Anderson WS, O’Hara S, Lawson HC, Treede RD, Lenz FA. Plasticity of pain-related neuronal activity in the human thalamus. Prog Brain Res. 2006; 157: 353-64.

  36. Cerrato P, Baima C, Bergui M, Grasso M, Lentini A, Giraudo M, Azzaro C, Bergamasco B. Restricted pain and thermal sensory loss in a patient with pontine lacunar infarction: a clinical MRI study. Eur J Neurol 2005; 12(7): 564-5.




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