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Total 510 results found since Jan 2013.

Insomnia and health-related quality of life in stroke.
CONCLUSION: The findings show that stroke survivors who experienced insomnia had a reduced overall HRQoL and were impaired in the energy and thinking domains of HRQoL. Early screening for sleep disturbance would be beneficial to prevent later development of post-stroke insomnia. Pharmacological and non-pharmacological interventions are suggested to improve HRQoL in stroke patients with insomnia. PMID: 25908494 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - April 23, 2015 Category: Neurology Authors: Tang WK, Grace Lau C, Mok V, Ungvari GS, Wong KS Tags: Top Stroke Rehabil Source Type: research

Insomnia Subtypes and the Subsequent Risks of Stroke: Report From a Nationally Representative Cohort Clinical Sciences
Conclusions— Insomnia predisposes individuals to increased risk of stroke and this association is profound among young adults. Our results underscore the clinical importance of identifying and treating insomnia. A novel behavioral intervention targeting insomnia that may prevent stroke should be explored.
Source: Stroke - April 28, 2014 Category: Neurology Authors: Wu, M.-P., Lin, H.-J., Weng, S.-F., Ho, C.-H., Wang, J.-J., Hsu, Y.-W. Tags: Behavioral/psychosocial - stroke Clinical Sciences Source Type: research

Objective and subjective sleep problems and quality of life of rehabilitation in patients with mild to moderate stroke.
Conclusion: Objective sleep parameters (sleep onset latency and sleep efficiency) were found to be associated with quality of life during the early stage of rehabilitation in mild to moderate stroke patients. PMID: 31618116 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 15, 2019 Category: Neurology Authors: Kim WH, Yoo YH, Lim JY, Kang SG, Jung HY, Bae JN, Joa KL Tags: Top Stroke Rehabil Source Type: research

Role of sleep-disordered breathing and sleep-wake disturbances for stroke and stroke recovery
Conclusions: SDB and SWD increase the risk of stroke in the general population and affect short- and long-term stroke recovery and outcome. Current knowledge supports the systematic implementation of clinical procedures for the diagnosis and treatment of poststroke SDB and SWD on stroke units.
Source: Neurology - September 25, 2016 Category: Neurology Authors: Hermann, D. M., Bassetti, C. L. Tags: All Cerebrovascular disease/Stroke, All Sleep Disorders, Other hypersomnias, Insomnia, Sleep apnea VIEWS AND REVIEWS Source Type: research

Probable REM sleep behavior disorder and risk of stroke: A prospective study
Conclusions: Presence of pRBD was associated with a higher risk of developing stroke, including both ischemic and hemorrhagic types. Future studies with clinically confirmed RBD and a longer follow-up would be appropriate to further investigate this association.
Source: Neurology - May 8, 2017 Category: Neurology Authors: Ma, C., Pavlova, M., Liu, Y., Liu, Y., Huangfu, C., Wu, S., Gao, X. Tags: All Cerebrovascular disease/Stroke, All Sleep Disorders, Cohort studies ARTICLE Source Type: research

Post-stroke Recrudescence from Infection: an Immunologic Mechanism?
AbstractPost-stroke recrudescence (PSR) usually occurs in the setting of infection, hypotension, hyponatremia, insomnia or stress, and benzodiazepine use. Animal studies have suggested an infection-related immunologic mechanism for PSR. This retrospective study was designed to assess whether infection-triggered PSR is related to a prior infection during the index stroke. We identified 95 patients admitted to Massachusetts General Hospital from 2000 to 2015 with post-stroke recrudescence who had adequate medical record information concerning the index stroke. The frequency of infections, as well as other triggers such as hy...
Source: Translational Stroke Research - July 25, 2018 Category: Neurology Source Type: research

Melatonin Receptor Agonists for Treating Delirium in Elderly Patients with Acute Stroke
Conclusions: Melatonin receptor agonists may be effective for the treatment of delirium in elderly patients with acute stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - September 27, 2012 Category: Neurology Authors: Tsuyoshi Ohta, Kenichi Murao, Kosuke Miyake, Koichiro Takemoto Tags: Original Articles Source Type: research

In Elderly Treated With Antipsychotics, Stroke Risk Newly Linked To Specific Drug Actions
Antipsychotic administration in the elderly is associated with an increased risk for cerebrovascular accident, more commonly known as stroke; a new study published in Biological Psychiatry provides additional insight into this important relationship. Antipsychotics are prescribed to elderly patients to treat symptoms such as agitation, psychosis, anxiety, insomnia, and depression. The increased risk of stroke associated with these medications was identified approximately a decade ago and has since been replicated by subsequent studies...
Source: Health News from Medical News Today - March 13, 2013 Category: Consumer Health News Tags: Stroke Source Type: news

People with sleep problems at greater risk of stroke, study suggests
Scientists find people with symptoms of insomnia have 16% increased risk of developing conditionScientists in the US have found people with one or more self-reported symptoms of insomnia have a 16% increased risk of developing the serious medical condition, compared with those without symptoms.They said the link was stronger in participants under 50, where those with five to eight symptoms had nearly four times the risk of having a stroke.Continue reading...
Source: Guardian Unlimited Science - June 8, 2023 Category: Science Authors: PA Media Tags: Stroke Sleep Science Medical research US news Source Type: news

Clinical course and risk factors for sleep disturbance in patients with ischemic stroke
ConclusionThe prevalence rates of sleep disturbance before and during the acute and chronic stroke periods were 34.3%, 37.4%, and 29.7%, respectively. The incidence of stroke-related insomnia was 15.6%. Patients with insomnia before stroke may recover after the stroke. Atrial fibrillation, hypertension, and mood disturbance were associated with a higher risk of sleep disturbance in the acute stroke period, whereas low education and mood disturbance were associated with insomnia in the chronic stroke period.
Source: PLoS One - November 8, 2022 Category: Biomedical Science Authors: Hui-Ju Tsai Source Type: research

Depression, anxiety, insomnia, stress, and the way of coping emotions as risk factors for ischemic stroke and their influence on stroke severity: A case –control study in Lebanon
ConclusionDespite several limitations, the findings of our study suggest that people who are depressed or stressed are more likely to have an ischemic stroke. Consequently, additional research into the causes and effects of depression and perceived stress may provide new directions for preventive strategies that can help reduce the risk of stroke. Since pre-stroke depression and perceived stress were also found to be strongly correlated with stroke severity, future studies should evaluate the association between pre-stroke depression, perceived stress, and stroke severity to gain a deeper understanding of the complex inter...
Source: Frontiers in Psychiatry - February 21, 2023 Category: Psychiatry Source Type: research

Modafinil for the Improvement of Patient Outcomes Following Traumatic Brain Injury
Conclusion. Modafinil is a central nervous system stimulant with well-established effectiveness in the treatment of narcolepsy and shift-work sleep disorder. There is conflicting evidence about the benefits of modafinil in the treatment of fatigue and EDS secondary to TBI. One randomized, controlled study states that modafinil does not significantly improve patient wakefulness, while another concludes that modafinil corrects EDS but not fatigue. An observational study provides evidence that modafinil increases alertness in fatigued patients with past medical history of brainstem diencephalic stroke or multiple sclerosis. ...
Source: Innovations in Clinical Neuroscience - April 1, 2018 Category: Neuroscience Authors: ICNS Online Editor Tags: Current Issue Review excessive daytime sleep fatigue head injury modafinil stroke TBI traumatic brain injury Source Type: research

Characteristics of traditional Chinese medicine usage in patients with stroke in Taiwan: A nationwide population-based study
Conclusion Adjunctive TCM use may reduce the risk of mortality rate among stroke patients. Bu-yang-huan-wu-tang and Dan-shen are the most common prescribed Chinese herbal formula and single herb for stroke patients, respectively. Future study investigating the anti-inflammatory and neuroprotective efficacy of Bu-yang-huan-wu-tang and Dan-shen in stroke is warranted. Graphical abstract
Source: Journal of Ethnopharmacology - April 22, 2016 Category: Drugs & Pharmacology Source Type: research

EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke
Sleep disorders are highly prevalent in the general population and may be linked in a bidirectional fashion to stroke, which is one of the leading causes of morbidity and mortality. Four major scientific societies established a task force of experts in neurology, stroke, respiratory medicine, sleep medicine and methodology, to critically evaluate the evidence regarding potential links and the impact of therapy. 13 research questions were evaluated in a systematic literature search using a stepwise hierarchical approach: first, systematic reviews and meta-analyses; second, primary studies post-dating the systematic reviews/...
Source: European Respiratory Journal - April 20, 2020 Category: Respiratory Medicine Authors: Bassetti, C. L. A., Randerath, W., Vignatelli, L., Ferini-Strambi, L., Brill, A.-K., Bonsignore, M. R., Grote, L., Jennum, P., Leys, D., Minnerup, J., Nobili, L., Tonia, T., Morgan, R., Kerry, J., Riha, R., McNicholas, W. T., Papavasileiou, V. Tags: Original Articles: EAN/ERS/ESO/ESRS statement Source Type: research

Detection of symptoms of late complications after stroke in young survivors with active surveillance versus usual care.
CONCLUSIONS: Active surveillance leads to higher rates of early symptom detection of non-motor LCAS in young stroke survivors. Implications for rehabilitation Young stroke survivors frequently have late complications after stroke (LCAS) that impair return to pre-stroke responsibilities. Active surveillance for LCAS symptoms with a semi-structured interview increases detection of non-motor late complications. A bundled approach to screening for LCAS symptoms is pragmatic as a majority of young stroke survivors have at least one symptom but no single symptom is present in all stroke survivors. PMID: 33605166 [PubMed - a...
Source: Disability and Rehabilitation - February 19, 2021 Category: Rehabilitation Authors: Gans SD, Michaels E, Thaler DE, Leung LY Tags: Disabil Rehabil Source Type: research