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Ischemic Stroke in Young Adults
This article reviews current knowledge on epidemiology, risk factors and causes, diagnostic considerations, management, and prognosis of ischemic stroke in young adults (those 55 years old and younger). RECENT FINDINGS The incidence of ischemic stroke in young adults has been increasing since the 1980s, which has occurred in parallel with increasing prevalence of vascular risk factors and substance abuse among the younger population. Young adults have a considerably wider range of risk factors than older patients, including age-specific factors such as pregnancy/puerperium and oral contraceptive use. Behavioral risk fac...
Source: CONTINUUM: Lifelong Learning in Neurology - April 1, 2020 Category: Neurology Tags: REVIEW ARTICLES Source Type: research

IJERPH, Vol. 17, Pages 6014: Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke
�er-Soler New reperfusion therapies have improved the clinical recovery rates of acute ischemic stroke patients (AISP), but it is not known whether other factors, such as the ability to cope, might also have an effect. The aim of this study was to evaluate the effect of endovascular treatment (EVT) on coping strategies, quality of life, and neurological and functional outcomes in AISP at 3 months and 1 year post-stroke. A multicenter, prospective, longitudinal, and comparative study of a sub-study of the participants in the Endovascular Revascularization with Solitaire Device versus Best Medical Therapy in Anterior Cir...
Source: International Journal of Environmental Research and Public Health - August 18, 2020 Category: Environmental Health Authors: Silvia Revert é-Villarroya Antoni D ávalos S ílvia Font-Mayolas Marta Berenguer-Poblet Esther Sauras-Col ón Carlos L ópez-Pablo Estela Sanjuan-Men éndez Luc ía Muñoz-Narbona Rosa Su ñer-Soler Tags: Article Source Type: research

Pharmacotherapy to Manage Central Post-Stroke Pain
AbstractCentral post-stroke pain is a chronic neuropathic pain syndrome following a cerebrovascular accident. The development of central post-stroke pain is estimated to occur in 8 to 55% of stroke patients and is described as constant or intermittent neuropathic pain accompanied by dysesthesia of temperature and/or pressure sensations. These pain and sensory deficits are within the area of the body corresponding to the stroke lesion. The onset of pain is usually gradual, though it can develop either immediately after stroke or years after. Given the diversity in its clinical presentation, central post-stroke pain is a cha...
Source: CNS Drugs - February 7, 2021 Category: Neurology Source Type: research

IJERPH, Vol. 18, Pages 3089: Health-Related Quality of Life and Psychological Features in Post-Stroke Patients with Chronic Pain: A Cross-Sectional Study in the Neuro-Rehabilitation Context of Care
This study aims at exploring disability, health-related quality of life (HrQoL), psychological distress, and psychological features in post-stroke patients with chronic pain. An observational cross-sectional study involving 50 post-stroke patients (25 with chronic pain and 25 without pain) was conducted. The primary outcome was the self-reported level of disability and HrQoL which were both assessed through the Stroke Impact Scale 3.0. Both psychological distress and specific psychological features (i.e., self-efficacy, coping strategies, psychological flexibility, perceived social support) were examined. Post-stroke patie...
Source: International Journal of Environmental Research and Public Health - March 17, 2021 Category: Environmental Health Authors: Gandolfi Donisi Battista Picelli Val è Del Piccolo Smania Tags: Article Source Type: research

Life satisfaction and its influencing factors of middle-aged and elderly stroke patients in China: a national cross-sectional survey
Conclusions Our study indicates the importance of improving the overall health of patients who had a stroke and mediating factors, such as pain management, and work ability, spouse and children relationship in improving the life satisfaction of patients in the poststroke rehabilitation.
Source: BMJ Open - August 3, 2022 Category: General Medicine Authors: Liu, Y., Liu, J., Zhou, S., Xu, X., Cheng, Y., Yi, Y., Zou, G. Tags: Open access, Public health Source Type: research

Use of paracetamol in ischaemic stroke patients: evidence from VISTA
ConclusionThis retrospective analysis is discouraging for prophylactic use of paracetamol in acute stroke patients, but underlines the need for a sufficiently powered randomized controlled trial.
Source: Acta Neurologica Scandinavica - February 15, 2013 Category: Neurology Authors: B. Frank, R. L. Fulton, C. Weimar, K. R. Lees, R. D. Sanders, Tags: Original Article Source Type: research

Is Pain Associated With Suicidality in Stroke?
Conclusions: These findings should alert clinicians that the early identification and treatment of pain may reduce suicide risk in patients with stroke.
Source: Archives of Physical Medicine and Rehabilitation - December 20, 2012 Category: Rehabilitation Authors: Wai Kwong Tang, Huajun Liang, Vincent Mok, Gabor S. Ungvari, Ka-Sing Wong Tags: Original Articles Source Type: research

Multiple Cell Transplant for Stroke Patients Multiple Cell Transplantation Based on an Intraparenchymal Approach for Patients with Chronic Phase Stroke.
Abstract Stroke is the third leading cause of death worldwide and a huge perpetrator in adult disability. This pilot clinical study investigates the possible benefits of transplanting multiple cells in chronic stroke. A total of ten consecutive stroke patients were treated by combination cell transplantation on the basis of an intraparenchymal approach from November 2003 to April 2011. There were 6 males and 4 females. Their age ranged from 42 to 87 years and course of disease varied from 6 months to 20 years. Six patients suffered cerebral infarction, and 4 patients suffered a brain hemorrhage. The olfactory ensh...
Source: Cell Transplantation - August 29, 2013 Category: Cytology Authors: Chen L, Xi H, Huang H, Zhang F, Liu Y, Chen D, Xiao J Tags: Cell Transplant Source Type: research

Increased risk of ischemic stroke among women with bladder pain syndrome/interstitial cystitis: A cohort study from Taiwan
ConclusionsOur study demonstrates an association between BPS/IC and a subsequent ischemic stroke diagnosis among women in Taiwan. Neurourol. Urodynam. © 2013 Wiley Periodicals, Inc.
Source: Neurourology and Urodynamics - October 24, 2013 Category: Urology & Nephrology Authors: Shiu‐Dong Chung, Sudha Xirasagar, Ching‐Chun Lin, Wells Ling, Hsien‐Chang Li, Herng‐Ching Lin Tags: Original Clinical Article Source Type: research

Measuring Health-Related Quality Of Life (HRQOL) During Inpatient Stroke Rehabilitation (S21.002)
CONCLUSIONS: EQ-5 ratings converged between stroke survivors and clinicians, suggesting it is valid and reliable to measure moderate stroke survivor HRQOL in inpatient rehabilitation. EQ-5 and FIM improvement were poorly associated; HRQOL may independently complement functional outcome assessment in inpatient rehabilitation. Future studies could explore different areas of function to clarify the factor structure of improvement on these measures relative to HRQL.Study Supported by: NIH, Kessler FoundationDisclosure: Dr. Frisina has received personal compensation for activities with Kessler Institute for Rehabilitation as an...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Frisina, P., Kutlik, A., Hreha, K., Barrett, A. Tags: Neuro-rehabilitation and Neural Repair Source Type: research

Effect of trunk-restraint training on function and compensatory trunk, shoulder and elbow patterns during post-stroke reach: a systematic review.
Conclusions: Trunk restraint is a simple, cost-effective technique that may help to reduce compensatory trunk/shoulder/elbow movements in the post-stroke adult population. Synthesis of study outcomes also highlights applications of TR to clinical practice and areas for further research. Implications for Rehabilitation The ability to use the shoulder and elbow to perform functional reach is a primary goal in post-stroke recovery; however, compensatory trunk movements are often used to achieve the reaching goal. Long-term use of compensatory strategies may contribute to secondary impairments, such as learned non-use, joint c...
Source: Disability and Rehabilitation - June 25, 2014 Category: Rehabilitation Authors: Pain LM, Baker R, Richardson D, Agur AM Tags: Disabil Rehabil Source Type: research

The Effect of Arm Support Combined With Rehabilitation Games on Upper-Extremity Function in Subacute Stroke: A Randomized Controlled Trial
Conclusions. AS training with computerized exercises is as effective as conventional therapy dedicated to the arm to improve arm function and activity in subacute stroke rehabilitation, when applied at the same dose.
Source: Neurorehabilitation and Neural Repair - December 24, 2014 Category: Neurology Authors: Prange, G. B., Kottink, A. I. R., Buurke, J. H., Eckhardt, M. M. E. M., van Keulen-Rouweler, B. J., Ribbers, G. M., Rietman, J. S. Tags: Clinical Research Articles Source Type: research

Post Stroke Pain: Identification, Assessment, and Therapy
Background: Pain is a common complication after stroke and is associated with the presence of depression, cognitive dysfunction, and impaired quality of life. It remains underdiagnosed and undertreated, despite evidence that effective treatment of pain may improve function and quality of life. Summary: We provide an overview of the means for clinical assessment and risk factors for the development of post-stroke pain, then review the newest available literature regarding the commonest post-stroke pain syndromes, including central post-stroke pain, complex regional pain syndrome, musculoskeletal pain including shoulder subl...
Source: Cerebrovascular Diseases - March 5, 2015 Category: Neurology Source Type: research

Headache in acute ischaemic stroke: a lesion mapping study
Headache is a common symptom in acute ischaemic stroke, but the underlying mechanisms are incompletely understood. The aim of this lesion mapping study was to identify brain regions, which are related to the development of headache in acute ischaemic stroke. Patients with acute ischaemic stroke (n = 100) were assessed by brain MRI at 3 T including diffusion weighted imaging. We included 50 patients with stroke and headache as well as 50 patients with stroke but no headache symptoms. Infarcts were manually outlined and images were transformed into standard stereotaxic space using non-linear warping. Voxel-wise overlap and s...
Source: Brain - January 8, 2016 Category: Neurology Authors: Seifert, C. L., Schönbach, E. M., Magon, S., Gross, E., Zimmer, C., Förschler, A., Tölle, T. R., Mühlau, M., Sprenger, T., Poppert, H. Tags: Pain and Headache Original Articles Source Type: research

Movement changes due to hemiplegia in stroke survivors: a hermeneutic phenomenological study.
CONCLUSIONS: The first four themes attempt to express participants' pain and difficulty in living with their present body; the last three attempt to express methods for coping with the present body in the company of others. Results will assist therapists to understand the significant needs of their clients in the maintenance phase. Implications for Rehabilitation Hemiplegia is paralysis of half of the body; it represents one kind of physical disability caused by stroke. Re-interpretation of how patients had experienced the changes of their movements after they had hemiplegia is helpful for the therapists to understand the ...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Takashima R, Murata W, Saeki K Tags: Disabil Rehabil Source Type: research