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Condition: Pain
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Management of Central Poststroke Pain: Systematic Review of Randomized Controlled Trials Clinical Sciences
Conclusions—
Our findings are inconsistent with major clinical practice guidelines; the available evidence suggests no beneficial effects of any therapies that researchers have evaluated in randomized controlled trials.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Mulla, S. M., Wang, L., Khokhar, R., Izhar, Z., Agarwal, A., Couban, R., Buckley, D. N., Moulin, D. E., Panju, A., Makosso-Kallyth, S., Turan, A., Montori, V. M., Sessler, D. I., Thabane, L., Guyatt, G. H., Busse, J. W. Tags: Other Treatment, Other Stroke Clinical Sciences Source Type: research
Coexistence of Deep Vein Thrombosis, Heterotopic Ossification, and Complex Regional Pain Syndrome due to Hemorrhagic Stroke
A patient who developed hemiplegia related to a hemorrhagic stroke and who had not been started on venous thromboembolism prophylaxis or a physical medicine and rehabilitation program was admitted to our clinic on the 4th month after the event. Our patient had pain, swelling, redness, increased temperature at the right lower extremity, range of motion limitation at the hip and knee, deep vein thrombosis (DVT) and complex regional pain syndrome (CRPS) at the same side lower extremity, and heterotopic ossification (HO) at the hip.
Source: Journal of Stroke and Cerebrovascular Diseases - January 8, 2016 Category: Neurology Authors: Engin Koyuncu, Güldal Funda Nakipoğlu Yüzer, Didem Yenigün, Neşe Özgirgin Tags: Case Studies Source Type: research
Non-aneurysmal non-perimesencephalic subarachnoid Hemorrhage: effect of rehabilitation at short-term and in a prospective study of long-term follow-up.
CONCLUSIONS: The quality of life (QoL) is decreased after NPM SAH. In the long-term follow-up, a significant reduction in physical items was identified. Due to subsequent in-patient rehabilitation after NPM SAH, the impairment can be improved significantly until short-term follow-up. Whereas patients with NPM SAH had a significantly decreased QoL at long-term follow-up, for patients with rehabilitation, the QoL was only slightly (non-significantly) reduced. Therefore, patients should receive subsequent rehabilitation after NPM SAH to improve the functional short-term outcome (mRS) and long-term QoL. www.clinicaltrials.gov ...
Source: Topics in Stroke Rehabilitation - February 25, 2016 Category: Neurology Authors: Konczalla J, Schmitz J, Kashefiolasl S, Senft C, Platz J, Seifert V Tags: Top Stroke Rehabil Source Type: research
An Acute Ischemic Stroke Resulting from Aortic Dissection
A 39-year-old man with syncope and persistent dizziness was sent to stroke emergency. Patient's diffusion magnetic resonance imaging of brain showed acute ischemia in right cerebella and right occipital lobe, thus intravenous recombinant tissue plasminogen activator was given to him. However, the patient behaved rather restless with repeated complaint of back and thoracic pain. Further thorax computed tomography angiography confirmed that the underlying cause turned out to be aortic dissection.
Source: Journal of Stroke and Cerebrovascular Diseases - September 19, 2017 Category: Neurology Authors: Zijun He, Chun-sen Shen, Bin Wang, Yongchun Luo Tags: Case Studies Source Type: research
The Headache and Neck Pain in Ischemic Stroke Patients Caused by Cervicocerebral Artery Dissection. A Case-Control Study
The symptom of headache and neck pain is common in patients with cervicocerebral artery dissection (CAD). We attempt to screen ischemic stroke patients with CAD based on the characteristics of the pain.
Source: Journal of Stroke and Cerebrovascular Diseases - November 16, 2018 Category: Neurology Authors: Yuhan Wang, Wenchao Cheng, Yajun Lian Source Type: research
Reporting “specific abilities” after major stroke to better describe prognosis
If health professionals are to involve major stroke patients and their families in making decisions about treatments, they need to describe prognosis in terms that are easily understood. We suggest that referring to “specific abilities”, such as ability to be independent, walk, talk, eat normally, be continent, live without severe pain, live without major anxiety or depression and to live at home may be more easily understood than terms such as disabled based on the modified Rankin scale (mRs).
Source: Journal of Stroke and Cerebrovascular Diseases - July 15, 2020 Category: Neurology Authors: Akila Visvanathan, William Whiteley, Gillian Mead, Julia Lawton, Fergus N Doubal, Martin Dennis Source Type: research
Post-stroke complex regional pain syndrome and related factors: Experiences from a tertiary rehabilitation center
In this study, it is aimed to determine the risk factors associated with CRPS after stroke and the clinical parameters of the patients and the treatment agents used for CPRS
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Elif Umay Altas, Şule Şahin Onat, Hatice Ecem Konak, Cemile Sevgi Polat Source Type: research
Acupuncture for Post-stroke Shoulder-Hand Syndrome: A Systematic Review and Meta-Analysis
Conclusions: Acupuncture therapy seems effective for motor function, pain relief and activities of daily living in stroke patients with mild SHS, when it is used in combination with rehabilitation. The low certainty of evidence downgrades our confidence in making recommendations to clinical practice.
Introduction
Shoulder-hand syndrome (SHS) is a common condition among people who have had a stroke, with its reported prevalence ranging from 12% to 49% (1, 2). The main symptoms of SHS include pain, hyperalgesia, joint swelling and limitations in range of motion (ROM) (3). Post-stroke SHS is also named type I complex ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research
Female stroke survivors’ quality of life investigated
Conclusion
The study suggests that women have a lower quality of life than men three and 12 months after they have been discharged from hospital after experiencing a stroke or mini-stroke.
While the results were statistically significant, the relative differences appeared small. For example at three months (where the largest difference was found) the average difference in quality of life score between men and women was 0.036 points. This is on a quality of life scale that ranges from 0 (death) to 1 (perfect health). The quality of life difference at 12 months was 0.022 points. Whether these small differences are clinicall...
Source: NHS News Feed - February 10, 2014 Category: Consumer Health News Tags: Neurology Lifestyle/exercise Source Type: news
Female stroke survivors' quality of life investigated
Conclusion
The study suggests that women have a lower quality of life than men three and 12 months after they have been discharged from hospital after experiencing a stroke or mini-stroke.
While the results were statistically significant, the relative differences appeared small. For example at three months (where the largest difference was found) the average difference in quality of life score between men and women was 0.036 points. This is on a quality of life scale that ranges from 0 (death) to 1 (perfect health). The quality of life difference at 12 months was 0.022 points. Whether these small differences are clinicall...
Source: NHS News Feed - February 10, 2014 Category: Consumer Health News Tags: Neurology Lifestyle/exercise Source Type: news
HRT review finds increased risk of blood clots and stroke
Conclusion
This updated Cochrane review has found that oral HRT increases risk of stroke and blood clots, and does not appear to reduce overall risk of cardiovascular disease or death during follow-up.
More exploratory analyses suggested that HRT might reduce risk of death from heart disease or non-fatal heart attack if it was started within 10 years of menopause, but this finding needs further confirmation.
The review was carried out using robust methods and the trials were of good quality. Its findings are in line with the previous version of the review, and also with other reviews.
There are some points to note:
Thi...
Source: NHS News Feed - March 10, 2015 Category: Consumer Health News Tags: Heart/lungs Medication Source Type: news
Self-perceived psychological stress and risk of all-cause mortality after stroke: the Mashhad Stroke Incidence Study (MSIS) (P4.306)
Conclusions:High self-perceived pre-stroke stress was associated with a higher risk of all-cause mortality after stroke. Further prospective studies are required to evaluate the role of psychological stress as a predictor of stroke outcome.Disclosure: Dr. Saber has nothing to disclose. Dr. Sheikh Andalibi has nothing to disclose. Dr. Mokhber has nothing to disclose. Dr. Amiri has nothing to disclose. Dr. Farzadfard has nothing to disclose. Dr. Shoamanesh has nothing to disclose. Dr. Behrouz has nothing to disclose. Dr. Azarpazhooh has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Saber, H., Andalibi, M. S. S., Mokhber, N., Amiri, A., Farzadfard, M. T., Shoamanesh, A., Behrouz, R., Azarpazhooh, M. R. Tags: Neuroepidemiology: Cerebrovascular Disease I 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
A qualitative study on palliative needs of stroke patients in an Indian tertiary care setting - Doctors & #39; perspective
Conclusions: From the interviews of the clinicians, we can conclude that care of a stroke patient is more than medical management and rehabilitation, as several other aspects of the patient's life are affected by the condition. The quality of life aspect has to be looked upon as an area that requires active intervention in a setting of stroke. Physical disabilities were viewed as the most significant factor in reducing the quality of life. Spiritual needs have a low priority in comparison to other physical needs. Due to high patient load and time constraints, many of the needs are unaddressed. Two important area...
Source: Indian Journal of Palliative Care - January 31, 2019 Category: Palliative Care Authors: Jacob Lloyd Ashna Maria Pinto Shoba Nair Subhash Tarey Source Type: research
Stroke Experiences in Weblogs: A Feasibility Study of Sex Differences
Conclusions: The results replicate previous findings based on hospital interview data supporting the reliability of findings from weblogs. New findings include the effect of first- versus third-person narrator on sex differences in the report of nontraditional symptoms. This result suggests that narrator is an important variable to be examined in future studies. A fragmentary data problem limits some conclusions because important information, such as age, was not consistently reported. Age trends strengthen the feasibility of using the Internet for stroke research because older adults have significantly increased their Int...
Source: Journal of Medical Internet Research - March 19, 2014 Category: Journals (General) Authors: Sukjin KohAndrew S GordonChristopher WienbergSara O SoodStephanie MorleyDeborah M Burke Source Type: research
