Early manifestation of spasticity after first stroke in the territory of the internal carotid artery: A prospective multicenter study

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Authors

DORNAK Tomas JUSTANOVÁ Mária KONVALINKOVA Romana MUŽÍK Jan HOSKOVCOVA Martina SRP Martin RIHA Michal NAVRATILOVA Daniela OTRUBA Pavel GAL Ota DUŠEK Ladislav JECH Robert BAREŠ Martin KAŇOVSKÝ Petr

Year of publication 2018
Type Article in Periodical
Magazine / Source Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Czech Republic
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.5507/bp.2018.024
Keywords spasticity; internal carotid; stroke; ischemia; haemorrhage; anterior circulation
Description Aims. The main aim of this study was to provide an estimate of the incidence and prevalence of spasticity following stroke in the internal carotid artery territory for Regional Stroke Centers in the Czech Republic. A secondary goal was to identify predictors for the development of spasticity. Methods. In a prospective cohort study, 256 consecutive patients with clinical signs of central paresis due to a firstever stroke were examined in the acute stage. All patients had primary stroke of carotid origin and paresis of the upper and/or lower limb for longer than 7 days after stroke onset. All were examined between 7-10 days after the stroke. We evaluated the degree and pattern of paresis, spasticity using the Modified Ashworth scale and the Barthel Index, baseline characteristics and demographic data. Results. Of 256 patients (157 males; mean age 69.9±12.4 years), 115 (44.9%) patients developed spasticity during the first 10 days after stroke onset. Eighty-three (32.5%) patients presented with mild neurological deficit (modified Rankin Scale 0 – 2) and 69 (27.0%) patients were bedridden. Conclusion. Spasticity was noted in 44.9% patients with neurological deficit due to first-ever stroke in the carotid territory in the first 10 days after stroke onset. Severe spasticity was rare.

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