DORNAK, Tomas, Mária JUSTANOVÁ, Romana KONVALINKOVA, Jan MUŽÍK, Martina HOSKOVCOVA, Martin SRP, Michal RIHA, Daniela NAVRATILOVA, Pavel OTRUBA, Ota GAL, Ladislav DUŠEK, Robert JECH, Martin BAREŠ and Petr KAŇOVSKÝ. Early manifestation of spasticity after first stroke in the territory of the internal carotid artery: A prospective multicenter study. Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Czech Republic. Olomouc: Palacký University, 2018, vol. 162, No 4, p. 319-323. ISSN 1213-8118. Available from: https://dx.doi.org/10.5507/bp.2018.024.
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Basic information
Original name Early manifestation of spasticity after first stroke in the territory of the internal carotid artery: A prospective multicenter study
Authors DORNAK, Tomas (203 Czech Republic, guarantor), Mária JUSTANOVÁ (203 Czech Republic, belonging to the institution), Romana KONVALINKOVA (203 Czech Republic), Jan MUŽÍK (203 Czech Republic, belonging to the institution), Martina HOSKOVCOVA (203 Czech Republic), Martin SRP (203 Czech Republic), Michal RIHA (203 Czech Republic), Daniela NAVRATILOVA (203 Czech Republic), Pavel OTRUBA (203 Czech Republic), Ota GAL (203 Czech Republic), Ladislav DUŠEK (203 Czech Republic, belonging to the institution), Robert JECH (203 Czech Republic), Martin BAREŠ (203 Czech Republic, belonging to the institution) and Petr KAŇOVSKÝ (203 Czech Republic).
Edition Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Czech Republic, Olomouc, Palacký University, 2018, 1213-8118.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30210 Clinical neurology
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.141
RIV identification code RIV/00216224:14110/18:00104754
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.5507/bp.2018.024
UT WoS 000457488200011
Keywords in English spasticity; internal carotid; stroke; ischemia; haemorrhage; anterior circulation
Tags 14110127, 14119612, rivok
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 20/2/2019 15:03.
Abstract
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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