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

J 2018

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

DORNAK, Tomas, Mária JUSTANOVÁ, Romana KONVALINKOVA, Jan MUŽÍK, Martina HOSKOVCOVA et. al.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

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

Abstract

V originále

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.

Citovat

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.

@article{1474556,
   author = {Dornak, Tomas and Justanová, Mária and Konvalinkova, Romana and Mužík, Jan and Hoskovcova, Martina and Srp, Martin and Riha, Michal and Navratilova, Daniela and Otruba, Pavel and Gal, Ota and Dušek, Ladislav and Jech, Robert and Bareš, Martin and Kaňovský, Petr},
   article_location = {Olomouc},
   article_number = {4},
   doi = {http://dx.doi.org/10.5507/bp.2018.024},
   keywords = {spasticity; internal carotid; stroke; ischemia; haemorrhage; anterior circulation},
   language = {eng},
   issn = {1213-8118},
   journal = {Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Czech Republic},
   title = {Early manifestation of spasticity after first stroke in the territory of the internal carotid artery: A prospective multicenter study},
   volume = {162},
   year = {2018}
}

TY  - JOUR
ID  - 1474556
AU  - 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
PY  - 2018
TI  - Early manifestation of spasticity after first stroke in the territory of the internal carotid artery: A prospective multicenter study
JF  - Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Czech Republic
VL  - 162
IS  - 4
SP  - 319-323
EP  - 319-323
PB  - Palacký University
SN  - 12138118
KW  - spasticity
KW  - internal carotid
KW  - stroke
KW  - ischemia
KW  - haemorrhage
KW  - anterior circulation
N2  - 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.
ER  -

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. \textit{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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