Variations in movement disorders in patients with acute ischemic stroke

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The article focuses on movement disorders following acute ischemic stroke. It explores how the localization of the infarct and the extent of brain damage influence the development of these disorders and the recovery of lost function. This knowledge is crucial for providing effective patient management. Clinical case studies are used to illustrate the different types of movement disorders seen in ischaemic stroke patients, including pyramidal tract damage, sensory deficits, ataxia and apraxia.

Full Text

Restricted Access

About the authors

Rustam M. Saikhunov

Kazan State Medical University; Interregional Clinical and Diagnostic Center

Author for correspondence.
Email: rustamsaih@mail.ru
ORCID iD: 0009-0006-0216-0923

Postgraduate Student, Depart. of Neurology

Russian Federation, Kazan; Kazan

Tatiana V. Danilova

Kazan State Medical University; Interregional Clinical and Diagnostic Center

Email: tatvdan@yandex.ru
ORCID iD: 0000-0001-6926-6155
SPIN-code: 9162-5200

MD, Dr. Sci. (Med.), Assoc. Prof., Depart. of Neurology

Russian Federation, Kazan; Kazan

References

  1. Kaygorodtseva SA, Abros'kina MV, Prokopenko SV, Ismailova SB. Recovery of static and locomotor functions in patients with the vestibular-atactic syndrome during the recovery from cerebrovascular accident. Annals of Neurology. 2016;10(3):13–18. (In Russ.) EDN: WTKMCJ
  2. Puig J, Blasco G, Estadella DIJ, et al. Increased corticospinal tract fractional anisotropy can discriminate stroke onset with in the first 4.5 hours. Stroke. 2013;44(4):1162–1165. doi: 10.1161/STROKEAHA.111.678110
  3. Ma-Van-de AYu, Vitkovsky YuA, Shirshov YuA. Epidemiological aspects and risk factors of ischemic stroke development (review of the literature). Transbaikalian Medical Bulletin. 2022;(2):41–52. (In Russ.) EDN: AUWMVX doi: 10.52485/19986173_2022_2_41
  4. Vishnyakova TA, Yashnikova MV, Poteryaeva EL. Risk factors and assessment of quality of life in stroke patients in various occupational groups. Medicine in Kuzbass. 2023;(1):27–33. (In Russ.) EDN: VNNTUR doi: 10.24412/2687-0053-2023-1-27-33
  5. Prokopenko SV, Mozheyko EYu, Alexeevich GV. The possibility of restoring the advanced hand activity using the sensorial glove in patients with stroke. Siberian Medical Review. 2014;(2):72–77. (In Russ.) EDN: SCFGCL
  6. Dusenbury W, Alexandrov AW. Cinical localization of stroke. Crit Care Nurs Clin North Am. 2020;32(1):1–19. doi: 10.1016/j.cnc.2019.10.001
  7. Lee J, Lee A, Kim H, et al. Differences in motor network dynamics during recovery between supra- and infra-tentorial ischemic strokes. Human Brain Mapping. 2018;39(12):4976–4986. doi: 10.1002/hbm.24338
  8. Levin OS, Bogolepova AN. Poststroke motor and cognitive impairments: clinical features and current approaches to rehabilitation. SS Korsakov Journal of Neurology and Psychiatry. 2020;120(11):99–107. (In Russ.) EDN: VZORCZ doi: 10.17116/jnevro202012011199
  9. Fedin AI, Solopova IA, Tikhonova DYu, Grishin AA. Medical technology in neurorehabilitation of patients with movement disorders in acute stroke. Bulletin of RSMU. 2012;(1):47–52. (In Russ.) EDN: PAGAZN
  10. Kalinina SYa, Semenova TN, Grigoryeva VN. Upper limb dysfunction in stroke patients. Practical medicine. 2017;1(1):40–44. (In Russ.) EDN: YHZKNF
  11. Hirayama K, Matsuda M, Teruya M, et al. Trends in amount of use to upper limb function in patients with subacute stroke: A cross-sectional study using segmental regression analysis. BMC Neurol. 2023;23(1):429. doi: 10.1186/s12883-023-03469-z
  12. Arboix A, Martí-Vilalta JL. Lacunar stroke. Expert Rev Neurother. 2009;9(2):179–196. doi: 10.1586/14737175.9.2.179
  13. Sundar U, Ghuge V. Lacunar syndromes — where is the lesion? J Assoc Physicians India. 2015;63(6):41–44.
  14. Fisher CM, Curry HB. Pure motor hemiplegia of vascular origin. Arch Neur. 1965;13:30–44. doi: 10.1001/archneur.1965.00470010034005
  15. Telenkov AA, Kadykov AS, Vuytsik NB, et al. Post-stroke arthropathies: phenomenology and structural joint abnormalities. Almanac of Clinical Medicine. 2015;(39):39–44. (In Russ.) EDN: UEKHBR
  16. Prashanth Venkataraman, Prasanna Tadi, Forshing Lui. Lacunar syndromes. StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. Jan 7 [cited 2024 Feb 12] Available from: https://pubmed.ncbi.nlm.nih.gov/30480945/
  17. Malla G, Jillella DV. Pontine infarction. StatPearls. 2023 [cited 2024 Feb 12] Available from: https://pubmed.ncbi.nlm.nih.gov/32119305/
  18. Ekusheva EV. The role of somatosensory afferent systems in the formation of the pattern of motor disorders in patients with hemispheric stroke. The Scientific Notes of the Pavlov University. 2012;19(3):34–38. (In Russ.) EDN: SOBZYR
  19. Bolognini N, Russo C, Edwards DJ. The sensory side of post-stroke motor rehabilitation. Restor Neurol Neurosci. 2016;34(4):571–586. doi: 10.3233/RNN-150606
  20. Anne LF. Apraxia: Neural mechanisms and functional recovery. Handb Clin Neurol. 2013;110:335–345. doi: 10.1016/B978-0-444-52901-5.00028-9
  21. Alashram AR, Annino G, Aldajah S, et al. Rehabilitation of limb apraxia in patients following stroke: A systematic review. Applied Neuropsychology Adult. 2022;29(6):1658–1668. doi: 10.1080/23279095.2021.1900188
  22. West C, Bowen A, Hesketh A, Vail A. Interventions for motor apraxia following stroke (Review). Cochrane Database Syst Rev. 2008;2008(1):CD004132. doi: 10.1002/14651858.CD004132
  23. Suponeva NA, Yusupova DG, Zimin AA, et al. Validation of the Russian version of the Fugl-Meyer assessment of physical performance for assessment of patients with post-stroke paresis. SS Korsakov Journal of Neurology and Psychiatry. 2021;121(8-2):86–90. (In Russ.) EDN: UTYAOC doi: 10.17116/jnevro202112108286
  24. Fugl-Meyer AR, Jaasko L, Leyman I, et al. The post-stroke hemiplegic patient. 1. A method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13–31.
  25. Vanbellingen T, Kersten B, Hemelrijk DV, et al. Comprehensive assessment of gesture production: A new test of upper limb apraxia (TULIA). Eur J Neurol. 2010;17(1):59–66. doi: 10.1111/j.1468-1331.2009.02741.x
  26. Schoch B, Regel JP, Frings M, et al. Reliability and validity of ICARS in focal cerebellar lesions. Mov Disord. 2007;22(15):2162–2169. doi: 10.1002/mds.21543
  27. Gubskaya KV, Zhashuyeva AT. Course peculiarities of cerebellar infarction with diashiz symptoms. Bulletin of the Ivanovo Medical Academy. 2022;27(1):51–53. (In Russ.) EDN: RWGHHK doi: 10.52246/1606-8157_2022_27_1_51
  28. Semenova TN, Grigorieva VN. Hand dysfunction in patients with acute lacunar stroke. Medical almanac. 2018;(5(56)):33–37. (In Russ.) EDN: YOFJAL doi: 10.21145/2499-9954-2018-5-33-37
  29. Domashenko MA, Damulina AI. The lacunar infarction. Russian Medical Journal. 2013;19(3):42–48. (In Russ.) doi: 10.17816/rmj38108
  30. Bowren M, Bruss J, Manzel K, et al. Post-stroke outcomes predicted from multivariate lesion-behaviour and lesion network mapping. Brain. 2022;145(4):1338–1353. EDN: TJNSWZ doi: 10.1093/brain/awac010
  31. Puig J, Blasco G, Schlaug G, et al. Diffusion tensor imaging as a prognostic biomarker for motor recovery and rehabilitation after stroke. Neuroradiology. 2017;59(4):343–351. doi: 10.1007/s00234-017-1816-0
  32. Hong JH, Lee J, Cho YW, et al. Limb apraxia in a patient with cerebral infarct: Diffusion tensor tractography study. NeuroRehabilitation. 2012;30(4):255–259. doi: 10.3233/NRE-2012-0753
  33. Bakulin IS, Poidasheva AG, Suponeva NA, Piradov MA. Transcranial magnetic stimulation in predicting recovery of hand motor function in stroke. Nervous diseases. 2023;(3)3–8. (In Russ.) EDN: ITYYAY doi: 10.24412/2226-0757-2023-13000
  34. Smith M-C, Stinear CM. Transcranial magnetic stimulation (TMS) in stroke: Ready for clinical practice? J Clin Neurosci. 2016;31:10–14. doi: 10.1016/j.jocn.2016.01.034
  35. Kadykov AS, Barkhatov YuD. The significance of the state of different cerebral conductive pathways in the recovery of walking function in stroke patients. Annals of Neurology. 2014;8(3):45–48. (In Russ.) EDN: SQUYGP
  36. Do KH, Yeo SS, Lee J, Jang SH. Injury of the corticoreticular pathway in patients with proximal weakness following cerebral infarct: diffusion tensor tractography study. Neurosci Lett. 2013;546:21–25. doi: 10.1016/j.neulet.2013.04.040
  37. Barkhatov YuD, Kadykov AS. Prognostic factors for recovery of motor functions in patients with hemispheric stroke of various locations. Nervous diseases. 2018;(4):41–49. (In Russ.) EDN: YQHYZV doi: 10.24411/2071-5315-2018-12056

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Multiple foci of infarction on magnetic resonance imaging of the brain in DWI mode.

Download (114KB)
3. Fig. 2. Destruction of the pathways in the left pons area according to diffusion tensor magnetic resonance imaging data.

Download (160KB)
4. Fig. 3. Acute foci of infarction in the right hemisphere of the brain on magnetic resonance imaging of the brain in DWI mode.

Download (105KB)
5. Fig. 4. Magnetic resonance diffusion tensor imaging. The brain pathways in the ischemic focus of the right hemisphere are not destroyed.

Download (145KB)
6. Fig. 5. Ischemic focus in the area of the right posterior limb of internal capsule and anterior parts of the thalamus on a magnetic resonance imaging scan of the brain in DWI mode.

Download (96KB)
7. Fig. 6. Partial destruction of the pathways of the internal capsule of the right hemisphere in the area of the ischemic focus according magnetic resonance diffusion tensor imaging.

Download (154KB)
8. Fig. 7. Acute ischemic focus in the area of the posterior limb of the internal capsule of the right hemisphere on a magnetic resonance imaging scan of the brain in DWI mode.

Download (60KB)
9. Fig. 8. Magnetic resonance diffusion tensor imaging. The brain pathways in the ischemic focus are not destroyed.

Download (155KB)

Copyright (c) 2024 Eco-Vector



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 75562 от 12 апреля 2019 года.