Clinical and paraclinical features of psychopathological disorders in right hemisphere stroke
DOI:
https://doi.org/10.57125/FEM.2023.09.30.04Keywords:
Brain Lesions; Right Hemisphere; Neuropsychiatric Manifestations; Cognitive Impairment; Functional Assessment.Abstract
Aims: To investigate correlations between psychopathological disorders, clinical-neurological changes, and stroke severity in right-hemispheric ischemic stroke, considering age and gender influences.
Study design: A descriptive cross-sectional approach was used.
Place and Duration of Study: A group of 171 patients who suffered from right-hemisphere strokes were included in the study. These patients received treatment at the medical and diagnostic department No. 1 of the private company "LORITOM".
Methodology: A pre-tested questionnaire was utilised to gather information from patients who were receiving treatment for right-hemispheric strokes at Treatment and Diagnostic Department No. 1 of the private enterprise "LORITOM." The National Institutes of Health Stroke Scale (NIHSS) was created to assess the seriousness of stroke symptoms. A scale ranging from 0 to 5 was employed to evaluate Muscle Strength, with plegia being a separate category.
Results: Gender distribution among stroke patients was balanced (48% males, 52% females), highlighting equal susceptibility. The age analysis revealed a mean of 70.79 years, with significant differences across the age groups. Prevalence was notably high in the over 70s (χ2=57.0877, p<0.0001) and 60-69 age group (Z=5.3, p<0.0001). Gender differences exist in certain age categories. The stroke severity is associated with patient characteristics but not gender. The muscle strength correlates with the stroke severity (Z=9.93, p<0.05). The neglect is prevalent (61.91%) and linked to the stroke severity. Right-hemispheric stroke is associated with higher anxiety than depression, with a weakening correlation at severe levels (R=0.782, p=0.00000).
Conclusion: The comprehensive analysis of stroke patient data underscored the need for gender-specific healthcare strategies, highlighted the age-related prevalence patterns, and emphasised the significance of assessing psychomotional well-being, particularly in individuals with right-hemispheric stroke.
References
Harciarek M, Mańkowska A. Hemispheric stroke: Mood disorders. Handb Clin Neurol 2021;183:155–67. https://doi.org/10.1016/B978-0-12-822290-4.00007-4.
Jenkinson PM, Papadaki C, Besharati S, Moro V, Gobbetto V, Crucianelli L, et al. Welcoming back my arm: affective touch increases body ownership following right-hemisphere stroke. Brain Commun 2020;2. https://doi.org/10.1093/BRAINCOMMS/FCAA034.
WHO EMRO [Internet]. World Health Organization - Regional Office for the Eastern Mediterranean. [cited 2023 Nov 27]. Available from: https://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html
Right Hemisphere Damage [Internet]. American Speech-Language-Hearing Association. [cited 2023 Nov 27]. Available from: https://www.asha.org/practice-portal/clinical-topics/right-hemisphere-damage/
CDC. Stroke facts [Internet]. Centers for Disease Control and Prevention. 2023 [cited 2023 Nov 27]. Available from: https://www.cdc.gov/stroke/facts.htm
Tsao CW, Aday AW, Almarzooq ZI, Anderson CAM, Arora P, Avery CL, et al. Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association. Circulation 2023;147:E93–621. https://doi.org/10.1161/CIR.0000000000001123.
Tu WJ, Wang L De, Yan F, Peng B, Hua Y, Liu M, et al. China stroke surveillance report 2021. Military Medical Research 2023 10:1 2023;10:1–26. https://doi.org/10.1186/S40779-023-00463-X.
Thayabaranathan T, Kim J, Cadilhac DA, Thrift AG, Donnan GA, Howard G, et al. Global stroke statistics 2022. International Journal of Stroke 2022;17:946–56. https://doi.org/10.1177/17474930221123175.
Foerch C, Misselwitz B, Sitzer M, Berger K, Steinmetz H, Neumann-Haefelin T. Difference in recognition of right and left hemispheric stroke. Lancet 2005;366:392–3. https://doi.org/10.1016/S0140-6736(05)67024-9.
Jenkinson PM, Papadaki C, Besharati S, Moro V, Gobbetto V, Crucianelli L, et al. Welcoming back my arm: affective touch increases body ownership following right-hemisphere stroke. Brain Commun 2020;2. https://doi.org/10.1093/BRAINCOMMS/FCAA034.
Disorders I of M (US) F on N and NS. Grand Challenge: Nature Versus Nurture: How Does the Interplay of Biology and Experience Shape Our Brains and Make Us Who We Are? 2008. https://www.ncbi.nlm.nih.gov/books/NBK50991/
Zakrzewski JJ, Rosen HJ. Anosognosia. Encyclopedia of the Neurological Sciences 2023:198–201. https://doi.org/10.1016/B978-0-12-385157-4.00440-1.
Rolls ET. The neuroscience of emotional disorders. Handb Clin Neurol 2021;183:1–26. https://doi.org/10.1016/B978-0-12-822290-4.00002-5.
Hewetson R, Cornwell P, Shum DHK. Relationship and Social Network Change in People With Impaired Social Cognition Post Right Hemisphere Stroke. Am J Speech Lang Pathol 2021;30:962–73. https://doi.org/10.1044/2020_AJSLP-20-00047.
Sanz LRD, Thibaut A, Edlow BL, Laureys S, Gosseries O. Update on neuroimaging in disorders of consciousness. Curr Opin Neurol 2021;34:488. https://doi.org/10.1097/WCO.0000000000000951.
Vanes LD, Dolan RJ. Transdiagnostic neuroimaging markers of psychiatric risk: A narrative review. Neuroimage Clin 2021;30. https://doi.org/10.1016/J.NICL.2021.102634.
Rexrode KM, Madsen TE, Yu AYX, Carcel C, Lichtman JH, Miller EC. The Impact of Sex and Gender on Stroke. Circ Res 2022;130:512–28. https://doi.org/10.1161/CIRCRESAHA.121.319915.
Abdu H, Seyoum G. Sex Differences in Stroke Risk Factors, Clinical Profiles, and In-Hospital Outcomes Among Stroke Patients Admitted to the Medical Ward of Dessie Comprehensive Specialized Hospital, Northeast Ethiopia. Degener Neurol Neuromuscul Dis 2022;12:133. https://doi.org/10.2147/DNND.S383564.
Abdu H, Seyoum G. Sex Differences in Stroke Risk Factors, Clinical Profiles, and In-Hospital Outcomes Among Stroke Patients Admitted to the Medical Ward of Dessie Comprehensive Specialized Hospital, Northeast Ethiopia. Degener Neurol Neuromuscul Dis 2022;12:133. https://doi.org/10.2147/DNND.S383564.
Ospel J, Singh N, Ganesh A, Goyal M. Sex and gender differences in stroke and their practical implications in acute care. J Stroke [Internet]. 2023;25(1):16–25. Available from: http://dx.doi.org/10.5853/jos.2022.04077
Carcel C, Woodward M, Wang X, Bushnell C, Sandset EC. Sex matters in stroke: A review of recent evidence on the differences between women and men. Front Neuroendocrinol 2020;59. https://doi.org/10.1016/J.YFRNE.2020.100870.
Tóth B, Dénes Z, Németh M, Fazekas G. Changes in skeletal muscle mass index and fat mass index during rehabilitation for traumatic brain injury and stroke measured by bioelectrical impedance analysis. International Journal of Rehabilitation Research 2023;46:264–9. https://doi.org/10.1097/MRR.0000000000000587.
Irisawa H, Mizushima T. Assessment of changes in muscle mass, strength, and quality and activities of daily living in elderly stroke patients. International Journal of Rehabilitation Research 2022;45:161–7. https://doi.org/10.1097/MRR.0000000000000523.
Zhang S, Xu M, Liu Z-J, Feng J, Ma Y. Neuropsychiatric issues after stroke: Clinical significance and therapeutic implications. World J Psychiatry 2020;10:125. https://doi.org/10.5498/WJP.V10.I6.125.
Hoyer C, Schmidt HL, Kranaster L, Alonso A. Impact of psychiatric comorbidity on the severity, short-term functional outcome, and psychiatric complications after acute stroke. Neuropsychiatr Dis Treat 2019;15:1823. https://doi.org/10.2147/NDT.S206771.
Patel SP. Post-stroke depression screening and interventions. 2019 [cited 2023 Nov 27]; Available from: https://sigma.nursingrepository.org/handle/10755/18367
Tynterova A, Perepelitsa S, Golubev A. Personalized neurophysiological and neuropsychological assessment of patients with left and right hemispheric damage in acute ischemic stroke. Brain Sci [Internet]. 2022;12(5):554. Available from: http://dx.doi.org/10.3390/brainsci12050554
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 authors
This work is licensed under a Creative Commons Attribution 4.0 International License.
