Current Neurology and Neuroscience Reports ( IF 5.6 ) Pub Date : 2023-10-14 , DOI: 10.1007/s11910-023-01308-9 Alain Lekoubou 1 , Clever Nguyen 1 , Michelle Kwon 1 , Arsene Daniel Nyalundja 2 , Ankita Agrawal 3
Purpose of Review
This review aims at providing updates on selected post-stroke complications. We examined recent advances in diagnosing and treating the following post-stroke complications: cognitive impairment, epilepsy, depression, fatigue, tremors, dysphagia, and pain.
Recent Findings
Advances in understanding the mechanisms of post-stroke complications, in general, are needed despite advances made in understanding, treating, and preventing these complications. There are growing progresses in integrating new tools to diagnose post-stroke cognitive impairment. The potential role of acute stroke reperfusion treatment in post-stroke epilepsy and its impact on other stroke complications is getting more transparent. Post-stroke depression remains underestimated and new tools to diagnose depression after stroke are being developed. New promising pharmacological approaches to treating post-stroke pain are emerging. Tremors related to stroke are poorly understood and under-evaluated, while treatment towards post-stroke dysphagia has benefited from new non-pharmacological to pharmacological approaches.
Conclusions
An integrative approach to stroke complications and collaborations between providers across specialties are more likely to improve stroke outcomes.
中文翻译:
中风后一切
审查目的
本综述旨在提供有关选定的中风后并发症的最新信息。我们研究了诊断和治疗以下中风后并发症的最新进展:认知障碍、癫痫、抑郁、疲劳、震颤、吞咽困难和疼痛。
最近的发现
尽管在理解、治疗和预防这些并发症方面取得了进展,但总的来说,对中风后并发症机制的理解仍然需要取得进展。在整合新工具来诊断中风后认知障碍方面取得了越来越多的进展。急性卒中再灌注治疗在卒中后癫痫中的潜在作用及其对其他卒中并发症的影响正变得越来越透明。中风后抑郁症仍然被低估,并且正在开发诊断中风后抑郁症的新工具。治疗中风后疼痛的新的有前景的药理学方法正在出现。与中风相关的震颤人们知之甚少且评估不足,而中风后吞咽困难的治疗则受益于新的非药物到药物的方法。
结论
针对中风并发症的综合方法以及跨专业提供者之间的合作更有可能改善中风结果。