2014, Number 12
<< Back Next >>
MediSan 2014; 18 (12)
Electric response of the contralateral cortex to the myocardial infarction area in patients with ischemic cerebrovascular disease
Torres CF, Delgado SI, Montoya PA, Deniz CY
Language: Spanish
References: 20
Page:
PDF size: 62.30 Kb.
ABSTRACT
An observational, descriptive, longitudinal and prospective study of 28 patients with
ischemic cerebrovascular disease, admitted in the Cerebrovascular Diseases Service of
"Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba was
carried out from January to December, 2011, with the objective of evaluating the electric
response from the contralateral cerebral cortex to the myocardial infarction area and its
role in the motor recovery of the affected hemiplegic patients. The evaluation of the
electric activity was made by means of the quantitative analysis of the digital
electroencephalogram, and that of the functional recovery through the Barthel index. In
the series the mean age was of 67.2 years ± 2, the male sex prevailed and all the
patients presented changes of the electrical cortical activity, of which, 39.3% manifested
it in the contralateral hemisphere to the myocardial infarction area, with a worse motor
recovery after 6 months of the clinical course. Lastly, the electric damage of the contralateral cerebral cortex to the myocardial infarction area constitutes a frequently
observed manifestation in patients with ischemic cerebrovascular diseases, what
influences in a negative way in their motor recovery.
REFERENCES
Buergo MA, Fernández O, Coután G, Torres RM. Epidemiology of cerebrovascular diseases in Cuba, 1970 to 2006. MEDICC Rev. 2008; 10(2): 33-8.
Cuba. Ministerio de Salud Pública. Dirección Nacional de Registros Médicos y Estadísticas de Salud. Anuario estadístico de salud. 2008. Principales causas de muerte en Cuba. La Habana: MINSAP; 2008 p. 38.
Morales González HA, Blanco Aspiazu MA. El ictus y su relevancia como problema socio-sanitario. Rev Haban Cienc Méd. 2009 [citado 13 Mar 2013]; 8(1). Disponible en: http://www.redalyc.org/articulo.oa?id=180414030001
Leoo T, Lindgren A, Petersson J, von Arbin M. Risk factors and treatment at recurrent stroke onset: results from the Recurrent Stroke Quality and Epidemiology (RESQUE) Study. Cerebrovasc Dis. 2008; 25(3): 254-60.
Wang L, Yu C, Chen H, Qin W, He Y, Fan F, et al. Dynamic functional reorganization of the motor execution network after stroke. Brain. 2010; 133(Pt. 4): 1224–38.
Cramer SC. Repairing the human brain after stroke: I. Mechanisms of spontaneous recovery. Ann Neurol. 2008; 63(3): 272–87.
Medina AM, García Cairasco N, Escobar MI. Respuesta de una subpoblación de interneuronas y del transportador glial de glutamato GLT1 en la corteza contralateral a un foco isquémico. Colombia Médica. 2008 [citado 13 Mar 2013]; 39(3 Supl. 3). Disponible en: http://colombiamedica.univalle.edu.co/index. php/comedica/rt/ printerFriendly/601/879
Buergo Zuaznábar MA, Fernández Concepción O. Guías de práctica clínica. Enfermedad cerebrovascular. La Habana: Editorial Ciencias Médicas; 2009.
Eliassen JC, Boespflug EL, Lamy M, Allendorfer J, Chu WJ, Szaflarski JP. Brainmapping techniques for evaluating poststroke recovery and rehabilitation: a review. Top Stroke Rehabil. 2008: 15(5): 427-50.
10.De Vico Fallani F, Astolfi L, Cincotti F, Mattia D, la Rocca D, Maksuti E, et al. Evaluation of the brain network organization from EEG signals: a preliminary evidence in stroke patient. Anat Rec (Hoboken). 2009; 292(12): 2023–31.
11.Honey CJ, Sporns O. Dynamical consequences of lesions in cortical networks. Hum Brain Mapp. 2008; 29(7): 802–9.
12.Medicina de Rehabilitación. Índice de Barthel [citado 15 Oct 2013]. Disponible en: http://www.sld.cu/galerias/pdf/sitios/rehabilitacion/indicebarthel.avd.pdf
13.Turrent J, Talledo L, González A, Gundían J, Remuñán C. Comportamiento y manejo de la enfermedad cerebrovascular en una unidad de cuidados intensivos. Rev Cub Med Int Emerg. 2004 [citado 13 Mar 2013]; 32(2). Disponible en: http://bvs.sld.cu/revistas/mie/vol3_2_04/mie06204.pdf
14.Rubio Pavón M, Carulla Mora Z, Rodríguez Reyes F, Céspedes Cañamero A, de la Cruz Sando I. Caracterización clínico-epidemiológica de las enfermedades cerebrovasculares en pacientes del Hospital Militar de Holguín. Enero 2008-diciembre 2009. Correo Cient Méd Holguín. 2010 [citado 7 Ene 2013]; 14(2). Disponible en: http://www.cocmed.sld.cu/no142/no142ori02.htm
15.Bosch Ramírez R, Robles Martínez-Pinillo JA, Aponte Pupo B. Epidemiología de la enfermedad cerebrovascular en la Isla de la Juventud, 2006-2009. Rev Cub Med. 2010 [citado 7 Ene 2013]; 49(4). Disponible en: http://scielo.sld.cu/scielo.php? script=sci_arttext&pid=S0034-75232010000400003
16.Ferruci L, Bandinelli S, Guralnik JM, Lamponi M, Bertini C, Falchini M. Recovery of functional status after stroke. A postrehabilitation follow-up study. Stroke. 1993; 24(2): 200-5.
17.Marque Ph, Felez A, Puel M, Demonet JF, Guiraud-Chaumeil B, Roques CF, et al. Impairment and recovery of left motor function in patients with right hemiplegia. J Neurol Neurosurg Psychiatry. 1997; 62(1): 77-81.
18.Grefkes C, Nowak DA, Eickhoff SB, Dafotakis M, Küst J, Karbe H, et al. Cortical connectivity after subcortical stroke assessed with functional magnetic resonance imaging. Ann Neurol. 2008; 63(2): 236–46.
19.Finnigan SP, Rose SE, Chalk JB. Contralateral hemisphere delta EEG in acute stroke precedes worsening of symptoms and death. Clin Neurophysiol. 2008; 119(7): 1690- 1694.
20.Rehme AK, Fink GR, von Cramon DY, Grefkes C. The role of the contralesional motor cortex for motor recovery in the early days after stroke assessed with longitudinal FMRI. Cereb Cortex. 2011; 21(4): 756-68.