Diaschisis and Motor Recovery in Stroke Patients.
- Author:
Joong Son CHON
1
;
Se Il CHUN
;
Woo Kyoung YOO
;
Jong Doo LEE
;
Won Su DOH
Author Information
1. Department of Rehabilitation Medicine, Yonsei University College of Medicine.
- Publication Type:Original Article
- Keywords:
Diaschisis;
Motor recovery
- MeSH:
Humans;
Inpatients;
Magnetic Resonance Imaging;
Stroke*;
Tomography, Emission-Computed, Single-Photon
- From:Journal of the Korean Academy of Rehabilitation Medicine
1998;22(4):822-827
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To find out the motor recovery in stroke patients according to the presence of diaschisis. METHOD: Computed tomography (CT) and/or magnetic resonance imaging (MRI) scan and single photon emission computed tomography (SPECT) study were performed on a consecutive series of 98 inpatients from July 1995 to August 1996. Among them 42 stroke patients were included in this study with cerebellar, pontine, and bilateral hemispheric lesions excluded. RESULTS: The types of diaschisis were crossed cerebellar diaschisis (CCD) (36 cases), thalamocortical diaschisis (6 cases), striatocortical diaschisis (5 cases), and capsulocortical diaschisis (1 case). And the functional recovery scale improved from 37.5 points to 53.0 points by the motricity index and from 41.2 points to 68.8 points by the MBI score. Only the motricity index showed a significant inverse correlation with the asymmetry index in CCD. CONCLUSION: Although other types of diaschisis were found, the most frequent type was CCD. The lower the asymmetry score was the lower motricity index. Therefore, CCD could be a prognostic factor for the motor recovery.
