Dynamic changes of the direction and angle of radiographic ocular lateral deviation in patients with lateropulsion after stroke onset
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany..
OBJECTIVE: To examine if radiographic ocular lateral deviation (rOLD) could be provoked in stroke patients with mild-to-moderate lateropulsion according to vertical perception.
METHODS: In this single-center, retrospective study, acute stroke patients with mild-to-moderate lateropulsion assessed by the Scale for Contraversive Pushing were enrolled. Computed tomography or magnetic resonance imaging was performed on all patients on admission and then according to their conditions. The direction and angle of rOLD were compared among three groups according to the responsible lesion: lateral medullary (LM), pontine (P), and hemispheric (H).
RESULTS: Sixty-six patients (male, 47; average age, 67 years) were enrolled and divided into the LM (n = 37), P (n = 8), and H (n = 21) groups. All patients had body tilt. Patients in the LM group showed body tilt to the ipsilesional side during hospitalization, while those in the P and H groups tilted to the contralesional side. All patients had rOLD at the final assessment at an average of 13 days after onset; patients in the P and H groups showed contralateral rOLD, while those in the LM group showed ipsilateral rOLD if they did not have cerebellar or pontine lesions. Significant decreases in the angle and changes in direction of rOLD according to lesion site were observed during hospitalization.
CONCLUSION: Serial changes in rOLD findings after stroke onset are different according to the responsible lesion. The direction of rOLD in most patients is in accordance with vertical perception after the acute stage of stroke.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:270 |
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| Enthalten in: |
Journal of neurology - 270(2023), 8 vom: 10. Aug., Seite 4041-4048 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kamada, Masatoshi [VerfasserIn] |
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| Links: |
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| Themen: |
Acute stroke |
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| Anmerkungen: |
Date Completed 17.07.2023 Date Revised 18.07.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00415-023-11755-6 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM35663731X |
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| 100 | 1 | |a Kamada, Masatoshi |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Dynamic changes of the direction and angle of radiographic ocular lateral deviation in patients with lateropulsion after stroke onset |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
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| 500 | |a Date Completed 17.07.2023 | ||
| 500 | |a Date Revised 18.07.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany. | ||
| 520 | |a OBJECTIVE: To examine if radiographic ocular lateral deviation (rOLD) could be provoked in stroke patients with mild-to-moderate lateropulsion according to vertical perception | ||
| 520 | |a METHODS: In this single-center, retrospective study, acute stroke patients with mild-to-moderate lateropulsion assessed by the Scale for Contraversive Pushing were enrolled. Computed tomography or magnetic resonance imaging was performed on all patients on admission and then according to their conditions. The direction and angle of rOLD were compared among three groups according to the responsible lesion: lateral medullary (LM), pontine (P), and hemispheric (H) | ||
| 520 | |a RESULTS: Sixty-six patients (male, 47; average age, 67 years) were enrolled and divided into the LM (n = 37), P (n = 8), and H (n = 21) groups. All patients had body tilt. Patients in the LM group showed body tilt to the ipsilesional side during hospitalization, while those in the P and H groups tilted to the contralesional side. All patients had rOLD at the final assessment at an average of 13 days after onset; patients in the P and H groups showed contralateral rOLD, while those in the LM group showed ipsilateral rOLD if they did not have cerebellar or pontine lesions. Significant decreases in the angle and changes in direction of rOLD according to lesion site were observed during hospitalization | ||
| 520 | |a CONCLUSION: Serial changes in rOLD findings after stroke onset are different according to the responsible lesion. The direction of rOLD in most patients is in accordance with vertical perception after the acute stage of stroke | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acute stroke | |
| 650 | 4 | |a Lateropulsion | |
| 650 | 4 | |a Radiographic ocular lateral deviation | |
| 650 | 4 | |a Vertical perception | |
| 700 | 1 | |a Yokota, Chiaki |e verfasserin |4 aut | |
| 700 | 1 | |a Murata, Shunsuke |e verfasserin |4 aut | |
| 700 | 1 | |a Doda, Daishi |e verfasserin |4 aut | |
| 700 | 1 | |a Nishimura, Kunihiro |e verfasserin |4 aut | |
| 700 | 1 | |a Nishizono, Hiroaki |e verfasserin |4 aut | |
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| 773 | 1 | 8 | |g volume:270 |g year:2023 |g number:8 |g day:10 |g month:08 |g pages:4041-4048 |
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