Post-stroke Everything

Curr Neurol Neurosci Rep. 2023 Nov;23(11):785-800. doi: 10.1007/s11910-023-01308-9. Epub 2023 Oct 14.

Abstract

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.

Keywords: Diagnosis; Post-stroke complications; Recent advances; Review; Treatment.

Publication types

  • Review

MeSH terms

  • Deglutition Disorders* / diagnosis
  • Deglutition Disorders* / etiology
  • Deglutition Disorders* / therapy
  • Depression / therapy
  • Epilepsy*
  • Humans
  • Pain / complications
  • Stroke* / complications
  • Stroke* / psychology
  • Stroke* / therapy
  • Tremor