Article

The prevalence of spasticity after stroke is approximately 20%. There
is, so far, little information in the literature on the development of spasticity
after aneurysmal subarachnoid haemorrhage. The objectives of this study were to
estimate the prevalence of spasticity after aneurysmal subarachnoid haemorrhage
and to identify possible risk factors in the acute phase. METHODS: A total of 87
patients were assessed for spasticity with the Modified Ashworth Scale after 6
months. A multivariate logistic regression model was used to evaluate risk
factors. RESULTS: Spasticity was present after 6 months in 19 (22%) of the
patients, but was treated pharmacologically in only 1 case. Worse clinical status
at admission carried a high risk for spasticity (odds ratio (OR) 10.2; 95%
confidence interval (CI) 2.4-43.2), followed by the presence of infection (OR
7.4; 95% CI 1.6-33.8) and vasospasm (OR 4.8; 95% CI 1.2-19.0) during the
intensive care phase. CONCLUSION: Spasticity after aneurysmal subarachnoid
haemorrhage occurred with the same prevalence as after other stroke. Risk factors
for spasticity were worse clinical condition at admission and the occurrence of
infection and vasospasm during the intensive care period. Pharmacological
treatment was not commonly used.

Langue : ANGLAIS