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- Instead of being an adaptive response, in the presence of an acute neurological insult such as stroke, fever has been associated with worsened outcomes, such as larger infarct volume, higher rates of mortality, and greater disability and dependence. 1 – 6 The underlying mechanism for the secondary injury related to fever is the heightened inflammatory response induced by the elevation in temperature.
www.ahajournals.org/doi/full/10.1161/STROKEAHA.115.008188
Fever occurring after stroke is associated with poor outcomes. We investigated the etiology of fever after stroke and present evidence evaluating the efficacy and safety of interventions used to treat stroke-associated fever.
- The neurological and cognitive consequences of hyperthermia
In a proportion, the fever is related to the neurological...
- The neurological and cognitive consequences of hyperthermia
In a proportion, the fever is related to the neurological injury rather than infection; non-infective fever may account for up to one third of cases of fever after a stroke and may affect over a third of patients after TBI .
Nov 1, 1995 · On the basis of these studies, fever is empirically considered prognostic of poor outcome in patients with acute stroke, and there is general agreement that fever of any cause should be treated with antipyretic agents to avoid its possible deleterious consequences.
- Giuseppe Azzimondi, Leona Bassein, Francesco Nonino, Laila Fiorani, Luca Vignatelli, Giuseppe Re, Ro...
- 1995
- Paralysis
- Sensory Loss
- Headaches
Paralysisrefers to the loss of voluntary muscle movement. It usually occurs on the side of the body opposite to the side of the brain that the stroke has damaged. Therefore, a person who has experienced a left hemisphere stroke may have impaired muscle movement on the right side of their body. Rehabilitation and therapy can help improveTrusted Sour...
Sensory loss is another problem that a person may experienceTrusted Sourceafter a stroke. Those with sensory loss may no longer be sensitive to touch, pain, or temperature. They may also be unable to recognize what object they are holding. Limb numbness is also common. Another example of sensory disturbance that occurs in people who have had a stro...
According to a 2018 review, persistent headaches can affect up to 23%Trusted Sourceof people who have experienced an ischemic or hemorrhagic stroke. Persistent headache is more common in females and people with: 1. a preexisting headache disorder 2. obstructive sleep apnea 3. musculoskeletal imbalances A 2020 reviewconsiders headaches after a strok...
Aug 21, 2008 · Fever is a common condition in patients with stroke and other brain injuries. Hyperthermia appears to correlate with poor outcome in these patients, although a direct causative link has not been established.
- David M. Greer, Susan E. Funk, Nancy L. Reaven, Myrsini Ouzounelli, Gwen C. Uman
- 2008
Pneumonia is one of the most frequent medical complications of stroke 1–6,8,9 and the most common cause of fever within the first 48 h after an acute stroke. 1,38 After adjusting for important confounders and covariates in individuals who have had stroke, pneumonia led to a threefold increased risk of death. 39 Most stroke-related pneumonias ...
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Apr 14, 2015 · Development of a stronger evidence base for physical cooling measures for fever management is particularly needed. Bundling monitoring for and management of fever in stroke patients with other evidence-based care measures seems to have promise, but more replication is needed across other entities.
