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Central European Journal of Medicine

, Volume 7, Issue 3, pp 323–326 | Cite as

Influence of location of paresis on site of pneumonia in stroke

  • Hana Víchová
  • Zuzana Vašková
  • David Goldemund
  • Pavel Matuška
  • Robert Mikulík
Research Article
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Abstract

Introduction

Stroke can cause unilateral paresis of the diaphragm. It is, however, unknown if diaphragm paresis can lead to post-stroke pneumonias. We aimed to evaluate whether the location of post-stroke paresis influenced the location of pneumonia.

Methods

This is a retrospective study of all patients admitted to stroke unit in 2006–2009 with a diagnosis of acute ischemic stroke or intracerebral hemorrhage who had hemiparesis or hemiplegia, and who were diagnosed with unilateral pneumonia based on chest radiogram.

Results

Of 1394 patients with a diagnosis of stroke, 64 (5%) patients met the study criteria. Of 35 patients with motor deficit on the left side, 18 (51%) developed pneumonia on the left and 17 (49%) on the right side (p=0.90). Of 29 patients with motor deficit on the right side, 17 (59%) developed pneumonia on the right and 12 (41 %) on the left side (p=0.51). Thus, of all 64 patients, 35 (55%) had pneumonia on the same side as the paresis and 29 (45%) on the contralateral side (p=0.60).

Conclusions

There was no significant occurrence of pneumonia on the side of paresis. Therefore, the side of paresis is not likely to be a helpful clinical marker of diaphragm paresis.

Keywords

Complications of stroke Infection Intensive care Pneumonia Stroke 

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Copyright information

© © Versita Warsaw and Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Hana Víchová
    • 1
  • Zuzana Vašková
    • 2
  • David Goldemund
    • 1
  • Pavel Matuška
    • 3
  • Robert Mikulík
    • 1
    • 4
  1. 1.Department of NeurologySt. Anne’s University Hospital Brno, Masaryk University BrnoBrnoCzech Republic
  2. 2.Department of RadiologySt. Anne’s University Hospital Brno, Masaryk University BrnoBrnoCzech Republic
  3. 3.Department of PulmonologyThe University Hospital Brno, Masaryk University BrnoBrnoCzech Republic
  4. 4.International Clinical Research Center, Department of NeurologySt. Anne’s University Hospital BrnoBrnoCzech Republic

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