Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Asymmetrical skin temperature in ischemic stroke

J T Korpelainen1, K A Sotaniemi, V V Myllylä

  • 1Department of Neurology, University of Oulu, Finland.

Stroke
|September 1, 1995
PubMed
Summary

Patients experiencing ischemic stroke often develop long-lasting autonomic dysfunction, leading to decreased skin temperature in limbs contralateral to the stroke. This temperature asymmetry correlates with neurological deficits and specific stroke syndromes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Recurrent falls and mortality in Parkinson's disease: a prospective two-year follow-up study.

Acta neurologica Scandinavica·2010
Same author

Spread of spinal block in patients with rheumatoid arthritis.

Acta anaesthesiologica Scandinavica·2009
Same author

Sweating impairment in patients with multiple sclerosis.

Acta neurologica Scandinavica·2009
Same author

Mobility and balance in Parkinson's disease: a population-based study.

European journal of neurology·2008
Same author

Sympathetic skin responses in multiple sclerosis.

Acta neurologica Scandinavica·2008
Same author

Blood pressure and heart rate in parkinsonian patients with and without wearing-off.

European journal of neurology·2007

Area of Science:

  • Neurology
  • Autonomic Nervous System Research
  • Cerebrovascular Disease Studies

Background:

  • Sympathetic dysfunction in stroke commonly presents as cardiovascular and sudomotor dysregulation.
  • Existing research on skin temperature and vasomotor changes in cerebrovascular diseases yields contradictory findings.
  • Autonomic nervous system (ANS) dysregulation is a recognized complication of stroke.

Purpose of the Study:

  • To prospectively evaluate cutaneous temperature changes in patients following ischemic stroke.
  • To investigate the long-term effects of ischemic stroke on autonomic thermoregulation.
  • To clarify the relationship between stroke-induced autonomic dysfunction and skin temperature alterations.

Main Methods:

  • Skin temperature was measured bilaterally at five body sites in 44 hemispheric infarction and 19 brain stem infarction patients.

Related Experiment Videos

  • Measurements were taken during rest and after a heating stimulus.
  • Follow-up assessments occurred in the acute phase, at 1 month, and at 6 months post-infarction.

    • Main Results:

    • Significantly lower skin temperatures were observed on the forearm, leg, and foot contralateral to the infarction site throughout the 6-month follow-up.
    • Temperature asymmetry correlated with pyramidal tract signs in hemispheric infarction and Wallenberg's syndrome in brain stem infarction.
    • In hemispheric infarction, the degree of temperature asymmetry was associated with the severity of limb paresis.

    Conclusions:

    • A contralateral limb temperature decline is a frequent and persistent consequence of autonomic failure in stroke patients.
    • This phenomenon is linked to the presence of pyramidal tract signs and Wallenberg's syndrome.
    • Stroke-induced autonomic dysfunction significantly impacts peripheral thermoregulation, manifesting as long-lasting temperature asymmetry.