Complicaciones en pacientes hemipléjicos por Enfermedad Cerebrovascular Crónica. Relación con la topografía lesional

Introduction: The Cerebrovascular Illness represents the third cause of death and the first of handicap in the developed world. The motile sequels constitute the main handicap caused and hemiplegia is the most frequent form. Hemiplegia is subject to changes, influenced by the complications that arise during the patient’s evolution. We analyze the complications in hemiplegic patients due to chronicle Cerebrovascular Diseases, and the relationship with the lesional topography. Material and methods: 110 patients were studied and the diagnosis was Stroke and hemiplegia was the main sequel. The demographic data and lesional topography were kept in mind as independent variables. Presence and types of complications were considered as dependent variables. The information was processed by the mean for quantitative variables and the use of percents for qualitative variables, with an IC (Interval of confidence) of 95%. For the analysis of statistical significance the multiple regression tests was used. Results: 73.63% of the studied patients suffered some complication. The most frequent were depression, painful shoulder, epilepsy and joint contracture. It doesn’t exist significant relationship between the complications in a global way and the lesional topography, but it was found a significant relationship with epilepsy and depression. Conclusions: The hemiplegic patient’s complications due to Cerebrovascular Illness are frequent, specially, those related to musculoskeletical origin. The lesional topography is not defined as a clinical factor associated to the presence of complications.