Fatigabilitatea în accidentul vascular cerebral

Abstract

Fatigue is a common symptom of neurological diseases. It has been reported with a prevalence that varies between 38 and 77% after stroke. There are many factors associated with post-stroke fatigue, including demographic, physical, mental and organic factors. The mechanisms proposed to explain poststroke fatigue are not fully understood but include decreased corticospinal excitability, interruptions of neural networks within reticular activating system, lesions of brainstem and basal ganglia and cytokine abnormalities. The most commonly used scale to asses post-stroke fatigue is Fatigue Severity Scale (FSS). Therapeutic options include medical treatment, cognitive therapy and gradual training of physical activity. Fatigue represents a disabling symptom for patients with stroke, being frequently associated with depression, anxiety and cognitive impairment. It has long-time consequences on rehabilitation, daily living and morbidity and it requires further investigations in order to improve patients’ quality of life.