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Journals / Gülhane Tıp Dergisi / 2015 / Cilt: 57 - Sayı: 7

Ionized calcium levels in stroke patients and its' relation with hemiplegic upper limb pain

Inmeli Hastalarda Iyonize Kalsiyum Seviyeleri ve Bunun Hemiplejik Üst Ekstemite Ağrısı ile Ilişkisi

Fatih TOK
Birol BALABAN
Evren YAŞAR
İsmail SAFAZ
BİLGE YILMAZ
Rıdvan ALACA
Pages
385–387
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Neuropathic features of hemiplegic forearm pain suggest that decreased calcium levels may increase the intensity of pain which is related to bone mineral loss.

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: Our aim is to compare the ionized calcium levels between hemiplegic and normal upper limb and to investigate the relationship between forearm pain and ionized calcium levels.MATERIAL AND METHODS24 stroke patients were included in this study.
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Key Findings & Data:Forearm pains of patients were evaluated with VAS.RESULTS12 patients were men and others were women.
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Conclusion & Impact:Neuropathic features of hemiplegic forearm pain suggest that decreased calcium levels may increase the intensity of pain which is related to bone mineral loss.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: Our aim is to compare the ionized calcium levels between hemiplegic and normal upper limb and to investigate the relationship between forearm pain and ionized calcium levels.MATERIAL AND METHODS24 stroke patients were included in this study. All of them have spontaneous or evoked forearm pain. Ionized serum calcium levels were analysed in both arms by taking blood from both arms at the same time. Additionally, bone minaral density of both radius were detected. Forearm pains of patients were evaluated with VAS.RESULTS12 patients were men and others were women. Mean age was 54.33±14.21 years. Serum ionized calcium levels in the hemiplegic side of left hemiplegic patients were significantly less than the levels in right hemiplegic patients. While no correlation was detected between pain and serum ionized calcium levels, negative correlation was detected between radius bone mineral density values and pain levels.CONCLUSIONExistence of neuromuscular disorders would be possible when there are changes in amount of active form of calcium. Neuropathic features of hemiplegic forearm pain suggest that decreased calcium levels may increase the intensity of pain which is related to bone mineral loss.

Özet

AMAÇ: Bu çalışmanın amacı inme sonrası hemipleji gelişen hastalarda hemiplejik taraf üst ekstremitesindeki kemik mineral yoğunluğu ve iyonize kalsiyum değişimleri ile ağrı arasındaki ilişkiyi incelemektir. MATERYAL VE METOT: Çalışmaya sol hemisferi dominant olan 24 inmeli hasta çalışmaya alındı. Bütün hastalarda spontan veya uyarılmış önkol ağrısı mevcut idi. Hastaların aynı anda sağ ve sol kollarından ayrı ayrı kan alınarak sağ ve sol kol serum iyonize kalsiyum düzeyleri incelendi. Ayrıca DXA kullanırak hastaların sağ ve sol radius kemik mineral yoğunlukları incelendi. Bunun yanında hastaların hemiplejik ekstremitede ağrı VAS ile değerlendirildi.BULGULAR: Hastaların 12'si erkek, 12'si erkek idi. Hastaların yaş ortalaması 54.33±14.21 yıl idi. Sol hemiplejiklerin hemiplejik taraflarındaki iyonize kalsiyum seviyesi sağ hemiplejiklerin hemiplejik taraf iyionize kalsiyum düzeylerinden anlamlı şekilde düşük idi(p<0.05). Ağrı ve iyonize kalsiyum düzeyleri arasında korelasyon saptanmaz iken, ağrı düzeyleri ile kemik mineral yoğunluğu arasında negatif korelasyon izlendi. SONUÇ: Aktif kalsiyum düzeylerindeki değişikler nöromukuler bozuklukların ortaya çıkmasına neden olabilir. Hemiplejik önkol ağrısındaki nöropatik özellikler düşük kalsiyum düzeylerine bağlı olarak kemik mineral yoğunluğunda azalmanın ağrıyı arttırabileceğini akla getirmektedir.

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Cite This Article

TOK, F., BALABAN, B., YAŞAR, E., SAFAZ, İ., YILMAZ, B., ALACA, R. (2015). Ionized calcium levels in stroke patients and its' relation with hemiplegic upper limb pain. Gülhane Tıp Dergisi, Cilt: 57 - Sayı: 7, 385–387. https://ajindex.com/articles/225290

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