Monoparetic Stroke: A Literature Review

“Lesion Pattern, Mechanisms, and Long-Term Prognosis in Patients with Monoparetic Stroke: A Comparison with Nonmonoparetic Stroke” by Seung-Jae Lee, Dong- Guen Lee, Hye-JIn Moon, and Tae- Kyeong Lee aims to look at the mechanisms and long-term effects in patients with Monoprotic and Nonmonoparetic Stroke. They have stated that the patients and individuals that have been affected with Monoparesis show rare symptoms that make it difficult to get a clear diagnosis or prognosis. Before this article has been published there has been little to no data on Monoparesis. Monoparesis is a form of stroke that affect the arm and legs. This type of stroke is “Paresis affecting a single extremity or part of an extremity,” in the study they define it as a …show more content…
When they conducted the experiment between Monoparetic and Nonmonoparetic and they concluded that gender vascular risk, and blood clot formation didn’t influence any of the patients. In the Monoparetic stroke patients the most common strokes that occurred was in 38.7% of the patients and it is called Cardioembolism. Although this was a most common stroke almost 91 % of the patients had nonlacunar strokes. With all these strokes it affected the arms and the legs. Patients either complained of weakness in their limbs or sensory symptoms. Also based on the entire study for each of the three sections previously stated most patients had cortical lesions with not one but multiple lesions, most of the strokes that the patients had involved the carotid artery. In the end of the studies statistics showed that patients with Monoparetic strokes had a mortality of “2 of 31 patients” and that Nonmonoparetic patient were “145 of the 555 patients” (Lee, S., Lee, D., Moon, H., & Lee, T.,2017) .In the end they came up with results that recurrence of strokes and major vascular events are closely …show more content…
The individuals that pulled of the experiment want to make sure that they know how to carefully diagnoses Monoparesis. During the experiment they said that Monoparetic have a less chance of dying after they followed up in almost 2 and a half years. They kept their goal of only focusing on the arms and hand paralysis rather than looking at the leg as well which lead them to find that these strokes are mainly associated with cardiac artery to artery embolisms. They state in the end of the paper that the outcome of deaths to the ones alive could have been better but that also had to look the age because they recruited individuals that has a “mean age of 67.7 years”. That mean age is quite high and the mortality of the patients and group seems like a