Hemiplegia, Stroke
Conditions
Keywords
bone microarchitecture, hemiplegia
Brief summary
In hemiplegic, there is very little data on the impact of neurological deficit on the microarchitecture independent of bone mineral density and composition of the bone marrow. Rare studies have shown the relationship between some micro-architectural parameters and severity of neurological deficit. There is no study in humans on the evolution of the parameters of the microarchitecture assessed by 3D micro-tomography in the early phase of the installation of neurological deficits after stroke, in terms of a bearing bone, tibia, that a non-load bearing bones, radius.
Detailed description
Each patient must answer several questionnaires about their calcium intake and its ability to perform everyday tasks. They will also have 3 blood samples (15 ml each time), 3 measure of bone by 3D micro-tomography and 2 MRI examination. These examinations and sampling will take place after 30 days after stroke onset (except for MRI) and again after three months and six months after the stroke (the same day as the medical follow-up visit).
Interventions
Measurement of bone microarchitecture at the legs and wrists by 3D CT Scan and measuring the proportion of fat in the imaging leg bone (MRI)
Sponsors
Study design
Eligibility
Inclusion criteria
* at least 30 years * vascular hemiplegia * National Institute of Health Stroke Score equal 4 or greater with a motor of upper limb score greater than or equal 2 and a motor score of greater than or equal legs 2
Exclusion criteria
* Concomitant bone disease * Endocrinopathies * Phasic disorders understanding * Contra-indication to MRI
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bone volume / tissue volume | 90 days | Measure of Bone volume / tissue volume by the 3D CT scan |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bone volume / tissue volume | 1 day | Measure of Bone volume / tissue volume by the 3D CT scan |
| intraosseous fat | 90 days | Measure the percentage of the intraosseous fat by MRI |