がん関連脳卒中のリハビリテーションの課題

抄録

Rehabilitation is an important treatment that could determine quality of daily living in stroke survivors. Rehabilitation in patients with cancer–associated stroke is much more challenging than that in the other stroke patients, both for patients themselves and for attending physicians. One of the main challenges for these patients in post–stroke rehabilitation include general fatigue, pain, risk for stroke recurrence, or medical treatment fee. In addition, not a few patients experience difficulty in finding suitable beds for such rehabilitation. Even if they recover after rehabilitation, cancer treatment such as chemotherapy is often discontinued based on performance status. Stroke physicians play a pivotal role to navigate both rehabilitation treatment and cancer treatment between patients and medical staffs, or between rehabilitation physicians and cancer physicians. It is expected that medical treatment fee system is revised to endorse rehabilitation for cancer–associated stroke, given the prospect for increasing the number of both cancer and stroke survivors.