This is appalling that it doesn't discuss what should be the focus,
that everything in stroke is a complete f*cking failure. See the bottom
for my list of problems in stroke
http://www.newswise.com/articles/seven-surprising-facts-about-stroke
In recognition of World Stroke Day Oct. 29, Loyola University
Medical Center neurologist Jose Biller, MD, lists seven surprising
things you may not know about strokes.
Time is brain. During a
stroke, 32,000 brain cells per second (1.9 million per minute) die. But
if a patient receives timely treatment, the damage can be minimized. So
it’s critically important to know the warning signs and symptoms of a
stroke. However . . .
One in three Americans can’t name even a
single stroke warning sign. These warning signs include sudden: numbness
or weakness of the leg, arm or face; confusion or trouble
understanding; trouble seeing in one or both eyes; trouble walking,
dizziness, loss of balance or coordination; or severe headache with no
known cause. An easy way to remember signs and symptoms is FAST. F:
Face drooping. A: Arm weakness. S: Speech difficulty. T: Time to call
9-1-1 if any of these symptoms are present.
Strokes are
surprisingly common in young people. And more young people are showing
risk factors for such strokes. Between 532,000 and 852,000 people ages
18 to 44 in the United States have had a stroke. And between 1995-96 and
2007-08, U.S. hospital discharges for stroke among patients ages 15 to
44 increased by amounts ranging from 23 percent to 53 percent, depending
on age and gender, according to a report, co-authored by Biller, in the
journal Neurology.
Strokes are also common in presidents. Ten
U.S. presidents likely suffered strokes, according to a study Biller and
colleagues published in the Journal of Stroke and Cerebrovascular
Diseases. Woodrow Wilson, Franklin Roosevelt and Dwight Eisenhower
suffered strokes while in office, and Roosevelt’s stroke was fatal.
Seven other presidents suffered apparent strokes after leaving office:
John Tyler, Millard Fillmore, John Quincy Adams, Andrew Johnson, Chester
Arthur, Richard Nixon and Gerald Ford.
How sex triggered a stroke. In the Journal of Stroke and Cerebrovascular Diseases,
Biller and colleagues described an unusual case of a woman who suffered
a stroke during sexual intercourse. Doctors believe a small clot formed
in one of the veins in her thigh, broke loose and traveled to the right
atrium (upper right pumping chamber). Pressure changes in the heart,
triggered by sexual intercourse, enabled the clot to travel, through a
hole in her heart, from the right atrium to the left atrium. From there,
the clot traveled up to the brain and triggered a stroke.
The
worst possible stroke. Among the most feared and devastating strokes are
ones caused by blockages in the brain's critical basilar artery system.
When not fatal, basilar artery strokes can cause devastating deficits,
including head-to-toe paralysis called “locked-in syndrome,” according
to a review article in MedLink Neurology by Biller and colleagues.
A
character in "The Count of Monte Cristo," described as a "corpse with
living eyes," had what appears to be locked-in syndrome. More recently,
the book and movie "The Diving Bell and the Butterfly" describe a
journalist with locked-in syndrome. He was mentally intact, but able to
move only his left eyelid. He composed a moving memoir by picking out
one letter at a time as the alphabet was slowly recited.
Neck
manipulation may be associated with stroke. Treatments that involve neck
manipulation may be associated with strokes, according to an American
Heart Association Scientific Statement written by Biller and other
leading stroke experts.
A small tear in a neck artery, called a
cervical dissection, is among the most common causes of strokes in young
and middle-aged adults. A dissection can lead to a blood clot that
travels to the brain and triggers a stroke. Sudden movements that
hyperextend or rotate the neck can cause a cervical dissection. Some
maneuvers used by health practitioners also extend and rotate the neck. (Like chiropractic neck adjustments)
“Although
a cause-and-effect relationship between these therapies and cervical
dissection has not been established and the risk is probably low, a
dissection can result in serious neurological injury,” Dr. Biller said.
“Patients should be informed of this association before undergoing neck
manipulation.”
World Stroke Day was established by the World
Stroke Organization in 2006 to help spread public awareness of the
world's high stroke risk and stroke prevalence. The theme of the 2014
World Stroke Day is women and stroke. Women have a higher stroke
mortality rate than men. Six in ten stroke deaths occur in women,
largely due to strokes occurring later in life in women, when strokes
are more dangerous.
Biller is an internationally known expert on
strokes(supposedly). He is professor and chair of the Department of Neurology of
Loyola University Chicago Stritch School of Medicine.
0. There is no
fast, easy and objective way to diagnose a stroke.
1. tPA may save your life but only has a 12% efficacy for full recovery.
2. Your neurologist doesn't have any concrete stroke protocols to save all the neurons that are dying in the first week.
3. Your neurologist or physiatrist doesn't have any clue about how to get you to full recovery. (Ask them exactly how to do it), you'll get excuses.
4. Only 10% get to full recovery.
5. No protocols to prevent your 33% chance of getting dementia post-stroke.
6. Nothing to alleviate your fatigue.
7. Nothing that will cure your spasticity.
8. Nothing on cognitive training unless you find this yourself.
9. No published stroke protocols.
10. No way to compare your stroke hospital results vs. other stroke hospitals.
Everything in stroke is a complete failure.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,116 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
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