Deans' stroke musings: Complete Resolution of Post-Operative Hemiparesis following Carotid Endarterectomy with Therapeutic Hypothermia: A case study and literature review

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.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, June 15, 2015

Complete Resolution of Post-Operative Hemiparesis following Carotid Endarterectomy with Therapeutic Hypothermia: A case study and literature review

So I wonder why this worked compared to this research that suggests hypothermia doesn't help.
But ask your doctor what research they are following on this.

Mild intraoperative hypothermia during surgery for intracranial aneurysm (Todd et al,⁶⁰ 2005)Hypothermia was found to be helpful as a neurosurgical adjunct in 1955, especially for ischemic and traumatic insults.
At the time of this publication, the practice was used in nearly 50% of aneurysm surgeries.⁶¹ This large randomized study, the Intraoperative Hypothermia for Aneurysm Surgery Trial (IHAST), found no improvement in neurologic outcomes with hypothermia, while noting an increase in bacterial infections with the intervention.

Complete Resolution of Post-Operative Hemiparesis following Carotid Endarterectomy with Therapeutic Hypothermia: A case study and literature review

Irina Usach, MHS¹,
Andreas Sakopoulos, MD FACS¹^,^,,
Hossein Razavi, MD FACP FCCP²

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doi:10.1016/j.avsg.2015.03.048

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Abstract

Therapeutic hypothermia (TH) is indicated in a number of traumatic brain injuries as well as for cardiovascular shock¹, but it has been limited in its application to acute ischemic stroke. We present the case of a 65-year-old woman with a clinical cerebrovascular accident (CVA) following a right carotid endarterectomy who was treated with a 24-hour hypothermia protocol and had a full recovery. The hypothermia protocol utilized on this patient and a review of the literature surrounding hypothermia in the setting of ischemic stroke are presented.

: Please address correspondence to: Andreas Sakopoulos, MD FACS, Cardiothoracic and Endovascular Surgery, St. Helena Hospital, 10 Woodland Road, St. Helena, CA 94574. Phone number: 707-963-6315.