Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Tuesday, January 24, 2017

Poststroke Post-Traumatic Stress Disorder A Review

And why was this review needed? This from June 2013 was not good enough? Or didn't you even know about it?

23% chance of stroke survivors getting PTSD.


http://stroke.ahajournals.org/content/48/2/507?etoc=
Andrew L.A. Garton, Jonathan A. Sisti, Vivek P. Gupta, Brandon R. Cristophe, E. Sander Connolly
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Introduction

Despite a recent decline in mortality,1 cerebrovascular disease (stroke) remains the fifth leading cause of death in the United States and the leading preventable cause of disability.2 Furthermore, quality of life (QOL) after stroke depends on more than retention of physical functioning and ability.3 Psychological health and well-being are known to associate with QOL outcomes,4 for example, an estimated 30% of stroke survivors develop depression.5 Although poststroke depression (PSD) is a well-researched and established phenomenon,68 far less is known about the development of poststroke post-traumatic stress disorder (PTSD).9 Researchers have hypothesized that acute medical conditions such as asthma attack10 and myocardial infarction11 can precipitate PTSD, but PTSD specifically after a stroke has only been formally conceptualized for <2 decades.12 Despite the relative paucity of research on post-stroke PTSD, this article attempts to consolidate what is currently known: elaborating on the construct of poststroke PTSD, weighing the conflicting prevalence reports in the literature, exploring identified or hypothesized pre-morbid and post-morbid predicting factors, and summarizing promising future directions for research. Identifying gaps or conflicting findings may facilitate future studies to identify risk factors for poststroke PTSD and establish a more efficacious management strategy.

Epidemiology

Stroke is one of the leading causes of disability in adults.2 With estimated prevalence rates of 20% to 65%, depression is a pervasive consequence of stroke that has been linked to cognitive deficits including memory, nonverbal problem solving, attention, and psychomotor speed.13 Likewise, depressive symptoms experienced up to 12 months after hospitalization for subarachnoid hemorrhage (SAH) are tightly associated with QOL, more so than both demographic variables and hemorrhage severity.14 But PSD is not the only mental health outcome that may follow stroke; poststroke PTSD has similarly been shown to impact mental health and …
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