Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 12345 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.
Deans' stroke musings
Changing stroke rehab and research worldwide now.Time is Brain!Just think of all thetrillions and trillions of neuronsthateach daybecause there areeffective 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
Monday, February 27, 2017
Fatigue after stroke: a major but neglected issue.
fatigue, defined as a feeling of early exhaustion developing during
mental activity, with weariness, lack of energy and aversion to effort,
remains virtually unstudied in patients with stroke, bur recent surveys
suggest that it is a major, commonly overlooked, stroke sequela. While
the few existing series did not show significant correlations between
fatigue and stroke severity, lesion location, cognitive and neurological
impairment and depression, recent neurobehavioral studies have
highlighted an association between fatigue and brainstem and thalamic
lesions. This suggests that fatigue may be linked to the interruption of
neural networks involved in tonic attention, such as the reticular
activating system. In fact, several subtypes of fatigue may develop
after stroke, in connection with cognitive sequelae, neurological
impairment, psychological factors and sleep disorders. A challenge is to
identify and delineate these different subtypes and to distinguish them
from mood disorders, which frequently coexist. We emphasize the concept
of 'primary' poststroke fatigue, which may develop in the absence of
depression or a significant cognitive sequela, and which may be linked
to attentional deficits resulting from specific damage to the reticular
formation and related structures involved in the subcortical attentional
network. In the patients with excellent neurological and
neuropsychological recovery, poststroke fatigue may be the only
persisting sequela, which may severely limit their return to previous
activities. The recognition of poststroke fatigue may be critical during
recovery and rehabilitation after stroke.