Deans' stroke musings: Juvenile stroke: causes often not known

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.

Saturday, September 9, 2017

Juvenile stroke: causes often not known

If you can't find the cause you can't even attempt to prevent the next one. But hey, no problem, younger stroke survivors naturally recover better, so why as a stroke professional should I solve this problem? NOT MY PROBLEM! My doctors never found the very obvious 80% blockage in my right carotid artery. Luckily it didn't dissect again in the three years it took to completely close up.
http://www.alphagalileo.org/ViewItem.aspx?ItemId=178795&CultureCode=en

08 September 2017 Deutsches Aerzteblatt International

Strokes without a definitive identifiable cause account for up to 50% of juvenile strokes. In juvenile strokes, the range of causes is wider and their frequency distribution differs from that in older stroke patients, in whom the classic cardiovascular risk factors are primarily implicated.
Identifying rare causes of stroke in the 18-55 age group requires a great diagnostic effort. In a review article in the current issue of Deutsches Ärzteblatt International (Dtsch Arztebl Int 2017; 114: 527-34), Florian Schöberl and coauthors explain comprehensively the possible causes of juvenile stroke, which affect some 30 000 persons in Germany every year. Only 40% of juvenile stroke patients return to their original place of work, about a third of these patients remains permanently unfit for work. The acute treatment of juvenile arterial-ischemic stroke, however, does not differ from that of older patients: systemic thrombolysis and/or mechanical thrombectomy are the treatments of choice.
https://www.aerzteblatt.de/pdf.asp?id=192679

Full bibliographic informationSchöberl F, Ringleb PA, Wakili R, Poli S, Wollenweber FA, Kellert L: Juvenile stroke—a practice-oriented overview. Dtsch Arztebl Int 2017; 114: 527–34

https://www.aerzteblatt.de/pdf.asp?id=192679