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, January 29, 2018

Rare type of stroke increasing among pregnant women

Be careful out there. You doctor should be able to compare stroke risk from this to birth control pills.
https://www.alphagalileo.org/ViewItem.aspx?ItemId=182655&CultureCode=en
16 January 2018 American Heart Association
The proportion of a rare type of stroke, called spontaneous subarachnoid hemorrhage or sSAH, is increasing among pregnant women, according to preliminary research presented at the American Stroke Association’s International Stroke Conference 2018, a world premier meeting dedicated to the science and treatment of cerebrovascular disease for researchers and clinicians.
Spontaneous SAH is an abnormality within the brain’s arteries that weaken and leads to ruptures in the blood vessels on the surface of the brain, causing bleeding between the membranes surrounding the brain. Spontaneous SAH refers to hemorrhage that occurs without trauma to the head or neck.
Information about sSAH in pregnant women is scarce. This study examined how often these strokes occur among both pregnant and non-pregnant women, and how the pregnant women fare at discharge from the hospital as a marker for outcomes.
In a review of records obtained for 3,978 pregnant women, age 15 to 49, from 2002 to 2014 researchers found:
The percentage of pregnant women admitted to the hospital for increased from 4 percent to 6 percent.
The proportion of pregnant women with sSAH was highest among African Americans at 8 percent, followed by Hispanics at 7 percent, and Caucasians at 4 percent.
The percentage of pregnant women with sSAH was highest among 20- to 29-year-olds at 20 percent, and lowest among 40- to 49-year-olds at less than 1 percent.
“We need to increase awareness in the medical community about the increasing trend of spontaneous subarachnoid hemorrhage in pregnancy because management of these patients continues to be a clinical conundrum,” said study lead author Kaustubh Limaye, M.D., clinical assistant professor in the Division of Cerebrovascular Diseases at the University of Iowa in Iowa City.
After hospital admission, pregnant women with sSAH fared better than non-pregnant women with sSAH. Eight percent of pregnant women admitted to the hospital with stroke died, compared to 17 percent of non-pregnant women. Pregnant women also were more likely than non-pregnant women to be discharged from the hospital to home rather than to another medical facility.
“Pregnant women with spontaneous subarachnoid hemorrhage may have better outcomes than previously expected, which challenges prior findings from small, single-center reviews,” Limaye said.
The data came from the Healthcare Cost and Utilization Project’s Nationwide Inpatient Sample - a national database that provides estimates of patients’ hospital stays. However, the database does not provide information about the severity of the stroke. Another limitation of the findings is the possibility that the database included cases incorrectly classified as stroke.
Co-authors are Achint Patel, M.D., M.P.H.; Sourabh Lahoti, M.D.; Cynthia Kenmuir, M.D., Ph.D.; James Torner, Ph.D.; Edgar Samaniego, M.D., M.S.; Santiago Ortega Gutierrez, M.D., M.S.; Ashutosh Jadhav, M.D., Ph.D.; Tudor Jovin, M.D.; and Enrique Leira, M.D., M.S. Author disclosures are on the abstract.
The National Institute of Neurological Disorders and Stroke partially supported Dr. Limaye’s salary.

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