Deans' stroke musings: Neuropsychiatric issues after stroke: Clinical significance and therapeutic implications

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.

Friday, June 17, 2022

Neuropsychiatric issues after stroke: Clinical significance and therapeutic implications

None of these neuropsychiatric issues would occur if you had EXACT PROTOCOLS LEADING TO 100% RECOVERY. Solve the correct primary problem, 100% recovery, and these secondary problems go away.

Neuropsychiatric issues after stroke: Clinical significance and therapeutic implications

Shuo Zhang, Michael Xu, Zhi-Jun Liu, Juan Feng, and Yan Ma

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Abstract

A spectrum of neuropsychiatric disorders is a common complication from stroke. Neuropsychiatric disorders after stroke have negative effects on functional recovery, increasing the rate of mortality and disability of stroke survivors. Given the vital significance of maintaining physical and mental health in stroke patients, neuropsychiatric issues after stroke have raised concerns by clinicians and researchers. This mini-review focuses on the most common non-cognitive functional neuropsychiatric disorders seen after stroke, including depressive disorders, anxiety disorders, post-traumatic stress disorder, psychosis, and psychotic disorders. For each condition, the clinical performance, epidemiology, identification of the therapeutic implication, and strategies are reviewed and discussed; the main opinions and perspectives presented here are based on the latest controlled studies, meta-analysis, or updated systematic reviews. In the absence of data from controlled studies, consensus recommendations were provided accordingly.

Keywords: Stroke, Neuropsychiatric disorders, Depression, Anxiety, Post-traumatic stress disorder, Psychosis

Core tip: The purpose of this mini-review is to summarize the research advance of neuropsychiatric disorders including depressive disorders after stroke, anxiety disorders after stroke, post-traumatic stress disorder after stroke, post-stroke psychosis, and psychotic disorders. Recent evidence showed that neuropsychiatric disorders after stroke are associated with worsened outcomes yet are still under-recognized. With the exception of depressive disorders after stroke, the other neuropsychiatric disorders lack reliable and high-quality evidence in clinical practice. Further studies should attempt to develop protocols or guidelines for the diagnosis, treatment, or prevention of neuropsychiatric disorders after stroke.