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, May 18, 2024

Implications for driving based on the risk of seizures after ischaemic stroke

Totally wrong research; SOLVE THE FUCKING PROBLEM! What is the EXACT PROTOCOL to prevent seizures?  Doesn't anyone in stroke have two functioning neurons to rub together for a spark of intelligence? You've known of seizures post stroke for years, why haven't you solved the problem?

Send me hate mail on this: oc1dean@gmail.com. I'll print your complete statement with your name and my response in my blog. Or are you afraid to engage with my stroke-addled mind?  Survivors would like to know why you are being so fucking incompetent!

 

The latest crapola here:

 Implications for driving based on the risk of seizures after ischaemic stroke

  1. Kai Michael Schubert1,
  2. Giulio Bicciato1,
  3. Lucia Sinka1,2,
  4. Laura Abraira3,
  5. Estevo Santamarina3,
  6. José Álvarez-Sabín3,
  7. Carolina Ferreira-Atuesta4,5,
  8. Mira Katan1,6,
  9. Natalie Scherrer1,
  10. Robert Terziev1,
  11. Nico Döhler7,8,
  12. Barbara Erdélyi-Canavese7,
  13. Ansgar Felbecker7,
  14. Philip Siebel7,
  15. Michael Winklehner9,
  16. Tim J von Oertzen9,
  17. Judith N Wagner9,10,
  18. Gian Luigi Gigli11,
  19. Annacarmen Nilo11,
  20. Francesco Janes11,
  21. Giovanni Merlino11,
  22. Mariarosaria Valente11,
  23. María Paula Zafra-Sierra12,
  24. Luis Carlos Mayor-Romero12,
  25. Julian Conrad13,14,
  26. S Evers13,15,
  27. Piergiorgio Lochner16,
  28. Frauke Roell16,
  29. Francesco Brigo17,
  30. Carla Bentes18,
  31. Rita Peralta18,
  32. Teresa Pinho e Melo18,
  33. Mark R Keezer19,20,
  34. John Sidney Duncan4,
  35. Josemir W Sander4,19,21,
  36. Barbara Tettenborn7,
  37. Matthias Koepp4,
  38. Marian Galovic1,4
  1. Correspondence to Dr Marian Galovic, Department of Neurology, Clinical Neuroscience Center, University Hospital and University of Zurich, Zurich, 8091, Switzerland; marian.galovic@usz.ch

Abstract

Background In addition to other stroke-related deficits, the risk of seizures may impact driving ability after stroke.

Methods 

 

We analysed data from a multicentre international cohort, including 4452 adults with acute ischaemic stroke and no prior seizures. We calculated the Chance of Occurrence of Seizure in the next Year (COSY) according to the SeLECT2.0 prognostic model. We considered COSY<20% safe for private and <2% for professional driving, aligning with commonly used cut-offs.

Results 

Seizure risks in the next year were mainly influenced by the baseline risk-stratified according to the SeLECT2.0 score and, to a lesser extent, by the poststroke seizure-free interval (SFI). Those without acute symptomatic seizures (SeLECT2.0 0–6 points) had low COSY (0.7%–11%) immediately after stroke, not requiring an SFI. In stroke survivors with acute symptomatic seizures (SeLECT2.0 3–13 points), COSY after a 3-month SFI ranged from 2% to 92%, showing substantial interindividual variability. Stroke survivors with acute symptomatic status epilepticus (SeLECT2.0 7–13 points) had the highest risk (14%–92%).

Conclusions 

Personalised prognostic models, such as SeLECT2.0, may offer better guidance for poststroke driving decisions than generic SFIs. Our findings provide practical tools, including a smartphone-based or web-based application, to assess seizure risks and determine appropriate SFIs for safe driving.

Data availability statement

Data are available on reasonable request. Who can access the data: Data will be shared on a reasonable request by a qualified investigator, provided consent to share is given by the individual cohorts. Types of analyses: For any purpose on reasonable request by a qualified investigator. Mechanisms of data availability: With investigator support.

http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.


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