Memory Loss Isn’t the Only Sign of Dementia; Here are five other common red flags to look out for

With your elevated chances of dementia post stroke,  your competent? doctor is responsible for preventing that! Have they taken on that responsibility? Or are they DOING NOTHING?

With your chances of getting dementia post stroke you need solutions. YOUR DOCTOR IS RESPONSIBLE FOR PREVENTING THIS!

1. A documented 33% dementia chance post-stroke from an Australian study?   May 2012.

2. Then this study came out and seems to have a range from 17-66%. December 2013.`    

3. A 20% chance in this research.   July 2013.

4. Dementia Risk Doubled in Patients Following Stroke September 2018 

 

The latest here: 

Memory Loss Isn’t the Only Sign of Dementia
Here are five other common red flags to look out for.

This is how the personality of our loved ones changes after a stroke

Of course there is going to be frustration and anger, your stroke medical 'professionals' HAVE NOTHING SPECIFIC ON HOW TO RECOVER! You'll get lazy excuses like the craptastic saying: 'All strokes are different, all stroke recoveries are different'. Anyone who says that has given up on solving stroke; FIRE THEM!

This is how the personality of our loved ones changes after a stroke

It is very stressful for both the person concerned and those close to him. The complications and outcome of a stroke depend on many things, primarily the area of ​​the brain affected and the type of stroke. Some are fully or partially paralyzed, and have to relearn how to walk, speak, and write, while others have cognitive impairment or memory loss, or have a loss of the ability to swallow or control their sphincter muscles. Unfortunately, it may also happen that you have to deal with not only one of these complications, but almost all of them at the same time. It can also be highly variable in how severe or minor these consequences are, as well as how the body responds to rehabilitation.

Psychological and emotional consequences of stroke

Although the seriousness of physical complications cannot be denied, prof brain attack Its emotional and psychological consequences can be at least serious, but we deal with it to a lesser extent. The emotional and psychological changes that follow a stroke can result directly from the catastrophe of the brain, but also indirectly from the change in life situation due to the stroke. A stroke can change even the most basic personality trait. The emotional effects and possible changes in personality are not only difficult for the affected person, but also for those close to them, since it is precisely the changes that made our relative truly unique that made them unique. the Emotional roller coaster Another aspect is the result of the indirect effects of stroke. Oftentimes, our lives change irrevocably, we lose something (whether the ability to walk or our independence) that we should grieve over.

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Some of the emotional and psychological changes that follow a stroke may go away on their own over a longer or shorter period of time, in other cases Processor Therapy or psychotherapy may be required. It may happen that the affected person experiences several emotional changes at the same time, and they follow one another.

The most common psychological and emotional consequences after a stroke

• depressionDepression can affect about a third of those who have had a stroke, and unfortunately it is much more than just a passing bad mood. It is natural and normal to feel sad and hopeless in the days following a stroke. True depression often develops weeks or months after a stroke, and does not go away within a few days. The accompanying negative emotions are also more serious. In addition to depression, sadness, and hopelessness, they can also be accompanied by physical symptoms such as changes in appetite, changes in body weight, sleep disturbances, or hyperactivity. drowsiness sexual problems, Digestive problems etc. Depression affects the immune system, susceptibility to disease, and even how quickly we recover. Post-stroke depression can affect rehabilitation.
• Frustration and outbursts of anger: Almost all stroke patients experience constant frustration, as it is difficult to accept the rapid and drastic changes after a stroke. A common cause of frustration is that the person concerned cannot do tasks that were easy for them, or that they have been referred to others. It’s hard to process that everything is taking longer, you can’t find or say the right words, That he finds it difficult to express himself, that he is more tired and weaker than before. If not dealt with, the frustration can become permanent, accompanied by irritability, outbursts of anger, and aggression, which can not only hinder recovery, but also negatively affect the relationship with caregivers and relatives.
• anxiety: Fear, anxiety, and constant and unjustified anxiety are also common consequences of stroke and even with panic attacks They can go together too. Anxiety can cause concentration disturbances, sleep disturbances, insomnia, and irritability. Associated physical symptoms may be a nausea the shortness of breath the fast heartbeat Dizziness, tremor and sleep disturbances.
• Emotional fluctuations (emotional incontinence, pseudobulb effect, PBA): Emotional fluctuation is severe with mood swings It is accompanied by uncontrollable emotional expressions such as laughing or crying. These manifestations often appear in an inappropriate or inappropriate situation They are more intense and last longer than the situation warrants. It may also happen that the reaction does not “match” the emotion you are experiencing, for example, anger or frustration is also associated with laughter. Intense emotional reactions can change very quickly, and the affected person is crying unbearably one moment and laughing the next.

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Swallowing disorders after a stroke: what can we do, what should we look out for?

• Social ‘lack of inhibitions’: In some cases, a stroke can affect areas of the brain related to memory, which control and regulate our social relationships, and ‘appropriateness’, that is, we have previously learned what is ‘appropriate’ to do and what not, and when and with From. Based on what we learn, we are able to identify social situations and adapt our behavior to them. this is In aggression, tantrums, rejection of accepted social norms, freedom, publicity, It can manifest itself in impulsive behavior. This may be especially strange if the personality before the stroke was not characterized by a lack of self-control at all. It may happen that the affected person can more or less hold his relationship with strangers, but not with family members and close acquaintances.

“My family say they grieve for the old me” – profound personality changes after deep brain stimulation

Probably no need for you to worry since I bet the location is different, but ask your doctor about this.
Possible uses for stroke:

First Trial of DBS for Stroke Recovery: Initial Patient’s Functional Progress Continues Through 5 Months

DBS for Stroke Recovery: First Patient’s Early Results Exceed Expectations

Woman Can Move Again After a Breakthrough Stroke Treatment - DBS Deep Brain Stimulation

Study: DBS shows promise for treating patients with post-stroke pain syndrome

The problem here:

 “My family say they grieve for the old me” – profound personality changes after deep brain stimulation

Deep brain stimulation (DBS) of the subthalamic nucleus in Parkinson's disease (PD) has been highly successful in controlling the motor symptoms of this disorder, which include tremor, slowed movement (akinesia), and muscle stiffness or rigidity. The figure above shows the electrode implantation procedure for PD, where a stimulating electrode is placed in either the subthalamic nucleus, (STN), a tiny collection of neurons within the basal ganglia circuit, or in the internal segment of the globus pallidus, another structure in the basal ganglia (Okun, 2012). DBS of the STN is more common, and more often a source of disturbing non-motor side effects.

In brief, DBS of the STN alters neural activity patterns in complex cortico-basal-ganglia-thalamo-cortical networks (McIntyre & Hahn, 2010).

DBS surgery may be recommended for some patients in whom dopamine (DA) replacement therapy has become ineffective, usually after a few years. DA medications include the classic DA precursor L-DOPA, followed by DA agonists such as pramipexole, ropinirole, and bromocriptine. But unfortunately, impulse control disorders (ICDs, e.g., compulsive shopping, excessive gambling, binge eating, and compulsive sexual behavior) occur in about 17% of PD patients on DA agonists (Voon et al., 2017).

There are many first-person accounts from PD patients who describe uncharacteristic and embarrassing behavior after taking DA agonists, like this grandpa who started seeing prostitutes for the first time in his life:

'I have become an embarrassment'

For most of his life John Smithers was a respected family man who ran a successful business. Then he started paying for sex. Now, in his 70s, he explains how his behaviour has left him broke, alone and tormented

I am 70 years old and used to be respectable. I was a magistrate for 25 years, and worked hard to feed my children and build up the family business. I was not the most faithful of husbands, but I tried to be discreet about my affairs.¹ Now I seem to be a liability. Over the last two decades I have spent a fortune on prostitutes and lost two wives. I have made irrational business decisions that took me to the point of bankruptcy. I have become an embarrassment to my nearest and dearest.

Also reports like: Drug 'led patients to gamble'.


New-onset ICDs can also occur in patients receiving STN DBS, but the effects are mixed across the entire population: ICD symptoms can also improve or remain unchanged. Why this is the case is a vexing problem that includes premorbid personality, genetics, family history, past and present addictions, and demographic factors (Weintraub & Claassen).

- click on image for a larger view -

Neuroethicists are weighing in on the potential side effects of DBS that may alter a patient's perception of identity and self. A recent paper included a first-person account of altered personality and a sense of self-estrangement in a 46 year old woman undergoing STN DBS for PD (Gilbert & Viaña, 2018):

The patient reported a persistent state of self-perceived changes following implantation. More than one year after surgery, her narratives explicitly refer to a persistent perception of strangeness and alteration of her concept of self. For instance, she reported:

"can't be the real me anymore—I can't pretend . . . I think that I felt that the person that I have been [since the intervention] was somehow observing somebody else, but it wasn't me. . . . I feel like I am who I am now. But it's not the me that went into the surgery that time. . . . My family say they grieve for the old [me]. . . ."

Many of her quotes are striking in their similarity to behaviors that occur in the manic phase of bipolar disorder {loss of control, grandiosity}:

The patient also reported developing severe postoperative impulsivity: "I cannot control the impulse to go off if I'm angry." In parallel, while describing a sense of loss of control over some impulsions, she has also recognized that DBS gave her increased feelings of strength: "I never had felt this lack of power or this giving of power—until I had deep brain stimulation."

{also uncharacteristic sexual urges and hypersexuality; excessively energetic; compulsive shopping}:

...she experienced radically enhanced capacities, in the form of increased uncontrollable sexual urges:

"I know this is a bit embarrassing. But I had 35 staples in my head, and we made love in the hospital bathroom and that wasn't just me. It was just I had felt more sexual with the surgery than without."

And greater physical energy:

"I remember about a week after the surgery, I still had the 35 staples in my head and I was just starting to enter the cooler months of winter but my kids had got me winter clothes so I had nothing to wear to the follow up appointment and when I went back there of the morning, I thought "I can walk into the doctor's" even though it was 5 kilometers into town. It's like the psychologist said: "For a woman who had a very invasive brain surgery 9 days ago and you've just almost walked 10 kilometers." And on the way, I stopped and bought a very uncharacteristic dress, backless—completely different to what I usually do."