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.

Thursday, May 12, 2016

Neuropsychiatric sequelae of stroke

The solution for this is to address the causes of depression, anxiety and apathy. Probably by stopping the neuronal cascade of death and having stroke protocols that lead to 100% recovery.  Attack the correct problem not the sequelae.
http://www.nature.com/articles/nrneurol.2016.46.epdf?

José M.Ferro
1
, Lara Caeiro
2
and Maria Luísa Figueira
1
Abstract
|
Stroke survivors are often affected by psychological distress and neuropsychiatric
disturbances. About one-third of stroke survivors experience depression, anxiety or apathy,
whichare the most common neuropsychiatric sequelae of stroke. Neuropsychiatric sequelae
aredisabling, and can have a negative influence on recovery, reduce quality of life and lead to
exhaustion of the caregiver. Despite the availability of screening instruments and effective
treatments, neuropsychiatric disturbances attributed to stroke are currently underdiagnosed and
undertreated. Stroke severity, stroke-related disabilities, cerebral small vessel disease, previous
psychiatric disease, poor coping strategies and unfavourable psychosocial environment influence
the presence and severity of the psychiatric sequelae of stroke. Although consistent associations
between psychiatric disturbances and specific stroke locations have yet to be confirmed, functional
MRI studies are beginning to unveil the anatomical networks that are disrupted in stroke-associated
psychiatric disorders. Evidence regarding biochemical and genetic biomarkers for
stroke-associated psychiatric disorders is still limited, and better understanding of the biological
determinants and pathophysiology of these disorders is needed. Investigation into the
management of these conditions must be continued, and should include pilot studies to assess the
benefits of innovative behavioural interventions and large-scale cooperative randomized controlled
pharmacological trials of drugs that are safe to use in patients with stroke.

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