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.

Wednesday, January 31, 2018

New Findings Could Save Lives of More Stroke Patients

And you expect your hospital to implement this? Without you telling them about it? When they have ignored dozens to thousands of other research articles that might have helped stroke survivors?
https://www.nytimes.com/2018/01/24/health/stroke-clots-brain.html?rref=collection%2Fsectioncollection%2Fhealth
Many more stroke victims than previously thought can be saved from disability or death if doctors remove blood clots that are choking off circulation to the brain, a new study has shown.
“These striking results will have an immediate impact and save people from lifelong disability or death,” Dr. Walter J. Koroshetz, director of the National Institute of Neurological Disorders and Stroke, said in a statement. “I really cannot overstate the size of this effect.”
The key finding is that there is often more time than doctors realized in which brain cells can still be rescued by a procedure to remove the clot. Traditional guidelines have set a limit of six hours after stroke symptoms begin, and said after that it would be too late to help.
The study showed that the time window could be expanded to 16 hours. However, the findings do not apply to every stroke victim. The researchers used a special type of brain imaging to identify the patients who still had live brain tissue that could be saved if the blood supply was restored. Only about half the patients who were screened qualified for treatment, known as thrombectomy, which uses a mechanical device to pull clots out of a blood vessel.
The study, involving 182 patients at 38 hospitals in the United States, was stopped early because patients who had clots removed fared so much better than those who did not.
Ninety days after treatment, 45 percent of the thrombectomy patients were well enough to be “functionally independent,” as opposed to 17 percent of those who did not have the procedure. The death rates were 14 percent in the thrombectomy group, and 26 percent in those whose clots were not removed.
Continue reading the main story
The results were published on Wednesday in The New England Journal of Medicine. The study was paid for by the National Institutes of Health, and led by researchers from Stanford University. The Stanford team said it expected the study would lead the American Heart Association to change the guidelines for stroke treatment, extending the time window for thrombectomy.
It is not uncommon for strokes to begin during sleep, and some of those patients miss out on treatment because it is not clear what time the stroke began. Medical practice has been to set the beginning of the time window as the last moment they were known to be well, and if they have slept most of the night the six-hour window may be over by the time they wake up. New guidelines may allow such patients to be treated.
About 750,000 people a year suffer strokes in the United States, and 85 percent of those are caused by clots — the same type treated in this study. Symptoms include speech difficulty, arm weakness and facial drooping. Experts urge patients or their families to call 911 immediately so that treatment can be started as soon as possible.

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