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, April 29, 2021

Evidence of Amyloid Reduction With Blood-Brain Barrier Opening With Focused Ultrasound

 How is your doctor measuring your amyloid burden post stroke and what protocols are in place to remove that? 

Is your doctor 6 years out-of-date already?

Alzheimer’s breakthrough uses ultrasound technology March 2015

Your doctor's reasons for having nothing? There is absolutely no excuse for doing nothing.

Laziness? Incompetence? Or just don't care? No leadership? No strategy? Not my job?

Evidence of Amyloid Reduction With Blood-Brain Barrier Opening With Focused Ultrasound

By Erika Powers

VIRTUAL -- April 27, 2021 -- Hippocampal blood-brain barrier opening with focused ultrasound shows promise as a potential treatment for Alzheimer’s disease, according to a study presented at the Virtual 2021 Annual Meeting of the American Academy of Neurology (AAN).

“Progressive amyloid deposition and cognitive decline characterise Alzheimer’s disease,” said Vibhor Krishna, MD, The Ohio State University, Columbus, Ohio. “Blood-brain barrier opening with focused ultrasound is safe and feasible in patients with Alzheimer’s disease, and there is initial evidence of amyloid reduction.”

For the study, the researchers screened 10 individuals with probable Alzheimer’s disease with mild to moderate dementia symptoms. A total of 6 patients were enrolled, and 5 were treated.

At 3 timepoints, 2 weeks apart, blood-brain barrier was opened in 5 different locations with a high amyloid burden, defined by a standardised uptake value 25% greater than the cerebellum using amyloid positron emission tomography (PET). The targeted brain regions included the hippocampus, entorhinal cortex, thalamus, frontal cortex, and parietal cortex.

The primary outcome variable was the absence of cognitive decline, haemorrhage, new onset of seizures, or neurological deficits. The researchers also assessed blood-brain barrier opening (with dynamic contrast imaging) and postoperative PET amyloid levels.

“No haemorrhage and cerebral oedema were observed,” said Dr. Krishna. “Blood-brain barrier opening was focal, immediate, and no contrast enhancement was observed 1 day postoperative.”

The amyloid reduction varied between 1% to 15% from baseline without significant differences between different tissue types (gray vs white matter).

No serious adverse events were recorded, and the most common adverse event was confusion. One patient reported worsening in cognition at day, and another patient reported worsening cognition 5 weeks after treatment.

“This strategy needs further testing in a larger cohort as a potential therapeutic for Alzheimer’s disease,” said Dr. Krishna.

[Presentation title: Safety of Hippocampal Blood-Brain Barrier Opening With Focused Ultrasound in Alzheimer’s Disease]

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