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.

Showing posts with label brainstem. Show all posts
Showing posts with label brainstem. Show all posts

Saturday, September 19, 2026

Brain’s “Blue Place” Rewrites How Norepinephrine Drives Learning

 How will your competent? doctor use this to drive your relearning of movements, speech and sensation?  Your doctor is familiar with norepinephrine, right? 

NO? PURE INCOMPETENCE THEN!

Do you prefer your doctor, hospital and board of director's incompetence NOT KNOWING? OR NOT DOING? Your choice; let them be incompetent or demand action!

Brain’s “Blue Place” Rewrites How Norepinephrine Drives Learning

Summary:

Challenging decades of assumptions that the brainstem’s locus coeruleus acts like an indiscriminate broadcast speaker, researchers at the Allen Institute have revealed that it operates as a highly targeted postal network routing distinct norepinephrine signals to precise anatomical destinations.

The study also reconstructed individual locus coeruleus neurons, uncovering one with an axon measuring over 70 centimeters, the longest single neuron ever documented in a mouse.

Key Facts:

  • Targeted Delivery, Not a Foghorn: Neurons in the upper (dorsal) locus coeruleus project specifically upward to the cerebral cortex to convey learning signals, whereas lower (ventral) neurons project down to the brainstem and spinal cord to modulate basic environmental engagement.
  • Record-Breaking Axon Length: The team found locus coeruleus axons average approximately 35 centimeters in length, with one reconstructed neuron measuring 70.32 cm,the longest brain cell ever recorded in a mouse.
  • Therapeutic Implications: Because locus coeruleus cells degenerate early in Alzheimer’s disease and norepinephrine pathways are primary targets for ADHD, depression, and anxiety drugs, this circuit map provides a blueprint for therapies that target specific pathways rather than flooding the entire brain.

Source: Allen Institute

Beyond the Loudspeaker Model

Deep within the brainstem lies a small, pigmented cluster of cells known as the locus coeruleus (LC), Latin for the “blue place.” Despite comprising only a tiny fraction of the brain’s total cell count, the LC wields outsized influence by serving as the primary source of norepinephrine (NE), a master neurotransmitter governing attention, stress, arousal, heart rate, and learning.

For decades, neuroscientists hypothesized that the locus coeruleus acted like a uniform broadcast horn, releasing a generalized surge of norepinephrine across the entire brain whenever an organism encountered stress or novelty.

Now, a comprehensive study published in Nature led by scientists at the Allen Institute refutes that model. Combining large-scale brain imaging, electrophysiological recordings, single-cell genetics, and behavioral tasks in mice, researchers proved that the LC routes tailored messages with remarkable anatomical and functional specificity.

“The findings suggest the brain’s norepinephrine system is far more like a targeted postal network than a foghorn,” said Karel Svoboda, Ph.D., director of Neural Dynamics at the Allen Institute and study co-author.

Segregated Circuits for Learning and Engagement

By tracing the anatomical wiring and genetic profiles of LC cells, the research team discovered a strict spatial divide:

  • Dorsal LC Neurons: Located in the upper portion of the cluster, these cells extend projections upward into the forebrain and cerebral cortex. During behavioral tasks, they fire when mice update decisions after receiving negative feedback, actively driving learning and behavioral adaptation.
  • Ventral LC Neurons: Positioned in the lower tier, these cells project downward to the brainstem and spinal cord. Their firing spikes immediately before animals choose to disengage or ignore cues offering potential rewards.

“What emerged was a clear map: neurons in the dorsal LC that send signals upward to the cortex are involved in learning, whereas neurons in the ventral region projecting downward to the brainstem and spinal cord govern whether animals engage with their environment at all,” Svoboda explained. “We also showed that these anatomical differences are mirrored by distinct gene expression patterns.”

The Longest Axon in the Mouse Brain

The sheer scale of the cells within this compact hub astonished researchers. Whole-brain imaging across nearly 35,000 neurons, combined with the genetic profiling of roughly 400,000 cells, enabled complete morphological reconstructions of individual LC projections.

The team determined that locus coeruleus axons average 35 centimeters in length. One standout neuron possessed an axon measuring 70.32 centimeters (over 27 inches), the longest individual neuron ever documented in a mouse.

“This neuron, like many others that we studied, supplies NE to a very large volume of the cerebral cortex. For the brain, this is highly unusual. Most neurons are more specific in their targets,” said study co-author Jeremiah Cohen, Ph.D., a scientist at the Allen Institute. “But this neuron doesn’t release NE everywhere. It ignores the cerebellum, brainstem, and spinal cord.”

A Dual-Engine Learning Platform

The authors noted parallels between the locus coeruleus and the brain’s dopamine system. While dopamine transmits reinforcement signals to the basal ganglia to guide habit formation, dorsal norepinephrine projections simultaneously deliver error and learning signals to the cortex. Working together, these systems form a coordinated computational platform that allows animals to learn complex and abstract rules concurrently.

These architectural insights offer immediate relevance for medicine. The locus coeruleus is among the earliest brain structures to degenerate in Alzheimer’s disease, and its signaling is modulated by common medications prescribed for ADHD, clinical depression, and anxiety disorders. Rather than broadly elevating or suppressing norepinephrine throughout the central nervous system, future psychiatric and neuroprotective interventions could be designed to modulate specific subcircuits while sparing others.

Funding: Supported by the National Institutes of Health’s Brain Research Through Advancing Innovative Neurotechnologies® (BRAIN) Initiative.

Editorial Notes:

  • This article was edited by a Neuroscience News editor.
  • Journal paper reviewed in full.
  • Additional context added by our staff.

About this Neuroscience and Learning Research:

  • Media Contact: Peter Kim
  • Source: Allen Institute
  • Image Credit: Image credited to Allen Institute
  • Original Research is Open Access: Nature (September 16, 2026). “Topographic structure and function of locus coeruleus noradrenaline neurons” Authors: Zhixiao Su, Polina Kosillo, Kanghoon Jung, Shuonan Chen, Mathew T. Summers, Alex Piet, Han Hou, Kenta M. Hagihara, Drew Friedmann, Olivia Ho-Shing, Matthew I. Becker, Thomas Chartrand, Xinxin Yin, Peter Grotz, Ella Hilton-VanOsdall, Margaret Lee, Rajvi Javeri, Samantha L. Tuggle, Naveen Ouellette, Holly Myers, Judith Baka, Camilo Laiton, Kaelin Wulf, John Rohde, Alessio P. Buccino, Cameron Arshadi, Di Wang, Sharmishtaa Seshamani, Sonya Vasquez, Carolyn M. Eng, Douglas R. Ollerenshaw, Nick Dee, Tamara Casper, Windy Ho, Matthew Jungert, Atlas Jordan, Elliot Phillips, Anish Bhaswanth Chakka, Kamiliam Nasirova, Krista Blake, Audrey McCutcheon, Megan Koch, Maria Camila Vergara, Kimberly A. Smith, Tim Jarsky, Nicholas Lusk, Mara C. P. Rue, Xiaoyin Chen, Joshua H. Siegle, Adam K. Glaser, Brian R. Lee, Karel Svoboda, Yoh Isogai, Jayaram V. Chandrashekar & Jeremiah Y. Cohen.
  • DOI: 10.1038/s41586-026-11026-0

Thursday, June 21, 2018

Repair after brainstem ischemia involves neurogenesis and the rubrospinal system

But does neurogenesis exist in adults?  A lot of big words here to confuse us and make us think this is important. Is it important?

Human hippocampal neurogenesis drops sharply in children to undetectable levels in adults March 2018

Repair after brainstem ischemia involves neurogenesis and the rubrospinal system

Bianca Mages1,2,3*, Susanne Aleithe1,2, Stephan Altmann1,2, Alexandra Blietz1,2, Björn Nitzsche4,5, Henryk Barthel4, Anja K. E. Horn6, Constance Hobusch3, Wolfgang Härtig2†, Martin Krueger3† and Dominik Michalski1*†
  • 1Department of Neurology, University of Leipzig, Leipzig, Germany
  • 2Paul Flechsig Institute for Brain Research, University of Leipzig, Leipzig, Germany
  • 3Institute of Anatomy, University of Leipzig, Leipzig, Germany
  • 4Department of Nuclear Medicine, University of Leipzig, Leipzig, Germany
  • 5Institute of Anatomy, Histology and Embryology, Faculty of Veterinary Medicine, University of Leipzig, Leipzig, Germany
  • 6Institute of Anatomy and Cell Biology I and German Center for Vertigo and Balance Disorders, Ludwig Maximilian University of Munich, Munich, Germany
As part of the neuronal cytoskeleton, neurofilaments are involved in maintaining cellular integrity. In the setting of ischemic stroke, the affection of the neurofilament network is considered to mediate the transition towards long-lasting tissue damage. Although peripheral levels of distinct neurofilament subunits are shown to correlate with the clinically observed severity of cerebral ischemia, neurofilaments have so far not been considered for neuroprotective approaches. Therefore, the present study systematically addresses ischemia-induced alterations of the neurofilament light (NF-L), medium (NF-M), and heavy (NF-H) subunits as well as of α-internexin (INA). For this purpose, we applied a multi-parametric approach including immunofluorescence labeling, western blotting, qRT-PCR and electron microscopy. Analyses comprised ischemia-affected tissue from three stroke models of middle cerebral artery occlusion (MCAO), including approaches of filament-based MCAO in mice, thromboembolic MCAO in rats, and electrosurgical MCAO in sheep, as well as human autoptic stroke tissue. As indicated by altered immunosignals, impairment of neurofilament subunits was consistently observed throughout the applied stroke models and in human tissue. Thereby, altered NF-L immunoreactivity was also found to reach penumbral areas, while protein analysis revealed consistent reductions for NF-L and INA in the ischemia-affected neocortex in mice. At the mRNA level, the ischemic neocortex and striatum exhibited reduced expressions of NF-L- and NF-H-associated genes, whereas an upregulation for Ina appeared in the striatum. Further, multiple fluorescence labeling of neurofilament proteins revealed spheroid and bead-like structural alterations in human and rodent tissue, correlating with a cellular edema and lost cytoskeletal order at the ultrastructural level. Thus, the consistent ischemia-induced affection of neurofilament subunits in animals and human tissue, as well as the involvement of potentially salvageable tissue qualify neurofilaments as promising targets for neuroprotective strategies. During ischemia formation, such approaches may focus on the maintenance of neurofilament integrity, and appear applicable as co-treatment to modern recanalizing strategies.

Wednesday, March 12, 2014

Brainstem discovered as important relay site after stroke

Don't just tell me it is important, find out how to use it to help recovery. Damn, don't people think at all?
Article here:
http://www.sciencedaily.com/releases/2014/02/140225193233.htm
Abstract here:
Sprouting of Brainstem–Spinal Tracts in Response to Unilateral Motor Cortex Stroke in Mice
  1. Martin E. Schwab1,2
  1. Author contributions: L.C.B., N.T.L., and M.E.S. designed research; L.C.B., N.T.L., and P.F. performed research; L.C.B. and N.T.L. contributed unpublished reagents/analytic tools; L.C.B., N.T.L., and P.F. analyzed data; L.C.B., N.T.L., and M.E.S. wrote the paper.
  2. ↵*L.C.B. and N.T.L. contributed equally to this work.
  1. The Journal of Neuroscience, 34(9): 3378-3389; doi: 10.1523/JNEUROSCI.4384-13.2014

Abstract

After a stroke to the motor cortex, sprouting of spared contralateral corticospinal fibers into the affected hemicord is one mechanism thought to mediate functional recovery. Little is known, however, about the role of the phylogenetically old, functionally very important brainstem–spinal systems. Adult mice were subjected to a unilateral photothrombotic stroke of the right motor cortex ablating 90% of the cross-projecting corticospinal cells. Unilateral retrograde tracing from the left cervical spinal hemicord devoid of its corticospinal input revealed widespread plastic responses in different brainstem nuclei 4 weeks after stroke. Whereas some nuclei showed no change or a decrease of their spinal projections, several parts of the medullary reticular formation as well as the spinally projecting raphe nuclei increased their projections to the cortically denervated cervical hemicord by 1.2- to 1.6-fold. The terminal density of corticobulbar fibers from the intact, contralesional cortex, which itself formed a fivefold expanded connection to the ipsilateral spinal cord, increased up to 1.6-fold specifically in these plastic, caudal medullary nuclei. A second stroke, ablating the originally spared motor cortex, resulted in the reappearance of the deficits that had partially recovered after the initial right-sided stroke, suggesting dependence of recovered function on the spared cortical hemisphere and its direct corticospinal and indirect corticobulbospinal connections.

Tuesday, December 17, 2013

Olszewski and Baxter's Cytoarchitecture of the Human Brainstem, 3rd

If you had a brainstem stroke have your doctor explain exactly what areas were damaged, how badly, and what is being done to bring them back. If your doctor can't do that I guess you'll have to get this book and diagnose yourself.
http://www.alphagalileo.org/ViewItem.aspx?ItemId=137483&CultureCode=en
A new comprehensive edition of a standard work, detailing and illustrating the organization, structure, function and connectivity of all individual brainstem nuclei. For neuroscientists and neurologists this atlas provides an invaluable and complete source of reference for both their scientific research and everyday clinical practice.
The new revised and extended edition of this standard work retains all he neurons of each nucleus. Many structural diff erences are described in neuronal groups, indicating as yet unrecognized functional diff erences. Furthermore, unique details of the neuronal organization and cytoarchitecture are featured, providing clues to the functional properties of the cell groups and stimulating research projects. Nomenclature and nuclear borders have been updated, in addition the text now contains new sections presenting an up-to-date summary of the functional neuroanatomy of each nucleus.
For neuroscientists and neurologists this atlas provides an invaluable and complete source of reference for both their scientifi c research and everyday clinical practice. Neuropathologists, neuroradiologists, neuropsychologists, neurosurgeons, physiologists and physicians will fi nd the combination of low-power brainstem imaging with cytological, physiological and neuroanatomical data highly relevant. In addition, the atlas off ers researchers in other disciplines the opportunity to discover new correlations between structure and function, outlining new functional regions in the brainstem.