Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 33,991 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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 microbeads. Show all posts
Showing posts with label microbeads. Show all posts
Tuesday, August 26, 2025
Wednesday, August 31, 2016
Beware of wake-up stroke
I personally think the solution to this problem is magnetic delivery of microbeads of tPA directly to the location of the clot. A much smaller bolus would be needed reducing the side effects of bleeding elsewhere. But since we have NO stroke leadership or strategy this will take decades to come about.
Will no one think of the stroke survivors and actually do something to help them?
This solution maybe from May, 2016.
Will no one think of the stroke survivors and actually do something to help them?
This solution maybe from May, 2016.
Stroke victims' new saviour...magnetic blood: Pioneering research could transform treatment of killer condition
Or maybe this solution from March, 2015
Magnetic nanoparticles could stop blood clot-caused strokes
Beware of wake-up stroke
Thomas (50) (name changed) remembers the panic he felt
that morning when he woke up and discovered that something was seriously
wrong.
He could not move from the bed because the
entire right side of his body was weak. He tried to wake up his wife by
calling her but all he could manage was some garbled words.
It
was after 8 a.m., when he was rushed to the emergency wing of Sree
Chitra Tirunal Institute for Medical Sciences and Technology, where he
was immediately rushed in for MRI imaging studies.
“He
had presented with what is known as the “wake-up stroke,” wherein a
patient awakens with symptoms of a stroke which were not there when he
fell asleep.
Imaging studies showed that the brain had suffered only minimal damage and that there was a huge salvageable brain area.
There
was a major clot in the main cerebral artery, which we removed using
mechanical thrombectomy (removing clot using a device called Solitaire).
He
made good recovery and walked out of the hospital,” says P.N. Sylaja,
Professor of Neurology, SCTIMST. Approximately 25 per cent of ischemic
strokes (strokes which are caused by a blood clot in the brain arteries)
are wake-up strokes, wherein patients who go to sleep normally, wake up
with stroke symptoms
Intravenous thrombolysis using a
recombinant tissue plasminogen activator (rtPA) or clot-busting drug
can improve the clinical outcomes of patients with acute ischemic stroke
if it is administered within the first 4.5 hours of the stroke onset
The
time of the onset of stroke is the key factor on which safe therapeutic
decisions are based. Wake-up strokes present a therapeutic dilemma for
neurologists because the time of the onset of stroke is unknown. Many
patients with wake-up strokes thus suffer from poor outcomes because
they are not taken to be candidates for tPA as it can only be delivered
within the specified time window.
Delay in treatment
has always been a problem in wake-up strokes because often the family
might be late in discovering that the person has suffered a stroke and
there might be multiple reasons for delays in reaching the hospital too.
“Many
recent studies on wake-up strokes however show that most of these
strokes actually happen in the morning hours and that the stroke itself
may be what woke them up.
So these days, such
patients are subjected to advanced CT/MRI Perfusion studies, which can
tell us how much of the brain has suffered irreversible damage and how
much can be salvaged and if thrombolysis can help him,” Dr. Sylaja says.
Perfusion
studies can clearly indicate if significant time delay has occurred
after the onset of stroke nad if the patient will benefit from
thrombolysis
Wake-up strokes are currently an
important area of discussion with large randomised controlled clinical
trials happening world over on how best to treat wake-up strokes and the
efficacy of IV thrombolysis and endovascular mechanical thrombectomy
options.
The patho physiology of wake-up strokes
phenomenon is not fully understood and is linked to a combination of
bodily changes in the circadian cycle, such as adrenalin secretion,
platelet aggregation (leading to clots) or the normal surge in one’s
blood pressure, all seen in the early morning hours.
Reporting by
C. Maya
Time of the onset of stroke is the key factor on which safe therapeutic decisions are based
Monday, May 23, 2016
Stroke victims' new saviour...magnetic blood: Pioneering research could transform treatment of killer condition
I first started suggesting this in Oct. 2012.
http://www.dailymail.co.uk/health/article-3602331/Stroke-victims-new-saviour-magnetic-blood-Pioneering-research-transform-treatment-killer-condition.html

http://www.dailymail.co.uk/health/article-3602331/Stroke-victims-new-saviour-magnetic-blood-Pioneering-research-transform-treatment-killer-condition.html
Injecting
microscopic magnetic beads into the blood of stroke victims could
transform treatment of the killer condition, which strikes 152,000
Britons each year.
The
pioneering treatment, called magnetically enhanced diffusion, helps
‘push’ life-saving drugs through the circulatory system 30 times faster
that they would normally travel.
One
in five strokes – typically caused by a blood clot blocking a vessel in
the brain and starving the area of oxygen – prove fatal. Half of all
survivors are left disabled.

+2
Pictured: A diagram shows how the
magnetic beads help 'push' medication around the body in a pioneering
new treatment for stroke victims
Timing
of treatment is crucial as the longer it takes to break down the clot
with a special blood-thinning drug, the greater the damage and chance of
lasting disability.
Studies
show that the thinning drug, alteplase, needs to be given within four
hours of the onset of stroke symptoms for it to be effective.
Injecting it into the brain is not an option as this direct approach would also be damaging.
Instead
the procedure, known as thrombolysis, relies on the active compounds
being delivered to the site of the blockage in the bloodstream. But the
clot can reduce the speed of the circulation.
Dr
Richard Perry a consultant neurologist and stroke specialist at
University College Hospital, where the new treatment is being studied,
said: ‘It’s like a busy motorway blocked by a crash, where the emergency
services have difficulty getting through. The drugs can take some time
to reach the clot.’
But
by introducing tiny iron oxide beads, developed by US based company
Pulse Therapeutics, research has shown that the effectiveness of the
drugs is increased significantly.
The
beads, which are smaller than a blood cell, are injected through a vein
in the arm, immediately after the patient has been given alteplase, also
injected into the arm.
A
device containing a fast-rotating magnet is then placed next to the
patient’s head and the magnetic force created helps propel the drugs
along the blocked vessels to break down the life-threatening clot.
Once they have done their job, the beads are naturally absorbed then secreted.
An
international study presented at the America Stroke Association
conference showed that when given within three hours, 33 per cent of
patients did not have significant disability afterwards, compared with
23 per cent of those who did not receive the therapy.
However, even with clot-busting treatment, about six out of ten patients had significant disability(and the simple reason for that is that you still haven't addressed the neuronal cascade of death).
Stroke is the third biggest cause of death in the UK, behind cancer and heart disease, affecting one person every five minutes.
High blood pressure is the most important risk factor, contributing to half of all cases.
Sean
Morris, CEO of Pulse Therapeutics, said: ‘Stroke is an enormous problem
worldwide. Time counts in treating these patients because every minute,
millions of neurons die. While the heart muscle can recover after a
heart attack, these brain cells just die.’
Dr Perry added: ‘For most stroke patients, the only treatment that can reduce the disability from their stroke is thrombolysis.
'Although
it is important to deliver this treatment to stroke patients where
possible, most patients who receive the treatment into a vein do not
derive a clear benefit, and if the stroke is caused by a blockage in a
large artery the proportion is particularly low.
‘While
directly pulling the clot out – thrombectomy – improves results
considerably, there are very few centres where this treatment can be
offered, and even in the UK most patients will not benefit from this .
‘One
important reason for the low success rate of the intravenous
clot-busting drug is likely to be poor penetration of the thrombolytic
drug to the clot that needs to be dissolved.
‘The
approach of using iron microbeads to stir the blood and improve access
of the clot-busting drug to the clot is exciting and innovative and we
are eager to test the therapy in stroke patients.’
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