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 small vessel disease. Show all posts
Showing posts with label small vessel disease. Show all posts

Thursday, November 23, 2023

Lab-grown small blood vessels ‘indicate treatment for major cause of stroke’

FYI.

Lab-grown small blood vessels ‘indicate treatment for major cause of stroke’

Dr Alessandra Granata, from the department of clinical neurosciences at Cambridge – who led the study, said: “Despite the number of people affected worldwide by small vessel disease, we have little in the way of treatments because we don’t fully understand what damages the blood vessels and causes the disease.

“Most of what we know about the underlying causes tends to come from animal studies, but they are limited in what they can tell us.

“That’s why we turned to stem cells to generate cells of the brain blood vessels and create a disease model ‘in a dish’ that mimics what we see in patients.”

Research suggests cerebral small vessel disease (SVD) is a leading cause of age-related cognitive decline and contributes to almost half (45%) of dementia cases worldwide.

It is also responsible for one in five (20%) ischemic strokes – the most common type of stroke – where a blood clot prevents the flow of blood and oxygen to the brain.

Conditions such as high blood pressure and type 2 diabetes are associated with the majority of SVD cases and tend to affect people in their middle age.

But there are also some rare, inherited forms of the disease that can strike people at a younger age, often in their mid-thirties.

Using cells taken from skin biopsies of patients with one of these rare forms of SVD, which is caused by a mutation in a gene called COL4, scientists at the Victor Phillip Dahdaleh Heart and Lung Research Institute, University of Cambridge, created their lab grown vessels.

Wednesday, August 26, 2020

Adverse effects of pre-existing cerebral small vessel disease on cognitive improvement after carotid endarterectomy

 

Don't listen to what I have to say, I'm not medically trained.

Instead of doing a carotid endarterectomy with its attendant risks, why not glue it up?

  1. Verify that the Circle of Willis is complete. Mine obviously is since one carotid artery is completely blocked and I am having no cognitive issues(arrogance is not one of my issues).

  2. Glue the offending artery shut, No risky surgery.

 I guess this is why gluing is not done for brain work:
FDA issues warning about Covidien brain device that has killed nine - Onyx glue

Talk to your doctor about the dangers of stroke due to the endarterectomy procedure and why you would want to put inflexible metal stents in flexible arteries. Don't listen to me, but ask your doctor plenty of questions.   Ask for a guarantee of no stroke due to any procedure.  


The latest here:

Adverse effects of pre-existing cerebral small vessel disease on cognitive improvement after carotid endarterectomy

First Published September 9, 2019 Research Article Find in PubMed 

Although patients with improved cognition after carotid endarterectomy usually exhibit postoperative restoration of cerebral blood flow, less than half of patients with such cerebral blood flow change have postoperatively improved cognition. Cerebral small vessel disease on magnetic resonance imaging is associated with irreversible cognitive impairment.

The purpose of the present prospective study was to determine whether pre-existing cerebral small vessel disease affects cognitive improvement after carotid endarterectomy.

Brain MR imaging was performed preoperatively, and the number or grade of each cerebral small vessel disease was determined in 80 patients undergoing carotid endarterectomy for ipsilateral internal carotid artery stenosis (≥70%). The volume of white matter hyperintensities relative to the intracranial volume was also calculated. Brain perfusion single-photon emission computed tomography and neuropsychological testing were performed preoperatively and two months postoperatively. Based on these data, a postoperative increase in cerebral blood flow and postoperative improved cognition, respectively, were determined.

Logistic regression analysis using the sequential backward elimination approach revealed that a postoperative increase in cerebral blood flow (95% confidence interval [CI], 10.74–3730.00; P = 0.0004) and the relative volume of white matter hyperintensities (95% CI, 0.01–0.63; P = 0.0314) were significantly associated with postoperative improved cognition. Although eight of nine patients with postoperative improved cognition exhibited both a relative volume of white matter hyperintensities <0.65% and a postoperative increase in cerebral blood flow, none of patients with a relative volume of white matter hyperintensities ≥0.65% had postoperative improved cognition regardless of any postoperative change in cerebral blood flow.

Pre-existing cerebral white matter hyperintensities on magnetic resonance imaging adversely affect cognitive improvement after carotid endarterectomy.

 

Wednesday, June 14, 2017

Memory Loss, Other Cognitive Decline Linked to Blood Vessel Disease in the Brain

What is your doctors' treatment if you already have this?
http://dgnews.docguide.com/memory-loss-other-cognitive-decline-linked-blood-vessel-disease-brain?
MAYWOOD, Ill -- June 6, 2017 -- Memory loss, language problems, and other symptoms of cognitive decline are strongly associated with diseases of the small blood vessels in the brain, according to a study published in the International Journal of Geriatric Psychiatry.
José Biller, MD, Loyola University, Maywood, Illinois, and colleagues conducted a study that included 331 volunteers aged 60 years and older who live in Atahualpa, a small rural village in coastal Ecuador. The subjects were given cognitive tests and brain MRIs. The MRIs were examined for 4 main components of small vessel disease (SVD). Evidence of microbleeds and minor strokes, then were added to create a total SVD score. The score ranges from zero points (no SVD) to 4 points (severe SVD).
The study found that that 61% of the subjects had zero points on the total SVD score, 20% had 1 point, 12% had 2 points, 5% had 3 points, and 2% had 4 points. The higher the SVD score, the greater the cognitive decline.
The researchers also found that each individual component of SVD predicted cognitive decline as well as the total SVD score did.
Cognitive decline was measured by a Spanish version of the Montreal Cognitive Assessment test. Subjects were asked to do basic cognitive tasks such as counting backwards from 100 by sevens, repeating back a list of words, identifying drawings of animals and naming in one minute as many words as possible that begin with N.
The finding that 39% of the older adults have at least 1 component of SVD indicates the condition is common in the region. This prevalence makes Atahualpa a suitable population for studying the effect of SVD on cognitive performance, according to the authors.
The study is part of the ground-breaking Atahualpa Project, a population-based study designed to reduce the increasing burden of strokes and other neurological disorders in rural Ecuador and similar communities in Latin America. Many Atahualpa residents have enrolled in studies of risk factors for common diseases, especially neurological and cardiovascular diseases. More than 95% of Atahualpa’s population belongs to the native/Mestizo ethnic group, and the villagers have similar diets and lifestyles, making them suitable subjects for population studies.
SOURCE: Loyola University Health System