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 neuronsthatDIEeach day because there areNOeffective 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.
When the TV heartthrob, Luke Perry, of "Beverly Hills, 90210" fame, died
of a stroke in March, it was a surprise to many people. How could
someone so young, only 52 years old, die of an old person's ailment?
But, as Stanford neurologist Greg Albers told me in this 1:2:1 podcast,
age is one of the myths of stroke: "You can have stroke at any age. We
have children who have strokes, adolescents, young adults. It's most
common in the elderly but strokes can hit at any age."
Albers, director of the Stanford Stroke Center,
has been working to understand the mechanisms governing strokes for
nearly 30 years. Thanks to that dogged work, Albers hit gold in 2018
with the release of data from a large multisite clinical trial, DEFUSE 3.
Previously, it was thought that if a patient wasn't treated within a
few hours of their stroke, it was hopeless. Tissue would have
deteriorated to the point of no return, which all too often resulted in
death or long-term nursing care. While the advance of the drug called tissue plasminogen activator
(tPA) in the mid 1980's expanded the treatment window up to three
hours, the drug was hardly a panacea and it didn't work for the majority
of stroke patients, Albers told me.
In this 1:2:1 podcast, host Paul Costello discusses the latest in stroke research with stroke specialist Greg Albers.
The DEFUSE 3 trial opened a whole new world of possibilities. Stroke
treatment could take place up to 24 hours after the stroke and it could,
as Albers explained, reap huge benefits. Moreover, on the day that
Albers presented the data from DEFUSE 3 at the International Stroke
Conference, the American Stroke Association
recognized the breakthrough by simultaneously releasing new guidelines
that changed the stroke treatment window from 6 to 24 hours.
As Albers explains:
...we're talking about a 50
percent reduction in death or nursing home existence for treatable
stroke patients and a threefold increase in functional recovery. In
other words, three times as many people being able to go back to do
everything that they did before their stroke and half as many patients
winding up in a nursing home or dying.
According to the National Stroke Association, each year nearly 800,000 people experience a new or recurrent stroke.
Stroke is the leading cause of adult disability in the U.S.
Strokes can happen to anyone at any age, including teenagers, children, newborns and unborn babies.
Although it is the fifth leading cause of death in the U.S., up to 80 percent of strokes are preventable.
Much of the research advancing the understanding and treatment of
stroke has taken place at Stanford helmed by Albers and his colleagues.
During our conversation, he put the work into context:
I consider this the most exciting
time in stroke research because for the last two decades since we've had
the approval of tPA, there have been no therapeutic advances other than
a catheter technique to pull the blood clot out. People were convinced
that six hours was as far as you could go. Now, with DEFUSE 3 and
treatment opening up to 24 hours, people now believe the stroke
evolution is highly individualistic.
It's hard to see so many
people who are disabled by stroke, paralyzed, unable to speak, and to
realize that we can make a huge difference in their lives. This is why
you become a physician, to try to be able to do this type of research
and have this type of impact.
(But you are still leaving 90% of stroke survivors with some disability. I still see stroke as a complete failure. You only get partial credit for this success.)
1Department of Neurology and Neurosciences, University Hospital of Geneva, University of Geneva
2Department of Psychology, Stanford University
3Department of Cognitive Science, University of California, San Diego
Lera Boroditsky, Department of Cognitive Science, University of California, San Diego, 9500 Gilman Dr., La Jolla, CA 92093-0515
E-mail: lera@ucsd.edu
Author Contributions
O. Fuhrman and L. Boroditsky developed the study concept. O. Fuhrman
spearheaded the study design, with contributions by
P. Vuilleumier, A. Saj, and L. Boroditsky.
Testing and data collection were performed by A. Saj under the direction
of P.
Vuilleumier. L. Boroditsky analyzed and
interpreted the data, with contributions from A. Saj and O. Fuhrman. L.
Boroditsky
drafted the manuscript, with critical
revisions provided by P. Vuilleumier, A. Saj, and O. Fuhrman. All
authors approved the
final version of the manuscript for
submission.
Abstract
Previous research suggests that people
construct mental time lines to represent and reason about time. However,
is the ability
to represent space truly necessary for representing
events along a mental time line? Our results are the first to
demonstrate
that deficits in spatial representation (as a
function of left hemispatial neglect) also result in deficits in
representing
events along the mental time line. Specifically, we
show that patients with left hemispatial neglect have difficulty
representing
events that are associated with the past and, thus,
fall to the left on the mental time line. These results demonstrate
that
representations of space and time share neural
underpinnings and that representations of time have specific spatial
properties
(e.g., a left and a right side). Furthermore, it
appears that intact spatial representations are necessary for at least
some
types of temporal representation.
