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Stroke Victims Benefit From Surgery on Blood Clots, Study Says

Posted: Published on December 17th, 2014

Stroke patients whose blocked arteries are re-opened with surgical devices fared better in a study than those treated with intravenous drugs alone to dissolve clots, offering the first solid evidence of an effective new treatment. In a trial of 500 Dutch patients with stroke caused by lack of blood flow in the brain, 33 percent had little or no disability 90 days after receiving the direct intervention, compared with 19 percent in the control group, according to an article published today in the New England Journal of Medicine. There was no increased risk of death following the treatments. Stroke is the fourth-leading cause of death in the U.S., killing almost 130,000 a year, according to the Centers for Disease Control and Prevention. The standard treatment for patients with ischemic stroke -- those caused by a blocked blood vessel instead of a hemorrhage -- has been limited to enzymes that dissolve clots administered intravenously, and is only effective in the first four and half hours after a stroke. While some doctors have treated the blockage directly, until now there have been no conclusive studies showing that works. The Dutch trial - called MR CLEAN, for Multicenter Randomized Clinical Trial of Endovascular … Continue reading →

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Stent Treatment May Lower Stroke Disability

Posted: Published on December 17th, 2014

Steven Reinberg HealthDay Reporter Posted: Wednesday, December 17, 2014, 12:00 PM WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Using a stent to capture and remove a stroke-causing blood clot is safe and improves recovery, Dutch researchers report. About one-third of patients who had the procedure -- called intraarterial treatment -- recovered from their stroke with only slight disability and were able to care for themselves, compared with just 19 percent of patients given regular care, the researchers found. "We knew already that we can open up blocked vessels with the treatment, but now we have proof that patients have better outcomes, they actually benefit by being less disabled and less handicapped," said lead researcher Dr. Diederik Dippel, a neurologist at Erasmus M.C. University Medical Center in Rotterdam. Dippel stressed that to be effective this treatment must be done in the first six hours after stroke symptoms start. And, the sooner the better. Unlike stents used to open blocked heart arteries, which are left in place to keep the artery open, stents used in intraarterial treatment are removed, Dippel said. During intraarterial treatment, a stent -- a tiny wire mesh sleeve -- is attached to a catheter and threaded through the … Continue reading →

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Clot-Grabbing Devices Offer Better Outcomes for Stroke Patients than Drugs

Posted: Published on December 17th, 2014

Going into the blocked artery of someone who is having a stroke to remove the clot is more likely to produce a good recovery than treatment with just clot-busting drugs, according to a study December 17, 2014 By Gene Emery Reuters Health - Going into the blocked artery of someone who is having a stroke to remove the clot is more likely to produce a good recovery than treatment with just clot-busting drugs, according to a study of 500 patients in the Netherlands. "Catching the clot and fishing it out of the blocked artery to reopen it makes a big difference in outcome," Dr. Jeffrey Saver, a director of the University of California Los Angeles Stroke Center, told Reuters Health. The devices to retrieve clots have been around for a while but until now we hadn't had a clinical trial showing that they made patients better." Ninety days after their strokes, 32.6 percent of patients whose treatment included going into a brain artery to remove a clot achieved functional independence, compared to 19.1 percent given only usual care with clot-dissolving drugs. The study, known as MR CLEAN and published online Wednesday by the New England Journal of Medicine, applies to … Continue reading →

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Stroke patients experience superior outcomes with intra-arterial treatment vs. tPA

Posted: Published on December 17th, 2014

PUBLIC RELEASE DATE: 17-Dec-2014 Contact: Joni Ramirez joni@merrymancommunications.com 323-532-0746 Merryman Communications @betsymerryman ALAMEDA, Calif. - December 17, 2014 - Penumbra, Inc., the market leader in intra-arterial stroke treatment, announced that an independent study published online today in the New England Journal of Medicine found that intra-arterial stroke treatment, including the company's clot extraction technology, was shown to be significantly more effective than medical management with tissue plasminogen activator (tPA), which is the current standard of care. The findings of this randomized, controlled comparative effectiveness trial of stroke treatment have the potential to change the standard of care and improve functional independence for the 15 million stroke patients worldwide who currently have few treatment options. Intra-arterial treatment, also called endovascular or interventional treatment, involves working inside the artery to remove the clot. In the MR CLEAN (Multicenter Randomized Clinical trial of Endovascular treatment for Acute ischemic stroke in the Netherlands) comparative effectiveness study, intra-arterial treatment improved the rate of good functional outcome by 71 percent over treatment with medical management with tPA alone. Of patients who received intra-arterial treatment, 32.6% achieved a clinically defined positive stroke outcome compared with 19.1% of those who received medical management. Intra-arterial treatment was beneficial for … Continue reading →

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Five-year-old visits Downing Street

Posted: Published on December 17th, 2014

A five-year-old from St Albans was given the VIP treatment at No 11 Downing Street. Ayala Brooks, who has cerebral palsy, was among a group of 45 seriously ill youngsters invited by The Chancellor of the Exchequer George Osborne to the annual Christmas party held by the Starlight Childrens Foundation on Wednesday last week. The party was themed on the childrens film Frozen and the state rooms at No 11 were transformed using baubles, tinsel, glitter bows and garlands in shades of blue, white and silver. The party was opened by Pixie Lott and other special guests including Starlight Ambassadors Geri Halliwell and Nigel Marven, who brought along Esmeralda the giant tortoise, Strictlys, Jake Wood and his partner Janette Manrara, members from McBusted, Professor Green, Ella Eyre and XFactor contestant Lauren Platt. Ayala recently had her wish granted to swim with dolphins in August this year.As well as granting wishes, Starlight provides entertainment for poorly children in hospitals and hospices and for those undergoing treatment at home. The Chancellor said: "The Starlight Children's Christmas Party at No 11 Downing Street is a highlight in our calendar and one that I look forward to every year. I am so pleased that … Continue reading →

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Brain-injury program working with NFL players

Posted: Published on December 17th, 2014

Published December 17, 2014 A brain-injury treatment program originally designed for military veterans injured on the battlefield has been updated to include professional athletes. Representatives with the Eisenhower Center announced Tuesday that it will be the primary facility used by the NFL Players Association for treating brain injuries and other neurological issues through the After the Impact program. The residential neuro-rehabilitation facility is based in Ann Arbor. The program provides intense treatment for soldiers and athletes recovering from concussions, mild traumatic brain injury, post-traumatic stress disorder and other problems. It evolved from the Eisenhower Center's transitional treatment program to help military members deal with brain injuries. The NFL expects 6,000 of nearly 20,000 retired players - or 28 percent - to suffer from Alzheimer's disease or at least moderate dementia someday. Former players have sued. Current Detroit Lions tight end Joseph Fauria and former quarterback Eric Hipple attended Tuesday's announcement. "Nearly one-third of all retired NFL players will suffer from a long-term cognitive problem," Hipple said. "The players and veterans who have gone through the After the Impact program have learned a lot from each other and helped each other on the path to recovery." The NFL last month urged … Continue reading →

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NFL added to brain-injury program for military veterans

Posted: Published on December 17th, 2014

Updated DEC 16, 2014 7:55p ET LANSING, Mich. -- A brain-injury treatment program originally designed for military veterans injured on the battlefield has been updated to include professional athletes. Representatives with the Eisenhower Center announced Tuesday that it will be the primary facility used by the NFL Players Association for treating brain injuries and other neurological issues through the After the Impact program. The residential neuro-rehabilitation facility is based in Ann Arbor. The program provides intense treatment for soldiers and athletes recovering from concussions, mild traumatic brain injury, post-traumatic stress disorder and other problems. It evolved from the Eisenhower Center's transitional treatment program to help military members deal with brain injuries. The NFL expects 6,000 of nearly 20,000 retired players - or 28 percent - to suffer from Alzheimer's disease or at least moderate dementia someday. Former players have sued. Current Detroit Lions tight end Joseph Fauria and former quarterback Eric Hipple attended Tuesday's announcement. ''Nearly one-third of all retired NFL players will suffer from a long-term cognitive problem,'' Hipple said. ''The players and veterans who have gone through the After the Impact program have learned a lot from each other and helped each other on the path to recovery.'' … Continue reading →

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Brain-Injury Center to Help NFL Retirees

Posted: Published on December 17th, 2014

MGN Online The NFL expects 6,000 of nearly 20,000 retired players -- or 28 percent -- to suffer from Alzheimer's disease or at least moderate dementia someday. A brain-injury treatment program originally designed for military veterans injured on the battlefield has been updated to include professional athletes. Representatives with the Eisenhower Center announced Tuesday that it will be the primary facility used by the NFL Players Association for treating brain injuries and other neurological issues through the After the Impact program. The residential neuro-rehabilitation facility is based in Ann Arbor. The program provides intense treatment for soldiers and athletes recovering from concussions, mild traumatic brain injury, post-traumatic stress disorder and other problems. It evolved from the Eisenhower Center's transitional treatment program to help military members deal with brain injuries. The NFL expects 6,000 of nearly 20,000 retired players -- or 28 percent -- to suffer from Alzheimer's disease or at least moderate dementia someday. Former players have sued, accusing the league of hiding what it knew about concussions and brain injuries to keep players on the field. Current Detroit Lions tight end Joseph Fauria and former quarterback Eric Hipple attended Tuesday's announcement. "Nearly one-third of all retired NFL players will … Continue reading →

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Military brain injury treatment updated for NFL players

Posted: Published on December 17th, 2014

Updated: Wednesday, December 17 2014, 06:34 AM EST By: The Associated Press LANSING, Mich. -- A brain-injury treatment program originally designed for military veterans injured on the battlefield has been updated to include professional athletes. Representatives with the Eisenhower Center announced Tuesday that it will be the primary facility used by the NFL Players Association for treating brain injuries and other neurological issues through the After the Impact program. The residential neuro-rehabilitation facility is based in Ann Arbor. The program provides intense treatment for soldiers and athletes recovering from concussions, mild traumatic brain injury, post-traumatic stress disorder and other problems. It evolved from the Eisenhower Center's transitional treatment program to help military members deal with brain injuries. The NFL expects 6,000 of nearly 20,000 retired players -- or 28 percent -- to suffer from Alzheimer's disease or at least moderate dementia someday. Former players have sued. Current Detroit Lions tight end Joseph Fauria and former quarterback Eric Hipple attended Tuesday's announcement. "Nearly one-third of all retired NFL players will suffer from a long-term cognitive problem," Hipple said. "The players and veterans who have gone through the After the Impact program have learned a lot from each other and helped each … Continue reading →

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New Eye Tracking Technology Promising As Biomarker For Brain Injury And Function

Posted: Published on December 17th, 2014

Using a new technology which tracks eye movements of patients viewing music videos just under four minutes, researchers at NYU Langone Medical Center have developed a new way to assess the location and impact of a brain injury. The research was published Dec 16 in the Journal of Neurosurgery. The research offers promise that such eye tracking technology may serve as a biological marker for evaluating brain function and monitoring recovery for patients who sustain traumatic brain injuries (TBI), with the hope of extending this to evaluation of mild traumatic brain injury (mTBI), commonly referred to as concussions. For the study, researchers evaluated 169 patients. 157 were neurologically normal, while 12 demonstrated specific abnormalities in cranial nerves controlling eye movement or brain swelling close to those nerves. These nerves affect eye movement sideways as well as up and down. For the study, researchers, employing a new technology developed at NYU Langone, had participants watch a music video or television content for 220 seconds while they measured the ratio of horizontal to vertical eye movements. In the neurologically normal participants, the ratios were nearly to1:1, with horizontal movements essentially equaling vertical movements. However, the 12 participants with nerve damage or swelling … Continue reading →

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