Stroke

Patients who received the antidepressant escitalopram following a stroke appeared to recover more of their thinking, learning and memory skills than those taking placebo or participating in problem-solving therapy, according to a report in the February issue of Archives of General Psychiatry, one of the JAMA/Archives journals. [continue reading…]

University of Iowa researchers have shown for the first time that an anti-depressant and a form of talk therapy each can prevent or delay the onset of depression in people who have had acute stroke.

The findings will appear in the May 28 issue of the Journal of the American Medical Association. Previous studies on this type of prevention had not shown positive results; however, this new study, in contrast, was larger and double-blinded. The research was funded by the National Institute of Mental Health, part of the National Institutes of Health. [continue reading…]

A rehabilitation therapy developed by a UAB (University of Alabama at Birmingham) neuroscientist produces changes in the structure of the brain, the first evidence of actual brain remodeling resulting from a rehabilitation therapy. In findings presented online in Stroke, a Journal of the American Heart Association, sophisticated analysis of MRI images of stroke patients showed that Constraint Induced (CI) therapy produced a significant increase in the amount of gray matter present in the brains of patients receiving the therapy.

“This changes all of our perspectives about what is possible in the brain,” said UAB neuroscientist Edward Taub, Ph.D., a study author and the developer of CI therapy. “For years, science thought the adult brain was hardwired, with no ability to change or adapt. Now we have further proof of the concept of neuroplasticity, the brain’s remarkable ability to respond to damage to compensate for the injury.”

The efficacy of CI therapy as a rehabilitation technique for stroke patients has been well documented. Taub and other researchers worldwide have seen remarkable clinical changes in patients, such as dramatically improved use of an affected arm or leg. They also have observed functional changes in the brain, such as increased blood flow or an increase in excitability of brain cells. The new study confirms what Taub and his colleagues have long suspected….that the brain also has the ability to remodel itself structurally.
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Stroke of Insight

Neuroanatomist Jill Bolte Taylor had an opportunity few brain scientists would wish for: One morning, she realized she was having a massive stroke. As it happened — as she felt her brain functions slip away one by one, speech, movement, understanding — she studied and remembered every moment. This is a powerful story about how our brains define us and connect us to the world and to one another. 

Source: TED