Title |
Motor recovery beginning 23 years after ischemic stroke
|
---|---|
Published in |
Journal of Neurophysiology, May 2017
|
DOI | 10.1152/jn.00868.2016 |
Pubmed ID | |
Authors |
Peter Sörös, Robert Teasell, Daniel F Hanley, J David Spence |
Abstract |
It is widely believed that most stroke recovery occurs within 6 months, with little benefit of physiotherapy or other modalities beyond a year. We report a remarkable case of stroke recovery beginning 23 years after a severe stroke due to embolization from the innominate artery and subclavian artery, resulting from compression of the right subclavian artery by a cervical rib. The patient had a large right fronto-parietal infarction with severe left hemiparesis, and a totally non-functional spastic left hand. He experienced some recovery of hand function that began 23 years after the stroke, a year after he took up regular swimming. As a result, intensive physiotherapy was initiated, with repetetive large muscle movement and a spring-loaded mechanical orthosis that provides resistance to finger flexors and supports finger extensors. Within two years he could pick up coins with the previously useless left hand. Functional MRI studies document widespread distribution of the recovery in both hemispheres. This case provides impetus not only to more intensive and prolonged physiotherapy, but also to treatment with emerging modalities such as stem cell therapy, exosome and micro-RNA therapies. |
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Geographical breakdown
Country | Count | As % |
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United Kingdom | 16 | 19% |
United States | 15 | 18% |
Canada | 7 | 8% |
Australia | 7 | 8% |
Mexico | 2 | 2% |
Spain | 2 | 2% |
France | 1 | 1% |
Italy | 1 | 1% |
Serbia | 1 | 1% |
Other | 3 | 4% |
Unknown | 30 | 35% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 53 | 62% |
Scientists | 15 | 18% |
Practitioners (doctors, other healthcare professionals) | 11 | 13% |
Science communicators (journalists, bloggers, editors) | 6 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 104 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 14 | 13% |
Student > Ph. D. Student | 12 | 12% |
Student > Master | 12 | 12% |
Professor | 10 | 10% |
Researcher | 10 | 10% |
Other | 16 | 15% |
Unknown | 30 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 18 | 17% |
Nursing and Health Professions | 12 | 12% |
Neuroscience | 12 | 12% |
Engineering | 7 | 7% |
Agricultural and Biological Sciences | 5 | 5% |
Other | 16 | 15% |
Unknown | 34 | 33% |