Neurological Repair after Stroke

Alex, Roli Rose
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Abstract

Stroke remains as a major cause of human disability worldwide. Neural repair can be defined as restoring the structure or function of the CNS (central nervous system) after injury or stroke. Patients are usually left with debilitating motor and speech impairments after a stroke or injury [1]. The model is based on the assumptions of neural repair mechanisms inherently involved in the cellular and circuit plasticity, that is a synaptic phenomenon which is mostly stimulus-dependent, and that brain repair required both physical and behavioural interventions which tailor to reorganize specific brain circuits. We believe that by enhancing plasticity at the level of brain network interactions, this neurological model for brain repair could ultimately lead to a cure for stroke [2]. Several categories of therapies based on neural repair are under study. Therapies based on neural repair are based on prevention and to reduce the injury like reperfusion or neuroprotection. Therapies based on neural repair have a treatment time measured in daysweeks or longer typically and the potential to be accessed by large fraction of patients with the stroke, including haemorrhagic stroke. This is an advantage for reducing the heavy burden of individual’s disability after stroke.
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中风后的神经修复
中风仍然是世界范围内人类残疾的一个主要原因。神经修复可以定义为在损伤或中风后恢复CNS(中枢神经系统)的结构或功能。中风或受伤后,病人通常会出现运动障碍和语言障碍。该模型是基于神经修复机制内在涉及细胞和电路可塑性的假设,这是一种突触现象,主要依赖于刺激,大脑修复需要物理和行为干预,以调整重组特定的大脑回路。我们相信,通过增强大脑网络相互作用水平的可塑性,这种大脑修复的神经模型最终可能导致中风的治愈。基于神经修复的几种治疗方法正在研究中。基于神经修复的治疗是基于预防和减少损伤,如再灌注或神经保护。以神经修复为基础的治疗通常需要数天、数周或更长时间,大部分中风患者(包括出血性中风)都有可能获得这种治疗。这有利于减轻中风后个人残疾的沉重负担。
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