Gerrit M. Große

645 posts

Gerrit M. Große banner
Gerrit M. Große

Gerrit M. Große

@gerritgrosse

Neurologist and clinician scientist at Dept. of Neurology at the University Hospital Basel. Interested in mechanisms, biomarkers and prevention of stroke.

Basel, Switzerland Katılım Mayıs 2020
750 Takip Edilen675 Takipçiler
Gerrit M. Große retweetledi
Gerrit M. Große
Gerrit M. Große@gerritgrosse·
🩸A CT-Neuropathology Accuracy Study for Diagnosis of Cerebral Amyloid Angiopathy 🧠-> This study supports histopathological examination for the diagnosis of CAA in patients who suffered lobar ICH undergoing surgical treatment. neurology.org/doi/10.1212/WN…
English
0
0
1
58
Gerrit M. Große retweetledi
Shadi Yaghi
Shadi Yaghi@ShadiYaghi2·
The stroke field had major developments since 1993 when the TOAST criteria were proposed. We need move on to a different system that incorporates new mechanisms/tools/testing and standardizes the minimum workup. Introducing ISPS25 #stroke #WSC25 #meded ahajournals.org/doi/10.1161/ST…
Shadi Yaghi tweet media
English
5
82
214
13.7K
Gerrit M. Große retweetledi
Michael Okun
Michael Okun@MichaelOkun·
Could the Parkinson’s drug levodopa prime the brain to respond better to intensive rehabilitation following a stroke or injury? Enter the idea: Let’s give dopamine pills after a stroke? Spoiler alert: This new large, randomized trial published in JAMA revealed no added benefit in recovery. The authors were hoping for neuroplasticity. Neuroplasticity means the brain’s ability to rewire itself and to form new connections. Engelter and colleagues describe the results of the ESTREL randomized clinical trial which tested whether adding levodopa to rehabilitation would improve recovery after stroke. Key Points: - The ESTREL trial included 610 folks w/ stroke across 13 stroke centers in Switzerland. - The folks in the trial were randomized to levodopa or placebo and of course both got standardized rehabilitation. - At 3 months there was no significant difference in motor function recovery between the levodopa and placebo groups. - There was only a 0.9-point adjusted mean difference on the 100-point Fugl-Meyer scale. - Safety outcomes showed no meaningful differences between groups. - There were similar rates of serious adverse events and of mortality (death). My take: The idea of using levodopa to boost dopaminergic signaling in the brainand to enhance motor recovery is not new. It is cool these authors had the courage to put it to a test. Though it didn’t work, how might it have worked? We don’t know, but we should think about motor learning, neuroplasticity, synaptic plasticity and how reward, as well as motivation, may play a role. Here are 5 points that resonated w/ me. 1- Stroke recovery depends heavily on task-oriented intensive rehabilitation. 2- Adding levodopa to standard therapy did not boost recovery outcomes in this large and carefully run study. 3- Folks receiving levodopa had similar safety profiles compared w/ placebo. 4- Prior smaller studies hinted at possible benefits, however this large trial shows no ‘routine role’ for levodopa in stroke rehab. 5- The search for effective drugs to enhance brain repair after stroke continues. Could we use levodopa for other symptoms and syndromes beyond movement disorders? jamanetwork.com/journals/jama/… @ParkinsonDotOrg @FixelInstitute @SfNtweets @HeartandStroke
Michael Okun tweet media
English
4
30
129
8.2K
Gerrit M. Große retweetledi
European Stroke Org
European Stroke Org@ESOstroke·
⏰Deadline Today! Apply to ESO’s Emerging Leaders Programme! ESO is seeking the next generation of visionary leaders committed to advancing stroke prevention, treatment, and advocacy worldwide. 👉 ow.ly/soVC50WaKJF #Stroke #Neurology #StrokeTwitter
European Stroke Org tweet media
English
1
2
4
640
Gerrit M. Große
Gerrit M. Große@gerritgrosse·
Happy to share our article collection “Blood-based cellular and molecular biomarkers in acute ischemic stroke and hemorrhagic stroke, Volume II” exploring advances in inflammatory, metabolic, and damage biomarkers—addressing stroke diagnosis, prognosis, and individualized care.🧠
Frontiers - Neurology@FrontNeurol

New Research: Editorial: Blood-based cellular and molecular biomarkers in acute ischemic stroke and hemorrhagic stroke, volume II frontiersin.org/articles/10.33… #FrontiersIn #Neurology

English
2
0
6
190