The immediate and secondary management of the cerebral patient depends on the type of stroke (avc) previously identified by irm. In 80% of cases, avc is due to an artery in the brain that is clogged, called a cerebral infarction. In 20% of cases, avc is due to the rupture of a vessel in the brain, this is called a cerebral haemorrhage.
After a stroke and the appearance of a focal lesion, even if the underlying nerve tissue dies, there is a chance of recovery thanks to the brain plasticity that sets in. Using neuroimaging techniques by magnetic resonance imaging (MRI) in static (observation of lesions) or dynamic (follow-up of the activation of different brain regions during movement), we are studying the proportion of the different processes of brain plasticity that take place in each patient: there may be a management of the function lost by the surrounding tissues, a participation in the control of movement by the secondary areas We have two brain hemispheres. For example, when an individual with a stroke shakes hands (when he can still shake hands), an area of his brain that is different from that of a healthy individual will activate.
At Paris Brain Institute
- Depending on the location of the residual stroke brain injury, the sequelae will be different. This is why it is important to know the structure of cerebral vascularization. Nicolas RENIER’s “Dynamic Structural Networks” team at Paris Brain Institute aims to map this vascularization in 3 dimensions in humans. A first step was taken with the complete mapping of cerebral vasculature in an experimental model.
- From the evaluation of the sequelae after the acute phase to the “real-life” rehabilitation, six caregivers, doctors and specialized researchers from Paris Brain Institute, in Paris, explain to you the challenges of complex post-stroke management and the ways forward to improve the recovery of their patients.
