The physiological and clinical process of restoring neurological function and minimizing permanent tissue damage following an ischemic event, such as a stroke, which results from restricted blood supply to brain tissue. Recovery efforts focus on promoting neuroplasticity and cellular repair in the affected area. This is a critical phase of neurorehabilitation aiming for maximum functional return.
Origin
This concept stems from cerebrovascular medicine and neurorehabilitation, recognizing the brain’s capacity for adaptive change following injury. Research into endogenous neuroprotective mechanisms, including the role of growth factors and regulatory peptides, has paved the way for targeted therapeutic interventions. This work capitalizes on the brain’s inherent, though limited, regenerative capacity.
Mechanism
Recovery involves stimulating neurogenesis and angiogenesis in the peri-infarct zone, the area surrounding the core lesion, to re-establish functional neural circuits and blood supply. Specific peptide interventions may reduce excitotoxicity, a major cause of secondary neuronal death, and mitigate the inflammatory cascade that exacerbates initial damage. Modulating the release of neurotrophic factors is a key mechanism for supporting the survival of vulnerable neurons and facilitating synaptic reorganization.
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