Neurological Reserve


The term Neurological Reserve is used to describe two categories of neurological function: Brain Reserve and Cognitive Reserve. A fascinating computer analogy that may help you to understand is brain reserve should be viewed as your hardware and cognitive reserve as your software. The ability to cope with increasing neurodegeneration while still functioning is credited to your brains resilience.

In cases of superficial siderosis, Neurological Reserve refers to the capacity of your brain to handle metabolic stressors. The Superficial Siderosis patient lives with a compromised Neurological Reserve on a perpetual basis.  Medication changes might take the superficial siderosis patient longer to regulate.

Dr. Michael Levy, Johns Hopkins Neurology, once gave an example of the anesthesia used during surgery. The superficial siderosis patient will likely require more time to recover from the anesthesia procedure than a person with normal brain or nerve function. Surgical procedures, infections, or any serious illness will need an extended recovery period.


Source: “Ask Dr. Levy”
Bodranghien, Florian; Bastian, Amy; Casali, Carlo; Hallett, Mark; Louis, Elan D.; Manto, Mario; Mariën, Peter; Nowak, Dennis A.; Schmahmann, Jeremy D. (June 2016). “Consensus Paper: Revisiting the Symptoms and Signs of Cerebellar Syndrome”. Cerebellum (London, England). 15 (3): 369–391. doi:10.1007/s12311-015-0687-3. ISSN 1473-4230. PMC 5565264 Freely accessible. PMID 26105056
Bennett DA; et al. (Jan 2014). “Cognitive and social lifestyle: links with neuropathology and cognition in late life”. Acta Neuropathol. 127 (1): 137–50. doi:10.1007/s00401-013-1226-2. PMC 4054865 Freely accessible. PMID 24356982

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