In patients presenting within the golden period after symptoms of acute stroke, (4.5 hours), our stroke team comprising of Neurologist, Emergency and critical care specialists and Neuro Radiologist, will evaluate and proceed with intravenous thrombolysis in suitable patients. This comprises of injecting a drug called recombinant tissue plasminogen activator ( r-TPA) which can break open the clot and restore patency of the blocked vessel. This results in clinical improvement of the stroke patient.
In certain patients presenting after 4.5 hours and with certain large vessel blocks, we have a facility where our Interventional Neuroradiologist will take the patient to the cardiac catheterization lab and under fluoroscopic guidance introduce a catheter into the blocked vessel. He will the proceed to aspirate the clot and sometimes do an angioplasty or stent the vessel restoring patency
We also have an advanced critical care set up, with intensivists, round the clock, treating and monitoring our stroke patients, thereby improving their outcome.Our acute stroke care starts from the ambulance pick up itself.
Stroke is a medical emergency that occurs when blood supply to the brain is reduced due to either blockage or leakage of the blood vessel resulting in damage of brain tissue.
Stroke is very common and it is estimated to occur 1 out of 5 individuals and every 4 minutes one person gets affected by stroke. Annually more than 15 million people suffer from stroke and out of the 5.5 million people succumb to it, leaving rest to have variable disability.
In fact stroke is the leading cause of disability and second-leading common cause of death.
There are two types of strokes:
Remember the pneumonic: BE FAST: Balance-Eye-Face-Arm-Speech-Time to rush
Happens in Brain -Similar to heart attack its Brain attack.
Stroke can affect anyone and at any age
Ischemic Stroke is reversible if treated within Golden hour either by giving CLOT BUSTING injection within 4.5 hours or by mechanical removal of the obstructed clot within 6 hours through endovascular procedure known as MECHANICAL THROMBECTOMY (Class 1 evidence for major vessel occlusion).
First six hours from the stroke onset is known as Golden hour and if treatment is initiated within this time than symptoms can be reversed completely or partially.
It is mandatory to know your nearest STROKE READY HOSPITAL, which is equipped with 24 x365 (round the clock) availability of Neurologist, Neurosurgeon, Neuroradiologist and imaging facilities under one roof.
Both Neurosurgeons and Neurologists are medical doctors who are specialized and well trained in Neurology and treat patients who are suffering from nervous system disorders. However, Neurosurgeons perform surgery and Neurologists use therapeutic ways [medications] to treat and cure a disease condition.
Individuals who underwent neurosurgery should visit Neurosurgeon as directed or monthly once to check the progress of disease condition. Healthy individuals can also consult Neurosurgeon or Neurologist once in 2 years to check the status of the nervous system health condition.
Yes, if the brain tumor is severe and surgery is required to remove it, then the Neurosurgeon can perform surgery. If medications can treat a brain tumor, then the patient should consult a Neurologist.
Epilepsy is a central nervous system disorder that causes abnormal brain activity and leads to unusual behavior, loss of awareness, and loss of sensations. Any type of epilepsy can be diagnosed and treated by Neurologists. However, if a surgery is required to treat and cure Epilepsy, then Neurosurgeon can perform it.