Acute Stroke Treatment in Hyderabad

BRAIN STROKE ?

EVERY SINGLE MINUTE COUNTS

RUSH TO A COMPHRENSIVE STROKE CENTRE WITHIN 6-8 HRS

What is brain stroke and its significance?

Brain stroke is defined as sudden onset neurological deficit or dysfunction manifested by sudden loss of function of body parts. It is the leading cause of the disability worldwide. Brain stroke is one of the leading cause of mortality as well.

Brain Stroke Treatment using Mechanical Thrombectomy

What are the symptoms of stroke ?

• nability to move hand or leg
• Deviation of mouth
• Loss of speech
• Heaviness or senseless of oneside of body
• loss of consciousness

What is the cause of the stroke ?

Stroke may be due to any of the 2 following causes

• 1. Decreased/ absent blood supply to part of brain due to clot in the blood vessel ( 85% strokes are attributed to this type)- this type of stroke is called ischemic stroke
• 2. Rupture of brain blood vessel due to hypertension or aneurysm or AVM results in bleeding- this type of stroke is called hemorrhagic stroke

Stroke Prevention

The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including high blood pressure, cigarette smoking, atrial fibrillation and physical inactivity. More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control.

Medical treatments may be used to control high blood pressure and/or manage atrial fibrillation, carotid stenosis among high-risk patients. Those medicines include:

• Anticoagulants/Antiplatelets

  Antiplatelet agents such as aspirin and anticoagulants, such as warfarin, interfere with the blood's ability to clot and can play an important role in preventing stroke.

• Antihypertensives

  Antihypertensives are medications that treat high blood pressure. Depending on the type of medication, they can lower blood pressure by opening the blood vessels, decreasing blood volume or decreasing the rate and/or force of heart contraction.

Is complete recovery in stroke a reality ?

Yes. 85 percent of strokes are due to clot in the blood vessel supplying the brain. If you remove the clot within a specified period of time ( till 6-9 hrs) from stroke onset, we can expect recovery. Stroke due to rupture of blood vessel due to hypertension may not recover immediately

What are the treatments available for clot removal for stroke ?

The physician can give a blood clot lysing ( melting) drug called thrombolytic drug ( usually t-PA). It can be given through the vein in the arm or selectively into the brain blood vessel after doing a brain angiogram. These methods are applicable if the patient reaches the comphrensive stroke centre within 4 and half hrs. For patients coming to a comphrensive stroke centre within 7-8 hrs after stroke, the clots in the major brain blood vessels can be removed using latest technologies including either basket like devices (stentriever technology) or suction devices. This is the latest technology in the treatment of ischemic stroke. It is being successfully and extensively used world over to treat acute stroke due to clots in major brain blood vessels ( References: Stroke. 2015 Oct;46(10):3020-35 )