Stroke

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What is Stroke?
Stroke is prompted by a blocked blood vessel or bleeding in the brain. The signs of a stroke include an immediate grinding headache, weakness, numbness, vision problems, confusion, trouble walking or talking, dizziness and slurred speech.
When a stroke happens, the blood supply to part of the brain is suddenly interrupted. Brain cells die when they no longer get oxygen and nutrients from the blood or there is immediate bleeding into or around the brain.
The two forms of stroke are:

  • Ischemic -- blockage of a blood vessel supplying the brain, and in an ischemic stroke, a blood clot blocks or plugs a blood vessel or artery in the brain. About 80% of all strokes are ischemic.
  • Haemorrhagic -- bleeding into or around the brain. In a haemorrhagic stroke, a blood vessel in the brain breaks and bleeds into the brain. About 20% of strokes are haemorrhagic.



Transient ischemic attack (TIA)
A transient ischemic attack (TIA) — sometimes known as a mini-stroke — is a temporary period of symptoms similar to those you'd have in a stroke. A temporary decrease in blood supply to part of your brain causes TIAs, which may last as little as five minutes.
Like an ischemic stroke, a TIA occurs when a clot or debris blocks blood flow to part of your nervous system — but there is no permanent tissue damage and no lasting symptoms.


Symptoms of a Stroke
You should consider these symptoms warning signs and consult your health care provider:

  • Sudden weakness or numbness in the face, arm, or leg on one side of the body.
  • Abrupt loss of vision, strength, coordination, sensation, speech, or the ability to understand speech. These symptoms may become worse over time.
  • Sudden dimness of vision, especially in one eye.
  • Sudden loss of balance, possibly accompanied by vomiting, nausea, fever, hiccups, or trouble with swallowing.
  • Sudden and severe headache with no other cause followed rapidly by loss of consciousness -- indications of a stroke due to bleeding.
  • Brief loss of consciousness.
  • Unexplained dizziness or sudden falls.



Risk Factors
There are things you can do to lower your risk of stroke. High blood pressure increases your risk of stroke four to six times. Heart disease, especially a condition known as atrial fibrillation or AF, can double your risk of stroke. Your risk also increases if you smoke, have diabetes, sickle cell disease, high cholesterol, or a family history of stroke.


Lifestyle risk factors

  • Being overweight or obese
  • Physical inactivity
  • Heavy or binge drinking
  • Use of illicit drugs such as cocaine and methamphetamines



Treatment & Care
Everyone who has had a stroke or who is at risk of stroke needs to know about stroke treatment and care.
Thrombolysis: Thrombolysis, also known as thrombolytic therapy, is a treatment to dissolve dangerous clots in blood vessels, improve blood flow, and prevent damage to tissues and organs.
Medications: A wide range of medicines is used for people who have had a stroke or are at high risk of having one. Click here to learn about them.


Treatment for Stroke
Generally, there are three treatment stages for stroke: prevention, therapy immediately after the stroke, and post-stroke rehabilitation. Therapies to prevent a first or recurrent stroke are based on treating an individual's underlying risk factors for stroke, such as high blood pressure, atrial fibrillation, and diabetes. Acute stroke therapies try to stop a stroke while it is happening by quickly dissolving the blood clot causing an ischemic stroke or by stopping the bleeding of a haemorrhagic stroke. Post-stroke rehabilitation helps individuals overcome disabilities that result from stroke damage. Medication or drug therapy is the most common treatment for stroke. The most popular classes of drugs used to prevent or treat stroke are antithrombotic (antiplatelet drugs and anticoagulants or "blood thinners") and thrombolytics.


Complications
A stroke can sometimes cause temporary or permanent disabilities, depending on how long the brain lacks blood flow and which part was affected, which includes-

  • Paralysis or loss of muscle movement.
  • Difficulty talking or swallowing.
  • Memory loss or thinking difficulties.
  • Emotional problems.
  • Pain. Pain, numbness or other strange sensations may occur
  • Changes in behaviour and self-care ability.

Why can't some victims identify stroke symptoms?
Because stroke injures the brain, one is not able to perceive one's own problems correctly. To a bystander, the stroke patient may seem unaware or confused. A stroke victim's best chance is if someone around her recognizes the stroke and acts quickly.


Stroke Rehabilitation
The goal of stroke rehabilitation is to help you relearn skills you lost when a stroke affected part of your brain. Stroke rehabilitation can help you regain independence and improve your quality of life.


Factors that affect the outcome of stroke rehabilitation-
Stroke recovery varies from person to person. It's hard to predict how many abilities you might recover and how soon. In general, successful stroke rehabilitation depends on:

  • Physical factors, including the severity of your stroke in terms of both cognitive and physical effects
  • Emotional factors, such as your motivation and mood, and your ability to stick with rehabilitation activities outside of therapy sessions
  • Social factors, such as the support of friends and family
  • Therapeutic factors, including an early start to your rehabilitation and the skill of your stroke rehabilitation team

The rate of recovery is generally greatest in the weeks and months after a stroke. However, there is evidence that performance can improve even 12 to 18 months after a stroke.

Neurosciences Hospitals in India

Neurosciences Top 20. Top Ranked Hospitals for Neurosciences in India. Get Opinion and cost estimate from any three Hospitals Times of India National Rank in Neurosciences The Week National Rank in Cardiology
Indraprastha Apollo Hospital Delhi India

The India’s First Hospital which is Internationally Accredited by Joint Commission International(JCI) is the Indraprastha Apollo Hospital, New Delhi. It is the best multi-speciality tertiary acute care hospitals with over 700 beds.

Size of Hospital (Beds) : 718
Accredited By :
  • JCI
  • NABH
1 5
Medanta Hospital Gurgaon Delhi India

Medanta – The Medicity is one of India's largest multi-super specialty institutes located in Gurgaon, a bustling town in the National Capital Region. Founded by eminent cardiac surgeon, Dr.

Size of Hospital (Beds) : 1,250
Accredited By :
  • JCI
  • NABH
2 2
Apollo Hospitals Chennai

In 1983 , the Apollo Group established the flagship hospital named as Apollo Hospital , Chennai.

Size of Hospital (Beds) : 500
Accredited By :
  • JCI
  • NABH
3 1
Fortis Hospital Mohali India

Fortis Hospital Mohali (FHM) has been Internationally Accredited by Joint Commission International (JCI) since 2007 (renewed for the 4th time in 2016).

Size of Hospital (Beds) : 344
Accredited By :
  • JCI
  • NABH
4
BLK Hospital New Delhi India

In 1930 , at Lahore Dr. B.L. Kapur an distinguished Obstertrician and Gynaecologist set up a Charitable Hospital. He moved to post-separation India and set up a Maternity Hospital at Ludhiana in 1947. In 1956 on the request of the Prime Minister, Dr.

Size of Hospital (Beds) : 650
Accredited By :
  • JCI
  • NABH
5
Jaslok Hospital Mumbai India

Jaslok Hospital was set up in 1973 with a very simple mission. Our founders, Jasoti and Lokoomal Chanrai, wanted to ensure that we provide the best possible medical care using state-of-the-art technology to every single patient, irrespective of their social background or financial ability.

Size of Hospital (Beds) : 600
Accredited By :
  • JCI
  • NABH
6
MGM Hospital Mumbai India

The Mahatma Gandhi Mission (MGM) New Bombay Hospital Vashi is one of the most advanced multi-specialty tertiary care centres in the heart of Navi Mumbai in India.

Size of Hospital (Beds) : 176
Accredited By :
  • JCI
  • NABH
8
Max Super Speciality Hospital - Patparganj New Delhi India

Max Multi Speciality Hospital, Patparganj, subsidiary of Max healthcare that have 11 top hospitals in Delhi- NCR, Punjab and Uttarakhand with over 1900 bedding facilities including 525 ICU bedding, 2100 world class doctors.

Size of Hospital (Beds) : 500
Accredited By :
  • JCI
9 9
Apollo Hospital Hyderabad India

Apollo hospital , Hyderabad is the best hospital in the world , in terms of technical expertise , deliverables and outcomes. The first health city in Asia and a perfect example of an integrated healthcare system offering solutions across the healthcare space is the Apollo Health City Hyderabad.

Size of Hospital (Beds) : 350
Accredited By :
  • JCI
  • NABH
10
Apollo Gleneagles Hospital Kolkata India

A 510-bedded multispecialty tertiary care hospital – Apollo Gleneagles Hospitals Kolkata, is a perfect blend of technological excellence, complete infrastructure, competent care and heartfelt hospitality - this is how the people, whom we have been fortunate to serve, define the hospital.

Size of Hospital (Beds) : 150
Accredited By :
  • JCI
  • NABH
11
SIMS Hospital Chennai India

SIMS Hospital – Vadapalani, Chennai renders 360 degree advanced tertiary healthcare services with multi-super speciality and, very soon, a state-of-the-art multi-organ transplant service.

Size of Hospital (Beds) : 350
Accredited By :
  • JCI
  • NABH
12
Bombay Hospital & Medical Research Center Mumbai India

Established over five decades ago, in 1952, The Bombay Hospital was the result of the enormous philanthropy displayed by Shri Rameshwardas Birla, Founder Chairman of the Bombay Hospital Trust.

Size of Hospital (Beds) : 830
Accredited By :
  • NABH
13 6
Dr. L H Hiranandani Hospital Mumbai India

Dr L H Hiranandani was the inspiration behind the edifice. He was born in 1917 in Thatta, Sind (now in Pakistan). The family migrated to Mumbai in 1937. He completed his medical education in 1942. He was keen to further his education and went to England for his fellowship (FRCS).

Size of Hospital (Beds) :
Accredited By :
  • JCI
  • NABH
14
Fortis Memorial Research Institute - Gurgaon India

Fortis one of their leading health care centers is located at Guargaon. Fortis hospital Guargaon Set up over 11-acres, with a provision of 1000 beds.

Size of Hospital (Beds) : 1000
Accredited By :
  • JCI
  • NABH
15 12
Institute of Neurosciences Kolkata for Neurology Kolkata India

The Institute of Neurosciences, , Kolkata (I-NK), is the dream of one individual, Dr R P Sengupta, an eminent neurosurgeon practising in England since 1961, but with roots in Kolkata.

Size of Hospital (Beds) : 150
Accredited By :
  • JCI
  • NABH
16
Continental Hospitals, A Gleneagles Facility Hyderabad India

Continental Hospitals is a part of the Parkway Pantai Ltd. Parkway Pantai is one of the region's largest integrated private healthcare groups with a network of 22 hospitals and more than 4,000 beds throughout Asia, including Singapore, Malaysia, Brunei, India, China and Vietnam.

Size of Hospital (Beds) : 750
Accredited By :
  • JCI
  • NABH
17
Fortis Hospital Kolkata India

Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality NABH accredited tertiary care healthcare hospital. The 10-storied, 400 bed hospital is built on a 3 lakh square feet area, equipped with the latest technologies in the medical world.

Size of Hospital (Beds) : 300
Accredited By :
  • JCI
  • NABH
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