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    Dr. Rahul Yadav, Dr. Anant Kumar
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    Dr. Harit Chaturvedi
  • Percutaneous balloon aortic valvuloplasty & balloon dilatation of aortic coarctation in a 10 year old child 
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    Dr. Reena Anand, Dr. Raj Kumar, Dr. Divya Malhotra, Dr. Bharat Aggarwal
  • Risk factors for patients undergoing treatment for Breast Cancer
    Ms. Kanika Arora, Ms. Ritika Samaddar
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    Dr. Nafisa Shakir Batta, Dr. Dhruv Jain
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October, 2015 :15
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Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
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YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Neurosciences

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Neurosciences

Know About the Treatment Options for Brain Tumor

December 28, 2017 0 129 5 minutes, 16 seconds read

All tumours present inside the cranium are classified as brain tumours. Tumors can manifest inside the brain or travel through the lymphatic system in the blood vessels. A brain tumour-like other tumours is a life-threatening disease.

The causes of a brain tumour and why it occurs are still unknown. There are certain inherited conditions like the Von Hippel-Lindau Syndrome, Li-Fraumeni Syndrome, Neurofibromatosis and Turcot Syndrome that increase the risk of brain tumours.

What are the Treatment Options for Brain Tumor?

When a person is diagnosed with a brain tumour, a group of specialists including Neurologists, Radiologists and Neurosurgeons assess the extent of a tumour and derive the best possible treatment options. The treatment options largely depend on various factors such as –

  • Location of a tumour
  • Size of a tumour
  • Tumor stage
  • Type of tumours

Neurosurgery

Surgery is often the preferred treatment option when it comes to curing a brain tumour. One should consult the best neuro hospitals if the patient is having a tumour in the brain. There are several techniques employed during surgery including IGS (Image Guided Surgery) which accurately maps out the location of a tumour.

However, before the surgery, depending on the location of a tumour, the doctor will determine whether it is operable or inoperable.

Operable Tumor

A tumour which can be surgically removed with minimal risk of brain damage is known as an operable tumour.

Inoperable Tumor

If a tumour is located in a place near a vital area or structure and is inaccessible by the surgeon; then this tumour is termed as inoperable. Tumors located in the brain stem and thalamus is two such examples. But we do a stereotactic biopsy in thalamic tumours.

What Type of Surgery Is Recommended?

The common types of surgery for brain tumours are:

Biopsy (Open or Needle Biopsy / Stereotactic Biopsy)

A biopsy is a surgical procedure that involves taking a sample in case of not a definite diagnosis and inoperable states of the tumour tissue. It is used to determine the exact type of tumour for further treatment. The sample tissue diagnosis can further be used to determine if radiation therapy/chemotherapy / Radiosurgery will be useful.

What Happens During a Biopsy?

A biopsy is carried out in the following steps:

  • Patient with a brain tumour will undergo an MRI or CT Scan to determine the exact location of tumour
  • A dose of general anaesthesia is given to the patient
  • A small ‘burr hole’ is drilled on the skull by the neurosurgeon
  • The surgeon then passes a needle through the hole to take a sample of the tumour
  • Hole is closed using stitches and patient is given steroids to help with swelling

Craniotomy

A craniotomy is the most common type of surgery for a brain tumour. The procedure involves shaving a portion of the head, making an incision in the scalp then using an operating drill to remove a portion of the skull where a tumour is located. This enables the surgeon to remove as much tumour as possible. Once a tumour is removed, the portion of the skull which was removed is replaced, fixed with titanium plates and screws and then the scalp is stitched back.

Awake craniotomy

  • In some cases, if a patient is undergoing awake craniotomy, they will be awake to allow the neurosurgeon to map where the functions of the brain are located
  • The brain does not feel pain, and in case of an awake craniotomy the patient might be able to feel only the pulling of a tumour
  • Neurosurgeon will remove as much tumour as possible without any brain damage
  • When an entire tumour is removed, it is known as ‘total resection.
  • When only a part is removed, it is known as ‘debulking’
  • The bone flap which is removed is replaced, and the wound is closed using stitches

The Risks of Brain Surgery

No surgical process is without any risk. Brain surgery is a major surgery, and there are some extra risks involved.

The possible risks involved are as follows:

  • Bleeding in the brain
  • Weakness in some part of body (location dependent)
  • Memory problems, impaired speech, vision, or balance
  • Allergic reaction to anaesthesia
  • Stroke
  • Infection
  • Prolonged unconsciousness

Radiation Therapy

Radiation therapy is the use of high-energy x-rays which are employed to destroy tumour cells. After surgery, radiation therapy is used to stop or slow down the further growth of a tumour. In cases where surgery is not a viable option, doctor relies on radiation therapy for the treatment.

The most commonly used radiation therapy is known as external-beam radiation therapy with grade II to IV. It is given by a machine which is employed outside the body. Patients with a brain tumour must get regular radiation therapy for an effective treatment. It is scheduled for a period of time.

Types of Radiation Therapy

Conventional Radiation Therapy – The site of a tumour is determined based on anatomic landmarks and X-rays. This technique is appropriate in situations for brain metastases where the entire brain undergoes radiation therapy.

Stereotactic Radiosurgery – Stereotactic radiosurgery is a highly precise treatment that uses a single, high dose of radiation directly on a tumour.  It avoids damaging the healthy tissues.

This radiation therapy works well for a tumour that affects only a single area of the brain. Since it is a specific form of radiation therapy, it can also be used when a person has more than one metastatic brain tumour in distinct parts. There are several types of stereotactic radiosurgery equipment, including:

  • Modified Linear Accelerator – It is a machine that creates high-energy radiation by using electricity to form a stream of fast-moving subatomic particles
  • Gamma Knife – It concentrates high focused beams of gamma radiation on the tumour directly with precision
  • CyberKnife – It is a robotic device which guides the radiation to the site of a tumour in the brain

Chemotherapy

Chemotherapy is used in some cases of brain tumours (high grade) along with the treatment options mentioned above (grade II to IV). Chemotherapy requires the use of drugs to destroy tumour cells. Usually, the tumour cells left after surgery are destroyed by using chemotherapy. A patient with a brain tumour will undergo various sessions of chemotherapy set over a period.

Brian Tumor can be treated if diagnosed early. As the best neurosurgery hospital in India, we at Max Institute of Neurosciences offer a broad spectrum of services. 

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Is There Any Treatment Available for Parkinson’s Disease?

December 18, 2017 0 86 1 minute, 33 seconds read

Parkinson is the 2nd most common neurodegenerative disorder that causes a progressive deterioration of motor function due to a loss in dopamine-producing brain cells. Moreover, this condition can significantly cause a reduction in the movements.

In Adults, the onset of Parkinson's disease is the most common, an early onset can occur between 21-40 years of age, while the juvenile onset is less than 21 years. Dr. Manoj Khanal, Senior Consultant, Neurology, Max Super Speciality Hospital, Shalimar Bagh, says most cases are idiopathic; 5 genes are implicated (SNCA; PARK2; PARK7; LRRK2; PINK1).

What are the risk factors and its symptoms?

The risk factors include:

  • AGE (largest risk factor) more than 60 years
  • SEX (male:female)
  • Head trauma
  • Illness
  • Environmental toxins like pesticides
  • Herbicides

Main symptoms are:

  • TREMORS
  • RIGIDITY
  • SLOWNESS OF MOVEMENTS
  • GAIT ABNORMALITY
  • POSTURAL INSTABILITY

Is there any diagnosis available?

For diagnosis:

1. At least two of the three major symptoms should be present (Tremor; muscle rigidity; slowness)

 2. Onset of symptoms started on one side of body

3. No secondary cause like medications; infection; stroke; metabolic cause;

4. Significant improvement with levodopa.

What is the treatment?

There is no treatment to cure the disease. The experts say that the treatment provided will only reduce the symptoms and progression of the disease. However, the most effective therapy is LEVODOPA+ CARBIDOPA, which is meant to increase the amount of dopamine in the brain. The treatment should be provided as early as possible to delay the progression of the disease.

Surgery and Deep Brain Stimulation (DBS) are meant in refractory cases. Parkinson is not a fatal disease. Those on proper medications can lead a normal life for several years. Secondary complications like pneumonia, fall-related injuries and choking can lead to death.

To manage the disease effectively, you need to:

  • Make lifestyle changes
  • Exercise Regularly
  • Physiotherapy
  • Occupational therapy
  • Speech therapy

You need to meet an expert neurologist to seek correct medical intervention.  

 

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STROKE: It’s a CHOICE! Don’t Call it a Disease

December 8, 2017 0 72 2 minutes, 18 seconds read

For ages we have known that prevention is better than cure, it holds true even for a Stroke. Stroke or brain attack is a lifestyle associated disease and it is entirely your choice on how you choose to prevent it.

Dr. Chandril Chugh, Head, Interventional Neurologist, Max Super Speciality Hospital, Saket,  says the majority cases of stroke are due to a sedentary lifestyle and an unhealthy diet. Also, some of us are prone to having a stroke due to genetic causes, which is a different topic altogether. Preventing a stroke is not a rocket science and it can be prevented easily.  

Know about the Stroke Prevention Strategy:

High blood pressure: The single most important thing that anyone can do to prevent stroke is to control their blood pressure. The easiest way to control blood pressure is through exercise and diet and if needed medications. Normal blood pressure is less than 120/80 mm hg and anything higher should not be ignored.

High Cholesterol:  Second amongst the usual suspects is cholesterol.  One easy way to manage cholesterol is to increase fruits and vegetables in the diet and avoid fried foods. Consuming healthy fats from nuts (almonds or walnuts), fish oils and oils like olive oils and flax seed oil is also beneficial. If the diet doesn’t work then medications can come to rescue.

High Sugar: Sugar beyond the normal values is not good for the body. It is important to realize that and eliminate or at least limit the intake of sugary foods like cold drinks, juices, cookies, biscuits, chocolates, sweets etc. One 500 ml bottle of cold drink contains about 55 gm of sugar which is equivalent to 11 teaspoons of sugar….you can aptly call it the Devil’s drink,  it’s not going to do any good to you.

Smoking: The smoke that travels through the lungs into the blood and then gets circulated throughout the body gets mixed with blood, causing the blood to become sticky and causing a stroke. Stay away from smoking. There are two kinds of people who don’t smoke: The healthy ones and the ones who are paralyzed due to stroke.

Diet: My advice for diet is simple, you can eat anything that comes out of the ground (fruits, vegetables) is white (low-fat milk) or sometimes pink (fresh fish or lean chicken).  Stay away from anything in a plastic packet or a bottle.

Exercise: A good diet with regular physical exercise is the secret to good health. If you follow this routine you will not have to worry about the first three points of the discussion.

Doctor: The last piece of stroke prevention puzzle is the doctor.

“Your brain is the Ferrari of your body, and you don’t take your Ferrari to a roadside mechanic”. Choose wisely.

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Explained - The Common Types of Tremors

December 6, 2017 0 407 3 minutes, 26 seconds read

A tremor is different from a muscle twitch or any muscle spasms. It is actually an unintended and overpowering movement of one limb or one part of the body- typically the legs, hands, face, voice, abdomen or arms. They might not be serious but in some cases, they can be an indication of a serious health disorder. This disorder can affect both women and men.

Common Causes of Tremors

  • Alcohol abuse
  • Stress
  • Too much caffeine intake
  • Muscle fatigue
  • Stroke
  • Brain injury
  • Multiple sclerosis
  • Hyperthyroidism
  • Parkinson’s Disease
  • Low blood sugar levels
  • Essential Tremor (Unknown )

What are its Symptoms?

  • Difficulty drawing or writing
  • Shaking of hands, torso, legs, head or arms
  • Shaky voice and nodding head
  • Problem carrying out tasks like holding a spoon or controlling the action of the limbs

If any of these symptoms appear repeatedly, it’s advisable to consult a specialist at Max Healthcare, the best neuro hospital in Delhi.

It is necessary to know the different types of Tremors

Tremors are divided into two main categories –

  • Resting Tremor – usually affecting the fingers or the hands, resting tremors occur when a person is resting and goes away once they begin to move around.
  • Action Tremor – tremors that occur with any voluntary movement of a muscle. Furthermore, action tremors have several sub-classifications, many of which overlap.

                Kinetic tremor – Caused by any voluntary movement like blinking of eyes and movement of the wrists

                Postural tremor -  Occurs when maintaining a position against gravity

                Isometric tremor – Occurs during a voluntary muscle contraction such as holding a dumbbell or a heavy book

                Task-specific tremor – This type occurs only when performing specific tasks like speaking or writing

                Intention tremor – Occurs when the limb is guided to move towards a specific body part and becomes worse when it gets closer to the target

Categories of Tremor

Essential Tremor

Also known as familial tremor, Essential tremor is a common movement disorder which is usually mild and may not progress. The tremor usually starts from one side of the body and slowly progresses to the other. Recent studies have connected Essential tremor with mild degeneration in the cerebellum.

Dystonic Tremor

Occurring irregularly, Dystonic tremor can be relieved by resting. This tremor usually occurs in people suffering from dystonia. This tremor can occur at any age.

Parkinsonian Tremor

Often stated as the first sign of Parkinson’s disease, Parkinsonian Tremor is a resting tremor and is common in people above the age of 60. It occurs when parts of the brain that control the movements are damaged.

Psychogenic Tremor

Also known as functional tremor, psychogenic tremor has no particular characteristic and can appear in any form of tremor. Psychogenic tremor usually starts abruptly and may affect all parts of the body in the long run.

Physiologic Tremor

A physiologic tremor is caused by a reaction to alcohol withdrawal, certain drugs, or medical conditions, such as an overactive thyroid gland or hypoglycaemia. It usually goes away after the cause of the tremor is eliminated.

Cerebellar Tremor

Controlling movement and balance of the body, the cerebellum is part of the hindbrain. A cerebellar tremor is usually caused when a tumour or any disease like multiple sclerosis damages the cerebellum. Furthermore, Cerebellar tremor can also be caused by alcoholism or overuse of any medication.

Orthostatic Tremor

An orthostatic tremor usually occurs in the legs. This is a swift, recurring muscle contraction that arises instantly after someone stands. There are no medical signs or symptoms of Orthostatic Tremor. The unsteadiness stops when the person sits, legs are lifted, or when they start taking steps.

Are there any treatment Options available?

  • Medication
  • Botox Injections
  • Brain Stimulation Surgery
  • Physical Therapy

We at Max Healthcare are proud to be labelled as the best neuro hospital in Delhi. We have an excellent panel of doctors with years of expertise in the neurology department. If you experience any of the signs and symptoms indicating any kind of tremors, immediately consult a specialist at any of our closest centres for immediate diagnosis and treatment of the condition. Remember, tremor is not life-threatening. However, it can over the time making it difficult to carry out daily tasks. 

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Dr. Vikas Kathuria

Dr. Vikas Kathuria
Senior Consultant
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Memberships: 
  • Neurologial Society of India (NSI)
  • Neuro Spinal Surgeons Association (NSSA)
  • Indian Medical Association (IMA)
     
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PROFESSIONAL JOURNEY

Work Experience: 
  • 6 years after M.Ch. Neurosurgery
  • Ex Junior Consultant – Paras Hospital Gurgaon (2011-2012)
  • Ex Assistant Professor Neurosurgery – Pt. BDS PGIMS, Rohtak (2012)
  • Senior Registrar – Smt. NHL Medical College; V S Hospital, Ahmedabad
     
Education & Training: 
  • M.B.B.S. – Pt. BDS PGIMS, Rohtak (1995-2000)
  • MS (Gen. Surgery)- Pt. BDS PGIMS, Rohtak (2003-2006)
  • Registrar (Gen. Surgery)- Pt. BDS PGIMS, Rohtak (2006-2008)
  • M.Ch. (Neurosurgery) – V.S. Hospital, Smt. NHL Medical College, Ahmedabad (2008-2011)
  • Neuroendoscopy Fellowship Programme at NSCB Govt. Medical College, Jabalpur, M.P. (2016)
     
Speciality Interest: 
  • Brain & Spinal Tumors
  • Complex Spinal Fixations
  • Deep Brain Stimulation (Parkinsonism)
  • Tethered Cord/ Spinal Malformation Surgeries
  • Paediatric Neurosurgery
  • Endoscopic Brain Surgery
     
Duration Of OPD: 

   Max Hospital, Gurgaon

  • Mon to Sat : 10 am – 1 pm 
  • Mon to Sat : 3 pm – 5 pm 

A Health Guide to Multiple Sclerosis!

November 17, 2017 0 45 3 minutes, 58 seconds read

In multiple sclerosis, the communication within the brain, and brain and body is disrupted. Multiple Sclerosis is a chronic, unpredictable and often a disabling disease which affects the central nervous system, spinal cord, and optic nerves. It is categorized as an autoimmune disease caused by the immune system attacking and damaging the nervous system.

Cause and Risk Factors

The cause of Multiple Sclerosis is still not known. However, there is an interaction of several factors that may be involved in Multiple Sclerosis. An extensive ongoing research is being carried out in the areas such as genetics, immunology (the science of body’s immune system), and epidemiology (the study of patterns of disease in the population). Keeping the research in mind, Multiple Sclerosis causes can be classified into four categories.

Immunologic Factors

Multiple Sclerosis occurs when the immune system attacks the nervous system. In recent years, researchers have identified the immune cells that initiate the attack and factors that cause the immune cells to attack.

Environmental Factors

Epidemiologists have found that Multiple Sclerosis is more prevalent in areas that are farther from the equator. There is enough evidence that shows that Vitamin D plays a significant role in strengthening the immune system and people who are exposed to more sunlight throughout the year have lesser chances of Multiple Sclerosis.

Genetic Factors

Multiple Sclerosis is not genetic. However, having a first-degree relative such as a parent or sibling with Multiple Sclerosis increases the chance of developing the disease. Researchers are studying common genetic factors in families where Multiple Sclerosis is present in more than one person.

Infectious Factors

Any initial exposure to certain viruses, bacteria, and other microbes during childhood can be a cause of Multiple Sclerosis in the future. Since viruses are well-recognized as being the triggers of demyelination - the removal of the myelin sheath from a nerve fibre can lead to Multiple Sclerosis.

Symptoms

Multiple Sclerosis can threaten the life of patient depending on the symptoms and severity of the condition. The symptoms vary from person to person, and there is no ‘standard’ set of indicators.

Multiple Sclerosis symptoms are broadly categorized into 3 types –

Motor Symptoms (Changes in Muscle Function)

  • Weakness
  • Tremor
  • Difficulty walking
  • Stiffness
  • Poor Coordination
  • Bowel/Bladder problems

Sensory Symptoms (Changes in Sensation)

  • Tingling
  • Numbness
  • Dizziness or Vertigo
  • Visual disturbances
  • Abnormal sensations

Other Symptoms

  • Fatigue
  • Heat sensitivity
  • Sexual symptoms
  • Cognitive changes
  • Emotional changes

Multiple Sclerosis differs from person to person, and each patient has their own set of symptoms. There are also individuals who have mild Multiple Sclerosis and may never know that they have it, while for others it can be severe. Basis the signs, symptoms and severity, Multiple Sclerosis is classified in the following ways –

Relapsing-remitting (RRMS)

Patients have occurrences of symptoms, with or without recovery, but between attacks, there is no interval worsening.

Secondary Progressive (SPMS)

This stage comes few years after relapsing-remitting and the pattern change from a relapsing one to a progressive one in between the attacks.

Primary Progressive (PPMS)

Gradual onset from the beginning with no attacks

Progressive-Relapsing (PRMS)

One of the rare forms of Multiple Sclerosis, it begins with a progressive course which later transforms into developing attacks.

Fulminant

A rare yet extremely severe and rapidly progressive Multiple Sclerosis

Diagnosis and Testing

Multiple Sclerosis is often difficult to diagnose because there is no single diagnosis or test for finding out if the person suffers from it or not. Since the symptoms vary from person to person, neurologists have to take the history of neurological symptoms into account.

A neurological examination may suggest problems with the spinal cord or brain. Imaging studies help to confirm a diagnosis of multiple sclerosis. MRI is the most common test done to help diagnose the disease since it can be used to image the brain and spinal cord.

Furthermore, a spinal tap or lumbar puncture is done to collect a small amount of cerebrospinal fluid which is used to confirm the presence of proteins, inflammatory markers or other substances. A spinal tap is generally not necessary if MRI scans are not abnormal.

When neurologists suspect multiple sclerosis in a patient, other tests are also conducted to check for diseases such as Lyme disease, lupus, vasculitis, HIV and process which can lead to multiple strokes.

Treatment

Several considerations are taken into account for Multiple sclerosis treatments. Once MS is confirmed in a patient, modifying therapy is recommended which controls the occurrence of symptoms.

At Max Institute of Neurosciences, our goal is to control symptoms and help the patient maintain a healthy life by providing dedicated care and monitoring. The treatment includes drugs for controlling symptoms to prevent attacks in the future. At Max, we have an exclusive Multiple Sclerosis Clinic that offers consultation, comprehensive diagnosis and therapies for the condition.

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Who is the Real “Hero” of Stroke Care?

November 17, 2017 0 79 3 minutes, 32 seconds read

We know more about our clothes and cars than we know about our health and body. It is astonishing that we spend more time to research about which laptop to buy, but when it comes to our own health most of us take a passive approach. This deficiency of knowledge is even more evident when it comes to dealing with emergencies.  “Ït is too late now, I am sorry!”  Unfortunately, we have heard this line more often in the real life than in films. 

The question arises, what can we do to change this? How do we tackle this deficiency? Dr. Chandril Chugh, Senior Consultant, and Head, Interventional Neurology, explains this with an example.

We had a 70-year-old female brought to the emergency room by her granddaughter for confusion and difficulty walking due to weakness on the right side. The granddaughter was sure that the symptoms had started right after the breakfast. It took them 45 minutes to drive, so they were in the hospital within the first hour of the symptoms. The patient was evaluated and head imaging was done which showed occlusion of the left middle cerebral artery (largest blood supply to the brain).

An Interventional Neurologist intervention was necessary, who recommended Mechanical Thrombectomy. The patient underwent the procedure successfully and was discharged without any deficits. The entire family was happy and satisfied with the treatment. Now my question is: who deserves the credit for this good outcome- The Interventional Neurologist, Neurologist or the emergency physician?  I personally believe that the “Hero” of this scenario is neither of the above but, the granddaughter. If she had not recognized the symptoms and brought her grandmother to the hospital in time, then we would not have been able to achieve what we did. She was aware of the stroke symptoms and took the right decision of coming to the hospital. When it comes to dealing with emergencies like Stroke or Brain attack, information and knowledge are life-saving.

Below mentioned are the important aspects of stroke diagnosis and care.

How do you recognize a stroke?

STROKE: REMEMBER THE 6 S METHOD TO DIAGNOSE STROKE

  • SUDDEN (symptoms usually start suddenly)
  • SLURRED SPEECH ( speech is not clear, as if drunk)
  • SIDE WEAK ( face, arm or leg or all three can get weak)
  • SPINNING ( VERTIGO)
  • SEVERE HEADACHE
  • SECONDS ( note the time when the symptoms start and rush to the hospital)

Can stroke be really serious?

If I were to say stroke is really bad, you will probably not believe me. Luckily, some studies have made my job easier. According to a study done by researchers in 2006 in the USA, a patient with ischemic stroke loses 190,00,00 brain cells every minute, about 14000,000,000 nerve connections are destroyed every minute and 12 km (7.5 miles) of nerve fibers are lost every minute. The end result is the patient gets paralyzed for life and becomes dependent. That's pretty scary!!!

Is there a treatment available for stroke?

Yes. The Stroke treatment depends on which kind of stroke the patient has. Up to 85 % of all strokes are ischemic (blocked blood vessel). For ischemic brain attack, there is an option of intravenous medication called tPA (recombinant tissue plasminogen activator) available which can be given to the patient within first 3 to 4.5 hours of the symptom onset. The patients who have a blockage in a large blood vessel can be offered a procedure called mechanical thrombectomy, which involves removing the blockage in the blood vessel and restoring the blood supply.  This procedure is done through a small nick in the groin and there is no open surgery involved. Recent trials have shown that patients do exceedingly well post mechanical thrombectomy and have a greater chance to live life independently.

Till what time can you do mechanical thrombectomy?

Mechanical Thrombectomy can now be offered up to 24 hours from the symptoms onset but, sooner its done better the patient does.

What is the single most important factor in stroke care?

The most important part of stroke care is not the doctor or the hospital, it’s the patient! As most of the strokes are painless, patients tend to ignore their symptoms and hence delay the treatment. If the patient and the family are aware of stroke symptoms they can reach the hospital in time and can get treated.

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