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Neurosurgery In Management Of Stroke!

Dr. Vikas Bhardwaj 82% (10 ratings)
MS - General Surgery, MCh - Neuro Surgery, MBBS
Neurosurgeon, Greater Noida
Neurosurgery In Management Of Stroke!

Neurosurgery mainly deals with treating of functional disorders that affect the nerves, brain and muscles through major or minor surgery. The field of neurosurgery makes use of advanced surgical procedures. The different techniques are used to treat brain tumors, trauma to the head, cerebral hemorrhages, spinal disc herniation, brain aneurysms and peripheral neuropathy.

Neurosurgery Treatment
The main aim of neurosurgery treatment in patients suffering from stoke is to prevent neurologic deterioration as well as the recurrence of stroke. The advancement in medical treatment has increased to a great extent, however the mortality and morbidity in stroke patients is very high. The second leading cause of death all over the world is stroke, and hence, through neurosurgery stroke can be managed. Each year in the U.S there are about 800,000 people who suffer from stroke which causes disability.

Symptoms of Stroke and its Effects
The main symptoms of stroke are not identified easily by people. However, the symptoms that are caused on delay of treatment include difficulty in speaking, weakness on one side of the body, drooping on one side of the face and difficulty in walking.

Stroke at times is life threatening and it is also referred to as brain attack and can occur at any time to an individual. It is caused when the flow of blood supply to the brain is cut off and oxygen is deprived to the brain cells. Brain dysfunction occurs due to the dead brain cells and hence some patients lose their memory and control over their muscle movement. The treatment of stroke in such cases includes a neurosurgery by a neurological specialist.

Types of Stroke
The abrupt interruption to the flow of blood that causes hindrance in the neurological function can be best treated if detected early and by accurate diagnosis by a neurosurgeon. There are 3 different types of stroke that can occur and these include Hemorrhagic stroke, Ischemic stroke and Transient ischemic attack. The Ischemic stroke mainly occurs when blood vessels that supply blood to the brain are blocked. It is a common form of stroke and its underlying cause is known as atherosclerosis. The main procedures that are used for treating ischemic stroke include tissue plasminogen activator and endovascular procedure.

In the tissue plasminogen activator procedure, the patient is given medicine intravenously. The blood flow to the affected area of the brain is improved when the blood clot dissolves through this method. The medication is given immediately after 3-4 hours on occurrence of the stroke symptoms. In the second procedure, a catheter is used, which is injected in the area of the obstructed blood vessel. The blood flow to the area is restored by the endovascular procedure. Even anticoagulants are given to thin the blood and prevent clogging. In case you have a concern or query you can always consult an expert & get answers to your questions!

2726 people found this helpful

How Different Types Of Stroke Can Be Managed?

Dr. Arun Sharma 92% (35 ratings)
MBBS, MS - General Surgery, MCh - Neuro Surgery
Neurosurgeon, Delhi
How Different Types Of Stroke Can Be Managed?

A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when blood supply to the brain is cut off. The brain cells become oxygen deprived due to the stroke and eventually die. Dead brain cells result in brain dysfunction due to which patients lose control over muscle and memory.

Strokes can be mild to life threatening and requires immediate medical attention. Stroke requires advanced care and should be treated by extensively qualified and experienced medical experts. 

Neurosurgery satisfies all the required clauses for treatment of stroke and accounts for being one of the best ways for management of stroke. Renowned hospitals have a dedicated neurosurgical wing and a team of neurological specialists who know how to deal with stroke the best.

Vascular Neurology
This form of neurology focuses on patients who have undergone a stroke or have experienced symptoms of stroke. A multidisciplinary approach is taken for the prevention of recurrent cerebrovascular conditions.

Types of stroke

  1. Ischemic stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. This form of stroke is the more common. The underlying cause of this stroke is known as atherosclerosis, which is a condition where fatty deposits occur in the walls of the blood vessels and cause blockage in them.
  2. Hemorrhagic stroke: This type of stroke occurs when a blood vessel gets weak and ruptures into the brain. This is caused by two types of weak blood vessels known as aneurysm and arteriovenous malformation.
  3. Transient ischemic attack: This type of stroke is also known as a mini stroke. These attacks occur because of blood clots. The blockage caused is temporary or transient in nature.

Treatment of Ischemic stroke

  1. Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear.
  2. Endovascular procedure: This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area. 

Treatment of Hemorrhagic stroke

  1. Endovascular procedure: Several endovascular techniques and methods are used so that the weakening of blood vessels is reduced and less bleeding is caused.
  2. Surgical treatment: Different modes of neurosurgery may be undertaken to stop bleeding and for relieving pressure within the skull.
2 people found this helpful

Know The Symptoms Of Brain Stroke!

Dr. Sumanto Chatterjee 84% (10 ratings)
DM - Neurology, MBBS, MD - Internal Medicine
Neurologist, Delhi
Know The Symptoms Of Brain Stroke!

A stroke, also called cerebrovascular accident (CVA), cerebrovascular insult(CVI), or brain attack, occurs when a part of the brain is deprived of blood flow. When the brain cells are deprived of oxygen they begin to die. When brain cells die, the functions controlled by that part of the brain also stops, which results in different types of disabilities among stroke survivors.

There are two types of strokes

  • Hemorrhagic
  • Ischemic stroke

The first is caused when a brain aneurysm or a weak blood vessel bursts. Most of the time, this type of stroke leads to death. The second one happens when a clot blocks the flow of blood to the brain. Patients suffering from stroke suffer from various side-effects, the most common ones being paralysis or loss of feeling in a certain part of the body, problem in understanding or talking and loss of vision in one side. The side-effects start showing up regularly after a person has had a stroke.

In certain conditions, blood flow to a certain part of the brain stops for only some time and hence the body suffers stroke like symptoms which only last a couple of hours before disappearing. This is known as a transient ischemic attack (TIA). Unfortunately, the effects of a stroke can be debilitating and also permanent. Hence its important to know the symptoms of a stroke and rush the patient to a doctor as soon as possible. Sometimes early treatment can save a lot of damage.

The primary symptoms of stroke are as follows:

  1. Confusion and problems with talking and comprehension
  2. Headache along with alteration of consciousness or vomiting
  3. Numbness of the face, arms or legs, especially on one side of the body
  4. Issue with seeing, in one or both eyes
  5. Inability to walk with stability, including disrupted coordination
  6. Problems with the bladder and bowel control
  7. Acute depression
  8. Body temperature fluctuates, and pain worsens with movement
  9. Paralysis on one side of the body along with fatigue
  10. Problem in expressing or controlling emotions

Risk Factors:

Diagnosis of stroke

Several tests are carried out to determine the type of stroke acquired. They are:

  1. Physical examination, which involves observing the patient's overall condition.
  2. Blood tests
  3. CT scans
  4. MRI scans
  5. Cerebral angiogram
  6. Echocardiograms

In case you have a concern or query you can always consult an expert & get answers to your questions!

1819 people found this helpful

All You Need To Know About Brain Stroke!

Dr. Vivek Kumar 91% (49 ratings)
DM - Neurology, MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Medicine
Neurologist, Ghaziabad
All You Need To Know About Brain Stroke!

What is Stroke?

A medical condition in which the blood supply to the brain is interrupted, hence prevents the brain tissues from getting enough oxygen and nutrients. In a matter of minutes, the brain cells tend to die.

What Are The Symptoms?

Paying attention to the warning signals is extremely important. It’s important to watch the signs, if you feel that any of your friends or near and dear ones might be having a stroke. The longer you take to detect, the treatment options would also get affected accordingly. Let’s take a closer look at the symptoms:

  • Person having problem with speaking as well as interpreting things : If you come across a person or for that matter, if you feel as if you are getting confused or eating up words while speaking, then it’s a clear indication as well as a warning that a stroke is on the cards.

  • Facing trouble to see in one or both the eyes: Are you having a blurred vision or feel as if there are blackouts at short intervals or you are seeing double of everything around you, all these are signs that you might have a stroke in the near future.

  • Feeling numb or paralysed on certain parts of the body: Sudden numbness or paralysis is a very common symptom for anyone who are about to get affected by stroke. This actually affects one side of the body, where you are unable to move your hands, legs or feel anything on the mouth. At that time, it’s important to try and raise both the arms over one’s head. In such a situation, if one arm starts to fall, then might be on the verge of having a stroke.

  • Trouble while walking: People who are on the verge of having stroke, might stumble or feel a tinge of dizziness, resulting in loss of balance or lack of coordination. All these point towards a definite chance that the concerned person might get affected by stroke.

When Should You Go To Visit A Doctor?

There is need to seek for immediate medical attention as and when you notice any of the symptoms of a stroke, even if you feel there is fluctuation in them or seems to have disappeared. Taking prompt action is the need of the hour. You can do the following:

  • You can ask the person to raise their arms and notice if one of them drift downward or they are having problem in raising one of the arms.

  • To see if they are able to talk properly, you can say a phrase and ask him or repeat after you, hence notice if their speech is twisted or strange.

  • Tell the person to smile and notice whether one side of the face droop.

So we have looked at the aspects of the symptoms related to stroke and how could you get an idea if a person is about to get affected by the disease. In case you have a concern or query you can always consult an expert & get answers to your questions!


2714 people found this helpful

Stroke Management - How Physiotherapy Can Help Manage Pain?

Dr. Amin A. Khan 90% (271 ratings)
MDT(Mc Kenzie) , P.G-Dietitian, N.D.T-( Neuro Development Technic ), Physiotherapist
Physiotherapist, Mumbai
Stroke Management - How Physiotherapy Can Help Manage Pain?

Stroke survivors often suffer from medical complications such as chronic pain. Medical literature estimates that an average of 30-40 percent patients suffer from chronic pain after 4-6 months of the stroke, while an estimated 10-20 percent of patients suffer chronic pain after 12-16 months of the stroke. Shoulder pain is believed to affect almost 72 percent of post-stroke survivors. While there could be a lot of reasons for chronic pain, the best course of action is to rightly identify the underlying cause of the pain and get treated for the same. 

Understanding the different type of pains post stroke surgery



  1. Central post-stroke painCentral post-stroke pain or CPSP was once believed to be triggered by thalamic injury. The perception has now changed in the medical community. It is now believed that CPSP is the result of a lesion in the pathway of spino-thalamo-cortex. An approximate 8 percent of stroke patients get affected by this type of pain. The pain is often intense in nature and can affect an entire side of the body with a burning sensation.
  2. Complex regional pain syndrome: Complex regional pain syndrome or CRPS is a kind of pain that is neuropathic in nature. It is estimated that an average of 12-30 percent of all stroke patient experience this pain within 1-5 months of the stroke. Limited range of motion, spasticity is believed to be the cause of CRPS. In terms of pain intensity, CRPS can be divided into 3 phases: 
    • Stage 1 of the pain can last for 1-6 months with possible implications of hypersensitivity, edema, intense pain and hyperhidrosis. 
    • Stage 2 of the pain is characterized by a decreased flow of blood into the limb
    • Stage 3 is the last stage where a patient can witness a loss of function. The treatment can be frustrating as it requires a multi-dimensional approach. Anticonvulsants and gabapentin are frequently prescribed by doctors to deal with this pain.
  3. Hemiplegic shoulder pain: This is the pain that can crop up due to the biochemical changes in the upper extremity of the body. Causes of shoulder pain post-stroke include adhesive capsulitis, rotator cuff injury, glen humeral subluxation, etc. While exercise proves to be most effective to treat this condition, for stroke patients it becomes a liability. Electrical stimulation has shown promise of treating this condition.
  4. Femur fracture: A stroke survivor has an increased risk of suffering from femur fracture due to the significant decrease in bone mass. Since the bone mass decreases, the weight-bearing capacity of the limbs decreases, thereby increasing the chance of a fall. Femur fracture can lead to intense pain, weakness, tenderness, shortening of the limb, etc. It requires routine fracture and pain management medication along with supporting bandages to recover from this condition.

Stroke - Recognise And Rush!

Dr. Subhajit Das 90% (480 ratings)
Homeopath, Kolkata

To recognise stroke you have to follow the rule of STR:
1. S - ask the patient to smile
2. T - ask the patient to talk like where is his house etc

3. R - ask the patient to raise hand above his/her shoulder

Any abnormality in above three may be a symptom of stroke. Rush the patient to the nearest medical assistance.

Your initiative can save someones life!

1 person found this helpful

Tips To Reduce The Risk Of Heart Attack And Stroke

Dr. Nirav Patel 88% (42 ratings)
MBBS,D.Ped., Jawaharlal Nehru Medical college, Belgaum , Boston University, UNITED STATES OF AMERICA
Pediatrician, Ahmedabad
Tips To Reduce The Risk Of Heart Attack And Stroke

Tips To Reduce The Risk Of Heart Attack And Stroke

3 people found this helpful

Brain Damage - What Are The Possible Signs Of It?

Dr. Anshul Gupta 88% (14 ratings)
DNB (Neuro-Surgeon), MBBS
Neurosurgeon, Delhi
Brain Damage - What Are The Possible Signs Of It?

Regardless of whether the cause is a tumor, trauma, stroke, or other illnesses, any injury which inflicts damage on your brain cells is considered to be a brain damage.  There are two types of brain damage, both of which interfere with the standard functioning of the brain. 

They are:

  • Acquired brain injury (ABI): Either resulting from a tumor or a neurological illness, for instance a stroke, this type of brain injury originates from the cellular level and is commonly linked with brain pressure.
  • Traumatic brain injury (TBI): This result from any damage imparted to the skull usually from an external and physical force like a blow to the head or a head accident, which in turn damages the brain.

How severe the brain damage is depends largely on the type of brain injury. Mild brain injuries are temporary, causing headaches, memory lapses, nausea and confusion. On the other hand, severe brain injuries cause cognitive, physical and behavioral impairments which are often life-changing and permanent.

Traumatic brain injuries are usually caused by:
1.  Car accidents
2.  Sports injuries
3.  Physical violence
4.  Head blows
5.  Falls and other mishaps

Whether acquired or traumatic, symptoms of brain damage can be classified under four major groups:

1.  Cognitive symptoms generally include

  • Having a hard time processing information or expressing thoughts
  • Difficulty in understanding others or abstract concepts
  • Indecisiveness
  • Memory loss
  • Short attention spans

2.  Physical symptoms generally include- 

3.  Perceptual symptoms generally include-

  • Spatial disorientation
  • Smell and taste disorders
  • Heightened pain sensitivity
  • Changes in hearing, seeing, or touch sensations
  • Unable to perceive time
  • Balance problems

4.  Emotional or behavioral symptoms generally include-

  • Decreased stress tolerance
  • Heightened or flattened reactions or emotions
  • Aggressiveness
  • Sluggishness
  • Impatience and irritability
  • Self-denial
1 person found this helpful

Metabolic Syndrome: How It Puts You At The Risk Of Stroke?

Dr. Pavankumar P Rasalkar 91% (38 ratings)
DM - Cardiology, MD - Medicine, MBBS
Cardiologist, Bangalore
Metabolic Syndrome: How It Puts You At The Risk Of Stroke?

Heart disease doesn't affect all women in the same way and neither does it have the same warning signs as heart diseases in men. For women, heart disease is a bigger threat than breast cancer. Cardiovascular diseases also kill more women than men as the disease progresses differently in men and women. Here are a few things you should know about heart diseases.

Women have more atypical symptoms of heart attacks: The classic symptoms of heart attacks are pain in the left arm, chest pain and heart palpitations. Though women may exhibit these symptoms, they are more likely to have atypical symptoms. These include nausea, stomach aches, pain in the shoulders and upper back and extreme fatigue.

Preeclampsia and gestational diabetes can increase risks of heart disease: Even though your blood pressure may go back to normal and conditions like preeclampsia or gestational diabetes may go away post pregnancy, their effects linger on. The risk of heart disease for a woman who suffered from preeclampsia doubles while gestational diabetes can cause glucose intolerance leading to obesity or other such conditions which are risk factors for heart diseases.

Hot flashes could be a sign of heart problems: Hot flashes are usually associated with menopause but may also be a symptom of underlying heart problems. Hot flashes that occur after a exerting a strenuous effort on something can be a sign of angina in women.

Men and women do not face equal risks: Traditional risks to heart diseases such as cholesterol, obesity and high blood pressure affect both men and women but some factors such as diabetes, stress, depression and smoking affect women more than they affect men. Since women tend to lead a more sedentary lifestyle than men, a lack of exercise also affects them more than it affects men. In addition, a low level of estrogen can also increase the risk of cardiovascular conditions. This is usually seen after menopause.

Metabolic syndrome increase your risk of getting a stroke:

There are five metabolic risk factors for heart disease. If you have 3 or more of them, it is termed as metabolic syndrome. These risk factors are:

  1. A waist circumference of more than 35". This is also called abdominal obesity
  2. A triglyceride level higher than 150 mg/dL
  3. A low level of good cholesterol i.e. HDL cholesterol that is less than 50mg/dL
  4. High blood pressure
  5. High blood sugar. This could also be a sign of diabetes.

While some factors like genetics are out of our control, most of these factors can be controlled by conscious lifestyle changes. Your doctor may also prescribe medication for the same. Heart disease can occur at any time so do not take your heart for granted.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1879 people found this helpful

Stroke - Can You Prevent It From Happening?

M.Ch - Neuro Surgery, DNB (Orthopedics)
Neurosurgeon, Hyderabad
Stroke - Can You Prevent It From Happening?

Lifestyle changes and unhealthy habits take a toll on one’s physical and mental health resulting in many diseases. One such disease that is growing common is the stroke that occurs due to a sudden interruption of blood supply to the brain. As with any lifestyle disease, the chances of having a stroke can be reduced as well. Knowing the risk factors and taking appropriate measures can prevent you from a stroke attack.

Read on to know the seven effective ways to prevent you from a stroke.

  1. Opt for a healthy lifestyle: While smoking leads to an increased risk of suffering from a stroke, excessive consumption of alcohol not only triggers irregular heartbeats, but also high blood pressure, which can be a solid reason behind having a stroke. Therefore, leading a healthy lifestyle free from smoking and alcohol can help in preventing strokes.
  2. Manage conditions: Whether it is diabetes or any other kind of illness which directly or indirectly give rise to the risk of having a stroke, dealing with one's underlying conditions is important. In case one is diagnosed with such a condition that can be responsible for a stroke, he or she must make it a point to keep that condition under control.
  3. Lose weight: Obesity is often known to increase the complexities associated with a stroke such as diabetes and high blood pressure. Therefore, for those who are overweight, losing a few pounds can be really helpful in preventing the chances of having a stroke.
  4. Keep blood pressure in check: High blood pressure often causes a stroke, if not controlled. It is referred to as the biggest contributor in causing a stroke by many. Lowering the high blood pressure or bringing it to normal levels can indeed be a great way of preventing a stroke.
  5. Exercise regularly: Exercise not only contributes to lowering the blood pressure, but also helps to maintain body weight while ensuring the overall fitness of the body. Some light hand exercises or regular walking combined with proper diet can do wonders in preventing a stroke.
  6. Have a proper sleep at night: Spending sleepless nights may increase the risk of stroke. Therefore, one must make it a point to maintain the necessary amount of sleep at night that can help in reducing stress and anxiety, while decreasing the chance of heart diseases as well as a stroke.
  7. Never ignore the palpitationsIgnoring the palpitations is the last thing one can want to do, if he or she is willing to prevent the chances of suffering a stroke. Feelings of lightheadedness or shortness of breath, chest pain and abnormal heart beats can be warning signs for a stroke. Therefore, you must pay proper attention to these and deal with appropriate medications.

An otherwise healthy person can stay away from stroke by continuing a healthy lifestyle and following the tips mentioned above. However, if you have suffered a stroke earlier, then it becomes imperative to follow these tips along with supervised medical care.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1943 people found this helpful

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