Brain Stroke Treatment Hospital in Mumbai, India

The Stroke Unit based at Nanavati Max Super Speciality Hospital (one of the best brain specialist hospitals in Mumbai, India) is an acute neurological section providing specialist services to people who recently have a new suspected stroke, affecting the areas of the brain. The specially designated unit is committed to providing state-of-the-art emergency care to stroke cases in order to preserve brain cells, save lives and improve recovery. Our stroke unit also provides high-end therapy, education, and support to patients to help them regain functionality and quality of life.

According to the studies, stroke is considered the fourth leading cause of death, after diseases of the heart, lungs, and all forms of cancer. We have a multidisciplinary team of expert stroke neurologists, emergency physicians, intensivists, neurosurgeons, neuroradiologists, and physiotherapists, who focus on providing acute care and rehabilitation to stroke patients. Our unit is well equipped with advanced facilities to help the doctor to identify the type of stroke the patient has had, and possible reasons for the stroke. We also have a dedicated neuro ICU. The Unit follows a comprehensive patient-centric approach to developing a comprehensive brain stroke treatment plan with the goal of significantly improving the chances of a patient to prevent or recover optimally, from a stroke.

Our tertiary care centre handles most complex cases of stroke and other emergencies under one roof. We have an emergency response code- “Code White,” that is announced to handle the emergency for Patients with Stroke. The code is activated in Accident and Emergency (A & E) Department, MRI Department & Critical Care Unit (CCU) with the objective of treating the patient within the Golden hour for best clinical outcomes. In this Code white the patient with Stroke symptoms are assessed immediately by clinicians, patient transferred to MRI section for investigations & transferred to

  • CCU for Thrombolysis
  • CCU / Cath lab for Mechanical Thrombectomy

Definition of Brain Stroke

A stroke, also called a brain attack, occurs when the blood supply to the brain is blocked or ruptured. This results in brain cell death as the cells in the brain are unable to survive without a constant supply of oxygen and nutrients. The death of brain cells affects the functionality of the brain and leads to possible impairments in speech, memory, thinking movement, and other bodily functions. In most severe cases it can lead to paralysis or even death.

Types of Brain Stroke

Stroke is mainly classified into ischemic strokes and hemorrhagic strokes.

Ischemic strokes occur when the blood vessels supplying blood to the brain get clogged. This impacts the blood flow to the respective part of the brain. It is further divided into:

  • Thrombotic strokes: This type of stroke occurs when a blood clot develops in the brain’s blood vessels.
  • Embolic strokes: These strokes involve blood clots that develop and travel from other parts of the body to the brain causing strokes.

Hemorrhagic stroke is the type of stroke that occurs when the blood vessels supplying the brain rupture and bleed to a certain extent.

  • Intracerebral haemorrhage: This type of hemorrhagic stroke involves bleeding of blood vessels present inside the brain.
  • Subarachnoid haemorrhage: Here bleeding occurs in the space present between the brain and membranes covering the brain.

Natural Progression

Most of the patients suffer from stroke for seconds to minutes which does not progress further naturally.

Signs and Symptom of Brain Stroke

Some of the common sudden symptoms of stroke includes:

  • Weakness or numbness of body parts on one side
  • Getting confused
  • Sudden headaches
  • Difficulty in balancing while walking or running
  • Dizziness

Causes of Brain Stroke

The commonly found causes include:

  • High blood pressure
  • Smoking or chewing tobacco regularly; exposure to secondhand smoke
  • Heart conditions
  • Diabetes
  • Excess weight
  • Increasing age (especially after 50s)
  • Men are more susceptible to stroke as compared to women

Possible Complications of Brain Stroke

The commonly observed complications include:

  • Brain edema: Swelling of brain can occur after a stroke.
  • Seizures: Seizures involves abnormal electrical activity in brain. This eventually leads to convulsions in the patient.
  • Clinical depression: Stroke often leads to unnecessary reactions to sudden or eventual changes in life.

Brain Stroke Treatment

When it comes to treating ischemic stroke, every single second counts. We at the unit offer instant stroke recovery treatment to a stroke victims and help in minimising long-term brain injuries. Brain stroke treatments are dependent on the type of stroke that is occurring: ischemic or hemorrhagic. Therefore, we offer a fast-acting treatment plan based on the unique medical needs of the patient and help them recover faster and improve their quality of life. The emergency treatments offered at the unit for stroke depend upon the type of stroke the patient is experiencing. The brain stroke treatment options for the most common kinds of stroke include:

Ischemic Stroke (Blocking An Artery)

  • Emergency Medication treatment
    • Intravenous injection of tissue plasminogen activator (tPA)

NSSH takes the pride to state that we thrombolysis all our eligible patients within 60 minutes – golden hour; they have shown excellent results. American Heart Association (AHA)/American Stroke Association (ASA) 2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke are followed. The therapeutic outcome of thrombolytic therapy is best if done during the immediate minutes after the onset of symptoms as per guidelines.

We have done training for Emergency Medical Officers, Residents, and Staff for quick diagnosis of stroke symptoms and further stroke recovery treatment.

  • Emergency endovascular procedures
    • Medications delivered directly to the brain
    • Removing the clot with a stent retriever
  • Carotid endarterectomy
  • Angioplasty and stents

 Haemorrhagic Stroke (Involves Bleeding Into The Brain)

  • SAH (secondary to a rupture of aneurysm)
  • Intracranial bleed
  • Treatment of aneurysm
    • Coiling (endovascular embolization)
    • Surgical clipping

After identifying the cause of intracranial bleed, disorders such as AVM are treated by endovascular embolization or surgical excision.

Rehabilitation

Our comprehensive Rehabilitation Program helps stroke survivors to get back to a normal life after a severe brain injury/damage. We help patients to relearn skills that are lost after an injury or damage to the brain and teach them new ways for performing tasks to compensate or circumvent any residual disabilities.

The most important element of our rehabilitation program is a strong consensus among our rehabilitation experts to offer well-focused, carefully directed, repetitive practices and therapies, which involve physiotherapy for passive and active movements, speech therapy for better communication, etc. We also have a team of psychiatrist, psychologist, and neurologist that strives to offer the most comprehensive services for the betterment of stroke survivors.

Stroke prevalence country-wide has been increasing every year. Hence, for the advancement of the patients and to provide secure healthcare facilities, Nanavati Max Super Speciality Hospital has boosted stroke diagnosis and stroke recovery treatment to world-class levels.

Precautions for Brain Stroke

Some of the best ways to prevent stroke include:

  • Maintain your weight properly.
  • Keep your blood pressure in check.
  • Choose healthy food options including fruits and vegetables.
  • Cut down on salt.

Prognosis

Nearly 3/4th of the patients survive nearly a year after suffering from stroke. Nearly half of the patients survive for the next five years.

Diagnosis for Brain Stroke

The commonly suggested diagnostic tests include:

  • Physical examination (with neurological examination according to doctor’s advice)
  • Blood tests
  • MRI and CT scan
  • Carotid ultrasound
  • Cerebral angiogram
  • Echocardiogram

Alternate Name

Brain Attack

Pathophysiology

Deficient blood supply along with oxygen supply to the brain is responsible for causing brain stroke.

Our Medical Experts

If you are facing any similar signs or symptoms please contact the Nanavati Max team to schedule an appointment at : +91 22 6836 0000

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