Brain Stroke Discussion by Dr. Rahul Gupta

Hi I'm Dr. Rahul Gupta. I will tell you about stroke today. There is a word Brain Attack which is similar to heart attack. In this case the blood supply to a part of brain get cut off or shut down. Brain Attack or stroke is an emergency. It is Ischemic in 85% & Hemorrhagic is 15% cases. In Ischemic stroke, blood supply is cit off there is paralysis of one half of body, Speech problem or facial asymmetry Sometimes, person may be unconsciousness, develop dizziness or blurring of vision or decrease in hearing. This type of stroke need immediate treatment. Patient should be rushed to hospital where facility of CT scan, MRI & Angiography are available. Availability of stroke Neurologist & Neurosurgeon of Neuro-interventionist is essential. The Blocked blood vessel can be opened up by Intravenous medication within Four and a half hours of onset of Stroke. If the patient late, then by intervention procedure in Neuro-cath lab,the vessel can be opened up by aspiration or stent assisted removal (Called as mechanical thrombectomy). By opening the blood vessel, we restore blood flow and prevent morbidity & mortality. Hence, If we suspect stroke clinically at home or at office, We should immediately take patient to an equipped hospital and save his life and prevent major deficits. Post-procedure patient in managed in the stroke ICU and Medication/Rehabilitation is started. Another type of stroke is Hemorrhagic(15%) in Which the blood vessel ruptures and there is bleeding within the brain tissue or outside on the surface. This also needs immediate intervention at an advance Neurosurgical center. CT scan, MRI & Angiography are essential. Depending on type of hemorrhage and its causes, surgical or medical treatment is offered to the patient stroke is a preventable. Major reasons are stressful life, lack of exercise and chronic illness. Control of blood pressure can prevent 90% of stroke. But is spite of that, if a person develops stroke, then immediate intervention at a good hospital can help the patient to attain a healthy life. Help us caption & translate this video! https://amara.org/v/mTan/