Brain Stroke Treatment in India

 A brain stroke may be a brain attack that happens thanks to the reduced or interrupted blood supply to a neighborhood of the brain. It can occur to anyone at any point in your time. The decreased blood supply leads to deprivation of nutrients and oxygen in the brain, leading to the death of brain cells.

A brain stroke is usually an emergency condition that needs immediate care and treatment to stop brain damage. The earlier the treatment, the more are the probabilities of survival and less damage to body parts.

Risk factors of stroke

There are many factors which will increase the probabilities of an individual to possess a brain stroke, including:

Obesity or being overweight

Sedentary lifestyle

Excessive alcohol intake

Smoking cigarette

Drug addiction

Uncontrolled high vital sign 

Hypercholesterolemia

Diabetes

Cardiovascular diseases like coronary failure, infection, or defects

Use of contraception pills or hormone therapies

Causes of Stroke

There are often the following causes of stroke leading to corresponding sorts of stroke:

A blocked artery causes ischaemic stroke 

Leaking or bursting of a vessel causes a hemorrhagic stroke 

Temporary disruption of blood flow to the brain causes a transient ischemic attack or TIA

Ischemic stroke

The most commonly occurring stroke, ischaemic stroke accounts for nearly 80% of the stroke cases. A narrowed or blocked artery causes ischaemic stroke leading to a severe reduction of blood flow to a neighborhood of the brain. The common ischemic strokes are:

Thrombotic stroke: Formation of a grume thanks to the deposition of fatty deposits (plaque) in an artery within the brain causes reduced blood flow and hence thrombotic stroke.

Embolic stroke: It occurs when a grume formed at the other place (not in the brain) sweeps through blood flow and gets stuck within the narrow brain arteries, end in decreased blood flow, and hence an embolic stroke.

Hemorrhagic stroke

Hemorrhagic stroke occurs thanks to leaking or rupturing of brain blood vessels thanks to any of the subsequent reasons:

The uncontrolled high vital sign (hypertension)

Excessive use of anticoagulants (blood thinners) drugs

Presence of weak spots in vessel walls (aneurysms)

Rupture of an abnormal tangle of thin-walled blood vessels.

Hemorrhagic stroke types

The types of a hemorrhagic stroke depend on the situation of leaking or rupturing of brain blood vessels

Intracerebral hemorrhage occurs thanks to the bursting and spilling of a brain vessel into the encompassing brain tissue that damages brain cells. This leads to deprivation of blood and consequent death of the brain cells beyond the leak.

Subarachnoid hemorrhage occurs thanks to the bursting of an artery on or near the surface of the brain that leads to the spilling of blood into the space between the surface of the brain and skull.

A transient ischemic attack (TIA)

Also referred to as a mini-stroke, TIA is a temporary appearance of stroke symptoms thanks to a temporary decrease in blood supply to a neighborhood of the brain thanks to blockage by a clot or debris. But it shouldn't be ignored because the person becomes a high-risk individual for future stroke attacks.

Symptoms of Stroke

The symptoms of stroke depend on the brain area affected. But in most cases, the patient complains of the following:

Trouble while speaking (slurring) and understanding what the opposite person is saying

Trouble while walking

Excessive confusion

Sudden paralysis, numbness, or weakness of the arm, leg, or face, mainly on the one side of the body.

Sudden blurred vision or blackened vision in one or both eyes

A sudden and severe headache

Vomiting

Dizziness

Altered consciousness

Emergency symptoms of stroke

Immediate medical attention is required if a person notices the following symptoms in himself or any known person (the easy thanks to remembering them is to recollect “FAST”):

Face: Drooping of 1 side of the face on smiling

Arms: Drifting downward or inability to boost one arm on raising both arms

Speech: Slurred speck on saying simple phrases

Time: In the above situation, don’t wait and take the person to the emergency department at the earliest.

Diagnosis of stroke

Stroke is an emergency condition and immediate action is required to attenuate brain damage and increase the probabilities of survival of the patient. except for proper management of the stroke, it's important to understand the sort of stroke as treatment modalities are different for various sorts of stroke. So, first of all following are immediately done to seek out out the explanation for stroke and its type:

Physical examination and thorough history taking from patient’s relatives

Blood tests to gauge blood glucose levels, cholesterol levels, blood coagulation time, etc.

CT scan to seek out out any hemorrhage, tumor, or blockage within the brain blood vessels

MRI scan to seek out out if any brain tissue is broken by an ischaemic stroke and brain hemorrhages.

Carotid ultrasound to seek out out if tho ere is any buildup of fatty deposits (plaques) within the blood flow of the carotid arteries.

An echocardiogram to seek out out if there is often a clot within the heart that will have traveled to the brain and caused the stroke.

Brain Stroke Treatment 

The treatment of stroke specifically depends upon the sort of stroke i.e. blocking of artery or bleeding into the brain:

In an ischaemic stroke, medications are given to reviving blood flow to the brain like an injection of tissue urokinase (tPA). These medications dissolve the grume and restore the blood supply to the brain. Ischemic strokes are sometimes treated by emergency endovascular procedures that directly work inside the blocked blood vessel:

Intra-arterial thrombolysis

This involves the insertion of an extended and thin tube called a catheter into the brain through an artery within the groin to directly deliver tPA medication into the affected area. This procedure has an extended treatment window that intravenous tPA.

Clot removal with a stent retriever

If the clot is big and can't be dissolved with medication, it's removed by employing a catheter.

Once the patient is given proper medication and is under controlled conditions, the doctor may advise the following procedures to stop the danger for future strokes:

Carotid endarterectomy: during this procedure, the plaque from the carotid arteries are removed through an incision along the front of the neck.

Angioplasty and stents: within the angioplasty procedure, carotid arteries are accessed through an artery within the groin. Now to expand the narrowed artery, a balloon is inflated, and a stent is inserted to support the opened artery.

In hemorrhagic stroke, emergency medications like warfarin or anti-platelet drugs like clopidogrel are given to stop blood clots, alongside other medications to lower vital sign in the brain, or prevent vasospasm, etc. aside from medications, following surgeries can also be required to repair vessel abnormalities:

Surgical clipping: during this procedure, a small clamp is placed at the aneurysm base to prevent blood flow, prevent bursting of the aneurysm, or to stop re-bleeding of the recently hemorrhaged aneurysm.

Coiling (endovascular embolization): This involves the insertion of a catheter into a groin artery and guiding it to the brain with the assistance of x-ray imaging. The aneurysm is crammed with small detachable coils to dam blood flow into the aneurysm.

Surgical AVM removal: This involves the removal of the tiny AVM that's located into an easily accessible area to scale back the future risk of stroke.

Stereotactic radiosurgery: Highly focused radiations are wont to repair vascular malformations.

Post-stroke care

Stroke can cause widespread and long-lasting problems that need constant care and support. The program after stroke may include many or all the subsequent supportive care therapies:

Psychological support: Depression and anxiety of survival and quality of life may disturb the patient tons. So psychological support is extremely important to spice up the morale of the patient and increase his faith in medicine.

Physiotherapy: Physiotherapy is required to enhance muscle strength and overcome any walking or movement disabilities.

Occupational therapy: this is often required to form patients learn the techniques to use equipment which will help him in completing daily activities effectively and on his own.

Speech and language therapist: therapy is often very helpful to manage problems related to swallowing and speech.

Many more organs of the body are suffering from stroke and depending upon the necessity patient is taught various exercises, activities, or techniques to enhance the standard of life.

Brain Stroke Treatment Cost in India

Find Gamma Brain Stroke Treatment with the latest technology in the best hospitals in India. The average cost for the best Brain Stroke Treatment in India ranges between USD 4000 to USD 6000 depending upon the hospital and facilities. 

Brain Stroke Treatment Hospitals in India

Fortis Hospital Mumbai, New Delhi, Chennai, Bangalore India

Artemis Hospital, New Delhi India

Global Hospital, Mumbai, Bangalore, Chennai, Hyderabad, India

Fortis Memorial Research Institute, Gurgoan, India

Indraprashta Apollo Hospital, New Delhi India

Max Super Specialty Hospital New Delhi India

Primus Super Specialty Hospital New Delhi India

BLK Super Specialty Hospital, New Delhi India

Paras Hospitals, New Delhi India

Jaypee Hospital, New Delhi India

Brain Stroke Treatment Doctors in India

Dr. Bipin Swarn Walia

Dr. Sandeep Vaishya

Dr. Alok Gupta

Dr. Deepu Banerji

Dr. Arun Saroha

Dr. Rana Patir

Dr. K Sridhar

Dr. VS Mehta

Dr VP Singh

Dr Karanjit Singh Narang

Dr Tejinder Kataria

Dr BK Mohanti

Dr M Paraneetharan

Dr Subodh Chandra Pande

Dr Anil Kumar Anand

Dr Sudharshan De

Dr Manish Kumar

Dr Vikas Kathuria

Dr Sanjay Pattanayak

Dr SK Rajan