Stroke: Signs, Symptoms and Treatment in India

What is a stroke?
Are there different types of strokes?
Ischaemic stroke
Haemorrhagic stroke
What are the symptoms of a stroke?

• ability to perform movements — usually affecting one side of the body;

• speech;

• part of vision;

• co-ordination;

• balance;

• memory; and

• perception.

Are there any warning signs of stroke?
The warning signs

• Sudden weakness or numbness of the face, arm and leg on one side of the body.

• Loss of speech, or difficulty talking.

• Dimness or loss of vision.

• Unexplained dizziness, especially when associated with any of the above signs.

• Unsteadiness or sudden falls.

• Headache (usually severe and of sudden onset).

• Confusion.

A stroke (cerebrovascular accident, CVA, cerebral vascular accident or brain attack) occurs when a part of the brain is damaged or destroyed because it is deprived of blood.

There are 2 main types of strokes: ischaemic stroke and haemorrhagic stroke.

Ischaemic stroke is the most common type of stroke and is caused by a blockage of the blood vessels supplying the brain. This may be due to ‘hardening’ and narrowing of the arteries (atherosclerosis) or by a blood clot blocking a blood vessel.

One type of ischaemic stroke is a thrombotic stroke. This is caused by a blood clot (thrombus) in one of the arteries of the head or neck, which severely reduces the blood flow. The thrombus may be a result of a build-up of fatty deposits (plaques) in the blood vessels.

Another type of ischaemic stroke is an embolic stroke (or cerebral embolism), caused when a blood clot that forms elsewhere in the body (for example, the chambers of the heart) travels through the circulatory system to the brain. The travelling clot is called an embolus.

The most severe type of stroke is a haemorrhagic stroke. It occurs when a blood vessel in the brain bursts, allowing blood to leak and cause damage to an area of the brain. There are 2 types: subarachnoid haemorrhage, which occurs in the space around the brain; and an intracerebral haemorrhage, the more common type, which involves bleeding within the brain tissue itself.

The symptoms of a stroke usually appear suddenly. Initially the person may feel sick, and look pale and very unwell. They may complain of a sudden headache. They may have sudden numbness in their face or limbs, particularly down one side of their body. They may appear confused and have trouble talking or understanding what is being said to them. They may have vision problems, and trouble walking or keeping their balance. Sometimes a seizure (fit) or loss of consciousness occurs.

Depending on what function the damaged part of the brain had, a person may lose one or more of the following functions:

Some strokes are preceded by mini or temporary strokes — transient ischaemic attacks (TIAs). Mini strokes occur when there is a temporary blood clot and part of the brain does not get the supply of blood it needs.

Symptoms occur rapidly and usually last a short time, from a few minutes to a couple of hours. Like a stroke, the symptoms will vary depending on which part of the brain is affected.

While the symptoms of a TIA are similar to those of a stroke, they are usually temporary and reversible.

However, mini strokes should not be ignored as people who have had a temporary stroke are much more likely to have a stroke than people of the same age and sex who have not had a temporary stroke.

It is important that you see your doctor immediately when the warning signs of stroke occur. Your doctor will determine whether a stroke, a mini stroke or another medical condition with similar symptoms has occurred, such as a seizure or migraine.

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Why should you choose to get Neurology & Endovascular Neurosurgery in India?

India has some of very famous Neurosurgery & Brain TumorSurgery Institutes. They all are facilitated with latest technology with expert neurosurgeons of the world. Indian Hospitals for this treatment are backed by the most up-to-date technology and equipments. So whether you are from India or coming here from abroad, you can rest assured that you are in expert hands. With introduction of new procedures, India has today become finest medical center in the world. 

You can reduce your surgery costs if you select medical tourism service provider for your medical treatments. A medical tourism service provider like MedWorld India has very good association with the most renowned medical institutions. You can save huge cost if you select India for Neurosurgery & Brain Tumor  Surgery  through 
MedWorld India . Selecting India for neurosurgery means you will receive world class treatments in specialist hospitals. Indian hospitals for this treatment have all necessary facilities and doctors. 

Why should you choose to get Neurology & Endovascular Neurosurgery in India?

Indian doctors are known all over the world for their skill and knowledge and have the experience of studying and working at the best neuron surgery hospitals in the world.

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Most advanced Technology Infrastructure - Blood Bank with 24 hour apharesis facility, advanced laboratory and microbiology (infection control) support, advanced cardiology, DSA and interventional radiology, portable and colour ultra-sonology, Liver Fibro-scan, 64 slice CT scanner, 3 T MRI, PET-CT and nephrology (including 24 hour dialysis and CVVHD).

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Neurosurgery Hospitals in India are equipped with the latest and high end technology.

·         Cost of epilepsy surgery in India at best brain surgery hospitals in India is very low as compared to the cost at best hospitals in America or UK with the same level of care and services.

There are many different areas of neurosurgery.

In the brain ("brain surgery") some of the conditions commonly seen include:

·         Brain aneurysms - weaknesses on blood vessels that can burst, leading to death or stroke 

·         Carotid stenosis - narrowing of the arteries supplying the brain, possible leading to stroke or a warning 'TIA' 

·         Vascular malformations - which can bleed - some are congenital (meaning we are born with them), and some develop later in life 

·         Brain tumours - both benign (often curable with surgery) and malignant ( often incurable, but sometimes controllable with surgery) 

·         Acoustic neuromas - a kind of tumour at the base of the brain, related to the hearing nerves 

·         Trigeminal neuralgia - terrible 'spasms' of facial pain that are curable with surgery 

·         Hemifacial spasm - involuntary twitching on one side of the  face - often curable with surgery 

·         Hydrocephalus - a build up of fluid in the brain -  treatable with an endoscope (a surgical camera) or with a shunt (to divert the fluid) 

·         Head injury - blood clots ('haematomas') can develop after a head injury and some need to be removed with surgery 

Some of the spinal conditions treated (in both the lower back and neck) include:

·         Herniated or 'slipped' disc - which presses on a nerve in the spine causing 'sciatica' (or pain in the leg) 

·         Narrowing of the spinal canal - causing leg or arm weakness or pain 

·         Compression of the spinal cord - causing arm and leg weakness or difficulty with fine movements 

·         Tumours in the spine 

·         Blood vessel abnormalities in the spine 

·         Back pain - sometimes requiring treatment with 'spinal fusion' 

Peripheral Nerve problems treated by a neurosurgeon include:

·         Carpal tunnel syndrome - burning and weakness in the hands, often worse at night 

·         Ulnar nerve compression - similar to carpal tunnel syndrome, but caused by compression of a nerve at the elbow 

·         Leg weakness caused by compression of nerves in the leg 

·         Thoracic Outlet Syndrome 

·         Nerve tumours in various places in the body and extremities 

MedWorld India could arrange the following low cost medical procedures for you.
Brain Procedures routinely done in India are;

·         Angioplasty for Cerebrovascular Ischemia

·         Carotid Artery Surgery

·         Epilepsy Vagal Nerve Stimulator

·         Epilepsy Stem Cell Related Treatment

·         IMRT

·         Multiple Sclerosis

·         Stereotactic Radio Surgery

·         Stereotactic Radiotherapy

·         Stimulation for Parkinson's

·         Brain Biopsy

·         Depressed Fractures

·         Endoscopic Surgery - Brain

·         Skull Base Surgery

·         Stereotaxic Procedures

·         Trans Sphenoida Surgery

·         Subdural Hematoma

·         Extradural Hematoma

·         Cranioplasty

·         AVM

·         Evacuation of Brain Abscess

·         Excision - Lobe (Frontal Temp, Cerebellum etc.)

·         Supratentorial Tumors

·         Subtentorial Tumors

·         Ventriculoartial Shunt / Ventriculo Periteomeal

·         Twist Drill Craniostomy

·         Subdural Trapping

·         Abscess Tapping - Non Cardiogenic

·         Placement of ICP Monitor

·         Urokinase Therapy of ICH

·         Vascular Malformation

·         Meningo Excephalocoel

·         CSF Rhinonorrhea Transcranial

·         Trigenial MVD

·         Cardiogenic Ab

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TREATMENT OF CHILDHOOD BRAIN TUMORS IN INDIA

The world of childhood brain tumors has no “Welcome” sign leading into it. No matter what anyone says to minimize the situation, this statement is the most painful sentence a human can hear. The combination of fear, shock and pain can be too much to bear.

“To see such innocence, so roughly shaken by this terrible trial, at such a young age, is nothing short of incomprehensible.” I still hear this sentence, uttered by a visibly shaken parent. Instead of becoming more routine and distant, the visceral terror that it engendered in me (the supposed all-knowing physician/advisor), my delivery of such information has grown more and more difficult, even personal. I watch my own small children grow and develop. As a physician, one realizes that more than ever, there is no place for impersonal behavior when caring for the children who are afflicted by a brain tumor, benign or otherwise, and for their families as well. No amount of experience or training can help one to ease or minimize the situation.

When we discuss special areas such as:

• Outcome: Does “excellent long-term results” mean a ten-year survival for a 3-year old– your child living long enough to be frustrated by death at the age of thirteen? We parents think only of 50 and 60 year plans. Five- and ten-year plans are unacceptable. We want to know that our grandchildren will not live to see their parents die at a young age.

• Quality of life: Does that mean that a 5-year old child will have no hair, be skinny and slow to walk and play with his friends and classmates? How can we parents bear to live through the process of trying to give our child a childhood instead of a world of I.V. tubes, doctors who speak of life-and-death, hospital corridors and toys that our children will never play with?

• Doctors: Who are they? Can we do anything to keep them human, warm, and caring for our child? How do we deal with our own resentment for the fearful news, difficult therapies and their human frailty? How do we keep our child happy to see them? Most children cringe at the mere mention of visiting a doctor-with-a-shot-to-give, or a visit to the dentist with his drills and instruments.

• Hospitals: How do we keep these innocents away from such large and frightening monoliths?

• We parents: How can we possibly bear all of this without frightening our little, loving child?

• Hope: Yes, there IS hope! God and goodness are your guide. Your child is truly a precious gift. No matter what cards we are dealt, a child’s joy and innocence are somehow never lost. In the worst of times, a child’s pain often becomes the parent’s teacher. And when we expect the best for our children, we often get it despite all odds.

TREATMENT OF CHILDHOOD BRAIN TUMORS
Surgery:- In some cases the definitive treatment is surgery. In most, however, surgery serves as a temporizing measure that will keep a child out of trouble for long enough to get through definitive therapy that will hopefully eliminate of the tumor. Brain surgery is usually the easiest part of a child’s treatment.
Shunting:- Quite often (e.g. medulloblastomas) childhood tumors present the blockage of the fluid spaces of the brain, (obstructive hydrocephalus). In shunting, a thin silastic tube (the shunt) is placed into the fluid spaces of the brain and passed under the skin into the child’s abdomen where the fluid is absorbed.
Chemotherapy:- Unfortunately, chemotherapy is the hard part of brain tumor treatment. It is only required for more aggressive tumors. As a rule, chemotherapy should be even more aggressive than the tumor itself. The trials which are imposed both on the child and parents are many. Bravery and an unremitting attitude of hope are required by all involved.
Radiation:- Because the developing brain of a child is so very sensitive to radiation therapy, it is deliberately limited. The irony of effective radiation therapy is that when it works well, the brain damage it causes might exceed that done by the original tumor. More often than not, your doctor will recommend that if any radiation is to be given, it should be held off until the child has grown older and the brain has sufficiently matured.
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• The treatment of these tumors usually include a combination of approaches, each tailored to deal with the problems that children are presented with:

Advantages of Endovascular Neurosurgery/ Interventional Neuroradiology in India

Endovascular neurosurgery, is the field of medicine that combines neurosurgery with interventional neuro- radiology and treats the diseases of blood vessels of the brain and spine. This is a minimally invasive technique which entails using catheters and embolic agents or clotting agents rather than open surgeries.

The procedures are done in angiographic suite (located in the x-ray department), rather than the operating room and is done within the blood vessels using catheters to fill blood vessel abnormalities with particles, polymers or stents.

Endo vascular neuro surgery treats a variety of cerebro vascular diseases which are untreatable through conventional surgery such as:

• Stroke
• Aneurysms
• Arterio-venous malformations
• IArterial stenosis
• Dural arterio-venous fistulas
• Vascular Tumours
• Carotid Cavernous sinus fistulae
• Cerebral revascularization after clotting
• Vasospastic arteries
• 
  

Advantages of Endovascular Neurosurgery/ Interventional Neuroradiology

The most important advantage of the endovascular approach for the treatment of aneurysms, AVMs and tumors of the brain is one, they can be treated, because sometimes they are considered inoperable or too risky to be operated and thus the patient goes without treatment. Endovascular neurosurgery is the procedure of choice in following patients:

• 
  
• Old age
• High risk patients with diabetes and heart disease
• Patients with contraindication for surgery or anaesthesia

Second, craniotomy or opening of the skull is avoided and thus the procedure is done through minimal invasive technique. 

This means:

• 
  

Minimal damage to the normal brain tissue
Almost no mortality
Minimal chances of complications
No brain or spinal cord tissue manipulation
No scarring, pain and least discomfort to the patient
No blood loss and need for blood transfusion
Short hospital stay and fast return to normal activities
Acute stroke patients can be treated even many hours after the stroke.
Can be used to stabilize the bones and reduce pain in patients with specific types of spinal fractures such as compression fractures and fractures caused by osteoporosis.

Why should you choose to get Neurology & Endovascular Neurosurgery in India?

·         Indian doctors are known all over the world for their skill and knowledge and have the experience of studying and working at the best neuron surgery hospitals in the world.

·         Most advanced Technology Infrastructure - Blood Bank with 24 hour apharesis facility, advanced laboratory and microbiology (infection control) support, advanced cardiology, DSA and interventional radiology, portable and colour ultra-sonology, Liver Fibro-scan, 64 slice CT scanner, 3 T MRI, PET-CT and nephrology (including 24 hour dialysis and CVVHD).

·         Neurosurgery Hospitals in India are equipped with the latest and high end technology.

·         Cost of epilepsy surgery in India at best brain surgery hospitals in India is very low as compared to the cost at best hospitals in America or UK with the same level of care and services.

Deep Brain Stimulation, Parkinson Surgery, Tremor, Dystonia, OCD Treatment at World Best Hospital in India

World-class Hospital with dedicated Neurosurgery and Neurology ICUs and centres of Specialisation for brain tumours, spinal disorders, stroke, epilepsy, movement disorders and headache.

Most Advanced Technology like Brain Suite, Biplane Neuroendovascular Angiography, Synergy S Linac System, S-7 Navigation System, Endoscopic Neurosurgery Theatre, 3 Tesla MRI, 256 slice CT scan, PET scan.

 Low Cost Treatment package which includes Airport Pick up and Drop from Airport in India, Hospital Stay, Testing/Screening, Deep Brain Stimulation Treatment, Consultations with Specialist Doctors , Nursing care, Surgeon Fee, Medicines and Consumables.

Experienced Team of professionals having a specialist Neurologist (Movement Disorder specialist), Specialist Neurosurgeon, Neuroradiologist, Physiotherapist and Dietary specialists who provide high-quality care

For more information visit:          http://www.medworldindia.com     
                    https://www.facebook.com/medworld.india

Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159

Mail Us : care@medworldindia.com