Stroke

Stroke Care & Treatment

Stroke is a life-threatening medical emergency that demands immediate attention. It occurs when blood flow to a part of the brain is suddenly blocked or interrupted, leading to rapid brain cell damage. Timely diagnosis and treatment are critical—every minute saved protects millions of brain cells.

At Dr. HK’s Neuro and Parkinson’s Clinic, we provide rapid evaluation, advanced stroke therapies, and comprehensive long-term rehabilitation to help patients recover safely and prevent future strokes.


Recognizing a Stroke: Know the BE FAST Rule

Early detection can save a life. The BE FAST checklist helps identify the most common warning signs:

  • B – Balance: Sudden loss of balance, dizziness, or difficulty walking

  • E – Eyes: Blurred vision, double vision, or sudden loss of vision

  • F – Face: Facial drooping or an uneven smile

  • A – Arms: Weakness or numbness in one arm (or leg)

  • S – Speech: Slurred speech, difficulty speaking, or trouble understanding

  • T – Time: Act immediately—call emergency medical services right away

Never wait for symptoms to improve on their own. Rapid treatment can dramatically improve outcomes.


What Increases the Risk of Stroke?

Understanding risk factors helps with prevention. Major risk factors include:

  • High blood pressure (most significant risk)

  • Diabetes

  • High cholesterol

  • Heart conditions (atrial fibrillation, heart attack)

  • Smoking or excessive alcohol use

  • Obesity and sedentary lifestyle

  • Family history of stroke

  • Age over 55

Keeping these under control greatly reduces the chance of a first or recurrent stroke.


Types of Stroke

Stroke can occur due to different underlying mechanisms:

1. Ischemic Stroke (Most Common)

Caused by a blood clot blocking an artery in the brain, reducing blood supply.

2. Hemorrhagic Stroke

Occurs when a weakened blood vessel ruptures, leading to bleeding in or around the brain.

3. Transient Ischemic Attack (TIA)

Often called a “mini-stroke”, where symptoms last only minutes to hours.
A TIA is a major warning sign of a future, potentially disabling stroke and needs immediate evaluation.


How Stroke is Diagnosed

Fast and accurate diagnosis is essential to determine the best treatment.
Our clinic uses advanced imaging and diagnostic tools such as:

  • CT Scan Brain: Rapidly distinguishes between ischemic and hemorrhagic stroke

  • MRI Brain: Offers detailed images of brain tissue damage

  • CT or MR Angiography: Identifies blocked or narrowed blood vessels

  • Carotid Doppler: Evaluates neck artery narrowing

  • ECG & Echocardiography: Detects heart-related causes of clot formation

  • Blood Tests: Checks sugar levels, clotting profile, infection markers, and cholesterol


Treatment Options for Stroke

Stroke treatment requires urgent action and a coordinated medical response. At Dr. HK’s clinic, we follow internationally accepted protocols.


1. Emergency Treatments
Thrombolysis (Clot-Busting Injection)
  • Given within 4.5 hours of an ischemic stroke

  • Helps dissolve the clot and restore blood flow

  • Significantly improves recovery when administered on time

Mechanical Thrombectomy

A minimally invasive procedure where a catheter is used to physically remove a large vessel clot.

  • Most effective within 6–24 hours for selected patients

  • Dramatically improves survival and neurological recovery

⚠️ Both these treatments are highly time-sensitive—the sooner the treatment, the better the outcome.


2. Acute Medical Management

After emergency stabilization, supportive care focuses on preventing complications:

  • Control of blood pressure, sugar levels, and fever

  • Medications to prevent new clots (antiplatelets or anticoagulants)

  • Treatment for brain swelling, if present

  • Surgery for specific conditions (e.g., aneurysm repair or decompressive surgery)


Complications After Stroke

Depending on the area of the brain affected, patients may experience:

  • Paralysis or weakness on one side

  • Difficulty speaking or understanding language

  • Swallowing problems

  • Memory loss or cognitive decline

  • Mood changes, depression, or anxiety

  • Seizures

  • Increased risk of another stroke

Early rehabilitation and specialist care help minimize long-term disability.


Stroke Prevention: Protecting Your Brain Health

Up to 80% of strokes are preventable with the right measures. Prevention strategies include:

Lifestyle Modification
  • Quit smoking and limit alcohol

  • Exercise regularly

  • Maintain healthy body weight

  • Adopt heart-healthy eating habits

  • Manage stress effectively

Medical Prevention
  • Control blood pressure, diabetes, and cholesterol

  • Take prescribed blood thinners or statins as recommended

  • Regular check-ups, especially if you have risk factors

Advanced Preventive Procedures
  • Carotid Endarterectomy or

  • Carotid Artery Stenting
    These are recommended for patients with significant narrowing of neck arteries to reduce future stroke risk.


Take-Home Message

Stroke is a treatable and preventable condition—but only if recognized early.
Remember BE FAST, act quickly, and seek immediate medical care. Prompt treatments like thrombolysis and mechanical thrombectomy can save brain function and improve long-term recovery.

With specialised care, rehabilitation, and consistent follow-up, patients can regain independence and significantly reduce future stroke risk.

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