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Home > Cerebrovascular Accident (Stroke) Management

Overview

Published with the inputs from  Dr Mohan Leslie Noone, Senior Consultant, Neurology, Baby Memorial Hospitals- Kozhikode

Stroke-  Cerebrovascular Accident (CVA),  occurs when blood flow to part of the brain is blocked (ischemic stroke) or when a blood vessel ruptures (hemorrhagic stroke). Without immediate treatment, brain cells begin to die, leading to permanent disability or death. Stroke management focuses on emergency treatment, rehabilitation, and prevention to save lives and improve recovery.

What is a Stroke, and why is it serious?

A   stroke, is a medical emergency that interrupts blood flow to the brain. Because brain cells cannot survive without oxygen, a stroke can cause paralysis, speech problems, memory loss, or even death. Quick treatment is essential for the best outcomes.

What are the types of stroke ?
  • Ischemic stroke: Caused by a blood clot blocking an artery to the brain (most common type).
  • Hemorrhagic stroke: Caused by bleeding from a ruptured blood vessel in the brain.
  • Transient Ischemic Attack (TIA): Sometimes called a “mini-stroke,” symptoms are temporary but a warning sign for future stroke.
How is stroke diagnosed?

Doctors use CT scans, MRI, carotid ultrasound, and blood tests to quickly determine the type of stroke and guide treatment. Fast diagnosis is crucial since treatment options depend on whether the stroke is ischemic or hemorrhagic.

How is a Stroke treated in the emergency phase?

Ischemic stroke: Medications like clot-busting drugs (tPA) or procedures such as mechanical thrombectomy may restore blood flow if given quickly.

Hemorrhagic stroke: Emergency surgery or procedures may be needed to stop bleeding and reduce pressure in the brain.

Immediate hospitalization and treatment are vital to save brain tissue.

What does stroke rehabilitation involve?

Rehabilitation helps patients regain independence and may include:

  • Physical therapy: To improve strength, movement, and balance
  • Occupational therapy: To relearn daily activities
  • Speech therapy: For communication or swallowing difficulties
  • Psychological support: To address emotional and cognitive challenges
Can stroke be prevented?

Yes. Preventive measures include controlling blood pressure, managing diabetes, quitting smoking, eating a balanced diet, exercising regularly, and taking prescribed medications for cholesterol or heart disease. Identifying and treating conditions like atrial fibrillation also lowers stroke risk.

What is the long-term outlook after a Stroke?

Recovery varies depending on stroke type, severity, and how quickly treatment began. Some patients recover fully, while others may have long-term disabilities. Ongoing medical care, rehabilitation, and lifestyle changes are key to maximizing recovery and preventing future strokes.

Connect with Our Experts Today

If you or someone you know shows signs of stroke — sudden weakness, speech difficulty, or facial drooping — seek emergency medical help immediately. Our Stroke and Neurorehabilitation Team at Baby Memorial Hospitals provides advanced care from emergency treatment to long-term recovery support.

📞 Call us or book an Appointment Online to learn more about stroke management and prevention.

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