Brain Stroke Treatment in Ranchi: Procedure and Cost

Brain stroke is a leading cause of long-term disability, and it is fatal if a patient does not get early medical attention.

Stroke results from reduced blood supply to the part of your brain, which leads to deprivation of oxygen and nutrients to brain tissue. Brain cells begin to die within hardly any minutes.

A stroke is a medical emergency and requires immediate medical care. Prompt action will help in thwarting complications and brain damage. Nowadays due to advanced medical care, the rates of death occurring due to brain stroke are decreasing. Book your appointment with the best neurosurgeon in Ranchi.

Symptoms of stroke:

Slurring speech or confusion:

Person undergoing stroke poses difficulty in understanding what is going around as well as trouble in speaking.

Paralysis of the face, arm, or leg:

Person undergoing paralysis may feel numbness and weakness of the face, arm, or leg of one side of the body. A simple test is asking the person undergoing stroke to raise both hands at the same time if one hand is falling, it indicates stroke. One side of the mouth also drools if the person tries to smile.

Blurred vision with single or both eyes:

Confusion is developed, a person experiencing stroke may see double, blurred pictures of our complete darkness.

Headache:

A sudden headache appears like Thunderclap and gradually increases. Sometimes patients may also experience vomiting, dizziness, giddiness, loss of consciousness.

Trouble in walking:

Patients experiencing stroke may lose balance walking or standing as well as not be able to coordinate.

Diagnosis of stroke:

Stroke is a medical emergency, on arrival at the hospital doctors take immediate action to diagnose your condition. An immediate CT scan is required to rule out the reason behind your symptoms switch as brain tumour of drug reaction. Test required to diagnose stroke are:

Physical examination:

Doctors will check the heart sounds and blood pressure. A neurological examination is conducted to check the damage to the nervous system. Consult today's best neurosurgeon in Ranchi.

Blood test:

Blood tests are required to find out blood clotting time, blood sugar levels and any infections.

Computed tomography scan or CT scan:

Multiple X-rays are taken with different angles to produce a 3-dimensional image to examine brain changes and surrounding structures. It is helpful to diagnose bleeding in the brain, ischemic stroke, tumour, and other conditions.

MRI:

Magnetic Resonance Imaging is effective to detect brain changes by using powerful radio waves. Damaged brain tissues due to ischemic stroke and haemorrhages can be seen on MRI. A dye is used to highlight blood flow in arteries and veins, the technique is called magnetic resonance angiography or magnetic resonance venography.

Carotid ultrasound:

This test is used to create a detailed picture of carotid arteries in the neck with the help of sound waves. IT diagnoses fatty acid build-ups and blockage of blood flow in carotid arteries.

Cerebral angiogram:

A small incision is given usually in the groin region and a thin catheter is inserted into major arteries such as carotid or vertebral artery. Then a dye is injected into main arteries to visualise arteries of the brain and neck.

Echocardiogram:

It uses sound waves to produce detailed images of the heart. Through this test the origin of the clot is detected if the clot is travelled from heart to brain.

Treatment of stroke:

Treatment of stroke depends on type of stroke Ischemic stroke or haemorrhagic stroke.

1. Ischemic stroke:

The main goal of treatment is to restore blood supply to the brain.

Emergency IV medication: Drug therapy is started within 4.5 hours of stroke symptoms. Drugs may help to break the clots and restore blood supply. Early initiation of drug therapy can prevent brain damage.

Tissue plasminogen activator (tPA) is gold standard treatment in Ischemic stroke. It is also called alteplase (Activase). It is given intravenously to dissolve blood clots and treat the cause of stroke. Visit today the best neurosurgeon in Ranchi.

Emergency endovascular procedures:Endovascular procedures are effective in preventing long term disability; hence neurosurgeons sometimes operate directly inside the blocked blood vessels.

Medications like tPA are directly delivered to the blocked artery from which stroke originated.

A blood clot is removed with the help of a stent retriever from a blocked blood vessel. This procedure is beneficial for patients with large blood clots which tPA can not dissolve. This procedure is often performed with tPA injection.

Carotid endarterectomy:Carotid arteries run in both sides of the neck and carry blood from heart to brain. A surgery is performed to remove blockages from carotid arteries. Cost of surgery starts from 6 lakh onwards.

Angioplasty and stents:A catheter is inserted through a small incision into a blocked artery. A balloon is attached to the catheter which on inflation expands the narrowed artery. Sometimes a stent is used to prevent collapse of the artery. Cost of surgery starts from 1.5 to 2 lakh onwards.

2. Haemorrhagic stroke:

The goal of treatment in hemorrhagic stroke is to control bleeding and reduce pressure in the brain caused by excessive fluid. Emergency treatments include medicines to lower blood pressure and counteract the effect of blood thinning agents.

Surgery: A surgery is performed to remove blood from the brain and relieve pressure. Ruptured blood vessels are repaired during surgery. Surgical approach is also required to correct damage caused by aneurysm, arteriovenous malformations or other blood vessels related problems due to hemorrhagic stroke. Visit today the best neurosurgeon in Ranchi.

Surgical clipping:A tiny clamp is placed at the sight of aneurysm to stop blood flow to it. The clamp ensures prevention of aneurysm from bursting and bleeding again.

Endovascular embolization or coiling: A catheter is guided into an artery of the brain through the groin and neurosurgeon will place detachable coils into the aneurysm to fill it. Coiling will prevent blood flow in the aneurysm and form a clot.

Surgical arteriovenous malformation removal:Superficial and easily accessible small arteriovenous malformation can be removed to prevent recurrence of hemorrhagic stroke. Deep and large AVM removal leads to brain injury and altered brain function.

Stereotactic radiosurgery:High focused radiation through multiple beams is used to repair blood vessel malformation. This is a minimally invasive procedure.

Recovery after stroke:

Recovery depends on severity of stroke, amount of brain damage and area of brain affected. Rehabilitation programs are important for stroke survivors.