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Dr. Satwant Sachdeva

Senior Consultant - Neurology

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Dr. Satwant Sachdeva

Senior Consultant - Neurology

Manipal Hospitals, Patiala

Breaking Down Ischemic And Hemorrhagic Strokes: Treatment Approaches

Posted On: Dec 11, 2023

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Breaking Down Ischemic and Hemorrhagic Strokes

A stroke, also known as a brain attack, occurs when blood flow to a part of the brain is interrupted or severely reduced, depriving brain tissue of oxygen and nutrients. Brain cells begin to die within minutes of a stroke, and the longer the blood flow is cut off, the more damage is suffered.

What are the types of strokes?

There are two main types of stroke:

  • Ischemic Stroke

This is the most common type of stroke, accounting for more than 85% of all strokes in the population. It occurs when a blood clot blocks an artery that supplies blood to the brain.

  • Hemorrhagic Stroke

This type of stroke happens when a blood vessel in the brain bursts, bleeding into the surrounding brain tissue.

Get the finest treatment at Manipal Hospitals with the help of the best neurologist in Patiala

What are the treatments for each type of stroke?

Ischemic Stroke Treatment

An ischemic stroke occurs when a blood clot blocks the flow of blood to the brain, depriving brain cells of oxygen and nutrients. Timely treatment, preferably within the golden hour is crucial to minimize brain damage and improve chances of recovery. The main treatment options for ischemic stroke include:

  • Tissue Plasminogen Activator (tPA)

tPA is a protein-based medication that helps dissolve blood clots. It is the most effective treatment for ischemic stroke and must be administered within 4.5 hours of stroke. 

  • Endovascular Therapy

Endovascular therapy involves physically removing or opening up the blocked blood vessel. This procedure is typically used when tPA is not an option, such as for large or deep-seated blood clots.

  • Anticoagulants

Anticoagulants are medications that thin the blood to prevent further blood clots from forming. They are often used for stroke prevention in people with high risk of predictable factors.

Hemorrhagic Stroke Treatment

A hemorrhagic stroke occurs when a blood vessel in the brain ruptures, causing bleeding in the brain. Treatment for hemorrhagic stroke focuses on stopping the bleeding and reducing pressure in the brain. Treatment options for hemorrhagic stroke include:

  • Blood Pressure Control

Maintaining healthy blood pressure is crucial to prevent further damage. Medications may be used to regulate blood pressure.

  • Surgical Intervention

Surgery may be necessary to remove blood clots or repair the ruptured blood vessels. This is typically considered for cases with severe damage requiring immediate or emergency remediation.

  • Supportive Care

Supportive care is essential to manage complications and promote stable recovery. This may include monitoring brain function, managing pain, and preventing infections along with guiding proper ca

Rehabilitation After a Brain Stroke

Regardless of the type of stroke, rehabilitation is an essential part of recovery. Rehabilitation programs aim to help stroke survivors regain lost function, improve mobility, and enhance their quality of life. Rehabilitation services may include physical therapy, occupational therapy, speech-language therapy, and cognitive therapy as per the patient's health needs. Book an appointment now at the best neurology hospital in Patiala and get a proper plan of treatment to improve your health conditions.

Preventing Future Strokes

Preventing recurrent strokes is crucial for long-term health and well-being. Lifestyle modifications, such as maintaining a healthy weight, exercising regularly, and managing blood pressure, can significantly reduce the risk of future strokes.

Additionally, medications may be prescribed by the doctor to regulate blood pressure, and cholesterol, or prevent blood clots, depending on the underlying cause of the stroke and the risk factors of that particular patient. 

Manipal Hospitals Patiala has some of the best medical technologies and doctors for all your healthcare needs. Visit your nearest Manipal Hospitals and experience world-class care near you. 

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