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At Bangkok Hospital, our Stroke Center offers comprehensive care for stroke prevention, diagnosis, treatment, and rehabilitation. Equipped with advanced technology and a multidisciplinary team of neurologists, radiologists, and therapists, we ensure timely and effective treatment. Emergency stroke care is available 24/7, focusing on restoring blood flow and minimizing brain damage. Rehabilitation programs are tailored to help patients regain independence and improve their quality of life. Early detection and prompt treatment are key to successful stroke outcomes.
In recent years stroke has become more common among people below the age of 60. The elderly, working-age adults and even teenagers can be threatened by stroke depending on a range of factors.
80% of strokes are Ischemic strokes
Embolic Stroke
Occurs when a blood clot forms elsewhere (e.g. the heart), travels via the bloodstream, and clogs the tiny blood vessel in the brain.
Thrombotic stroke
Risk factors are advanced age, hypertension, diabetes, hyperlipidemia (high blood lipids including cholesterol, triglycerides and LDL), smoking, alcohol consumption and vascular diseases.
20% of strokes are Hemorrhagic stroke
Hemorrhagic Stroke
Occurs when weakened blood vessels rupture and bleed in the brain. The blood accumulates and puts pressure on the surrounding brain tissues, causing damages.
Time is the key to stroke treatments. If any of the FAST symptoms appear, patients need to be in the care of stroke specialists as soon as possible. If reached in a timely manner, modern technology can greatly improve the chances of survival and complete recovery.
B.E.F.A.S.T.
If any of these symptoms occur, go to the hospital immediately.
B – BALANCE : Loss of balance or or unsteadiness, sudden dizziness or a loss of coordination
E – EYES : A sudden blurred or blackened vision
F – Face Drooping : Uneven or lopsided smile. Especially with severe headache.
A – Arm Weakness : Cannot raise the arms. Numb limbs. Unsteady walk.
S – Speech Difficulty : Unable to speak or complete a sentence.
T – Time
STROKE RISK
Time to hospital: within 4 ½ hours after symptoms
If the stroke involves clotting in small blood vessels without any bleeding, the patient will be given intravenous r-TPA to dissolve the clot and restore blood flow to the oxygen deprived brain.
Time to hospital: within 4 ½ – 24 hours after symptoms
Mechanical thrombectomy with stent retrievers for large-vessel clots. A catheter will be threaded through an artery to remove large blood clots without the need for open brain surgery.
Source : American Heart Association / American Stroke Association, Published Jan, 24,2018
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