Diagnosis and Management of Stroke

Dr Pawan Ojha
Director Neurology, Hiranandani Hospital Vashi-A Fortis Network Hospital
Associate Professor, Sir JJ Hospital, Mumbai
Brain blood supply & Stroke
ACUTE STROKE TREATMENT
Mimics and Chameleons
• MIMICS CHAMELEONS
Acute Vertigo
Movement disorders
Isolated confusion
Sensory abnormalities
Acute amnesia
Shaking TIAs
Rehab and Brain Stimulation

44y/male, ER at 12 hours so no MT but Hemicraniectomy done.

With TMS, he showed signs of good recovery in 2 weeks. He developed
some spasticity later when he discontinued TMS.
Remember Atrial Fibrillation

CAROTID STENTING
 Lifestyle changes
Desired goals:-
1) BP < 125/75 mm Hg
2) LDL cholesterol < 100 mg/dL
3) TG < 150mg/dL
4) HDL cholesterol > 40 mg/dL
(men) or >50 mg/dL (women).
5) 5% weight reduction in those
who are overweight or obese