Frequently Asked
Questions

One of our goals at iCardin is to communicate well with our patients, so encouraging your questions and providing satisfactory answers is one way we engage you in your treatment. We provide this list to help answer some of the most commonly asked questions on neurological disorders.

Need some help? We have you covered!

Frequently Asked Questions

One of our goals at iCardin is to communicate well with our patients, so encouraging your questions and providing satisfactory answers is one way we engage you in your treatment. We provide this list to help answer some of the most commonly asked questions on neurological disorders.

Need some help? We have you covered!

Stroke

Neurology

iCardin

What is stroke?

A stroke occurs when blood flow to a part of the brain is interrupted due to a blocked or burst blood vessel. Around 80% of all strokes are ischemic in nature i.e. due to blockage of a blood vessel. Lack of blood supply leads to reduce oxygen or nutrient supply to the brain, and the brain cells become damaged or permanently destroyed.

Can you feel a stroke coming on?

Sometimes a stroke happens gradually, but you’re likely to have one or more sudden symptoms like these: Numbness or weakness in your face, arm, or leg, especially on one side, confusion or trouble understanding other people or trouble seeing with one or both eyes. 

What is the meaning of ‘Golden Hour’ in stroke?

Stroke patients who reach the hospital within one hour of symptoms receive a clot busting drug twice as often as those arriving later. Researchers call the first hour of symptom onset “the golden hour.” 

How can I test myself for a stroke?

B.E. F.A.S.T. —the Balance, Eyes, Face, Arm and Speech Test

BALANCE. Sudden dizziness, loss of balance or coordination.
EYES. Sudden trouble seeing out of one or both eyes.
FACE. First, check for facial weakness.
ARMS. Next, check for arm weakness.
SPEECH. Check for impaired speech.
TIME. Immediately call +91 8010139903

Why is there a need to ACT F.A.S.T?

Ischemic strokes, the most common strokes, can be treated with a drug called t PA that dissolves artery-obstructing clots. The window of opportunity to use t-PA to treat stroke patients is three hours, but to be evaluated and receive treatment, patients need to get to the hospital within 60 minutes 

How common is stroke in India?

In India approx. 15 lac people suffer from stroke each year

What happens when brain cells die?

When these neurons die, people lose their capacity to remember and their ability to do everyday tasks. Physical damage to the brain and other parts of the central nervous system can also kill or disable neurons. 

Are there different kinds of strokes?

The three main types of stroke are: Ischemic stroke. Hemorrhagic stroke. Transient ischemic attack (a warning or “mini-stroke”) 

Can you recover from a stroke?

A stroke affects everyone differently. The ability to recover from a stroke depends on the severity and how quickly you get medical attention. 

What are the effects of stroke?

Because one side of the brain controls the opposite side of the body, a stroke affecting one side will result in neurological complications on the side of the body it affects. If the stroke occurs toward the back of the brain, for instance, it’s likely that some disability involving vision will result.  

What is the importance of time with respect to stroke?

A stroke patient looses almost 1.9 million neurons per minute of stroke with a delay in treatment. Even though there is a 4.5 hours time window, it has been seen that earlier the treatment initiated, better are the outcomes of the patient.

What happens if you give tPA after 4 hours?

The benefits of tPA treatment in stroke  disappear after 4.5 hours, and mortality risk increases significantly. 

What is the prognosis for stroke?

Although stroke is a disease of the brain, it can affect the entire body. A common disability that results from stroke is complete paralysis on one side of the body, called hemiplegia. A related disability that is not as debilitating as paralysis is one-sided weakness or hemiparesis. Stroke may cause problems with thinking, awareness, attention, learning, judgment, and memory.

What is the most common treatment for stroke?

Blood thinners are used to treat acute stroke. The “clotbuster” drug used in emergency settings is called alteplase (Activase), also referred to as tPA (tissue plasminogen activator).

Are strokes painful?

There is no pain with a stroke. This causes many people to disregard their symptoms.

Is damage from a stroke permanent?

A stroke can cause permanent loss of function. The long-term effects of stroke depend on which part of the brain was damaged and by how much. Early treatment and rehabilitation after stroke can improve recovery and many people regain a lot of function. 

What are the stages of stroke treatment?

Generally, there are three treatment stages for stroke: prevention, therapy immediately after the stroke, and post-stroke rehabilitation.

Is a stroke the same as a brain aneurysm?

The terms “stroke” and “aneurysm” are sometimes used interchangeably, but these two serious conditions have some important differences. A stroke occurs when there’s a ruptured blood vessel in the brain or blood supply to the brain has been blocked. An aneurysm is the result of a weakened artery wall.

Do strokes affect all people the same?

All strokes are different. For some people the effects may be relatively minor and may not last long, while others may be left with more serious long-term problems. 

Can a healthy person have a stroke?

A healthy diet, regular exercise, drinking in moderation and not smoking dramatically reduces the chance of having a stroke. Yet some people with the healthiest of lifestyles will still have a stroke, while some who do the exact opposite will not. 

What should stroke patients avoid?

Cut back on are sugar, salt, highly processed foods, saturated and trans fats, and fried foods, as well as snacky-type foods.

Can stress cause a stroke?

Yes, stress can absolutely be a contributing factor toward a stroke. While minor day-to day stress will probably not increase your chance of a stroke, chronic or long-term stress very well could. 

How can I be "stroke smart" and reduce my risk of a stroke?
  • Have your blood pressure checked every year.
  • Find out if you have atrial fibrillation, which can lead to a stroke.
  • Do not smoke.
  • Drink alcohol in moderation only.
  • Have your cholesterol checked regularly.
  • Exercise regularly.
  • Enjoy a low-salt, low-fat diet.
  • Ask your doctor if you have any circulation problems.
  • If you have diabetes, take steps to control it.
  • Seek immediate medical attention if you have any stroke symptoms.
  • Undergo a screening for carotid artery stenosis.

Neurology

How does a neurologist check for nerve damage?

The neurologist will recommend certain non-invasive neurological evaluations like Electromyography (EMG) and Nerve conduction velocity (NCV) testing to check for nerve damage.  

What does a neurologist treat?

A neurologist treats disorders of the peripheral and central nervous system that affect the brain, cranial nerves, spinal cord, peripheral nerves, autonomic nervous system, nerve roots neuromuscular junction, and muscles.   

What are the common neurological disorders?
  • Seizure disorders like epilepsy  
  • Neuromuscular disorders, such as myasthenia gravis  
  • Infections of the nervous system that includes encephalitis, meningitis, or brain abscesses  
  • Stroke, Tumor and Aneurysms  
  • Multiple sclerosis, sleep disorders  
  • Headaches and migraine  
  • Neurodegenerative disorders, like Parkinson’s disease and Alzheimer’s disease  
  • Spinal cord disorders include inflammatory and autoimmune disorders 
Why do patients need a neurological examination?  

Sometimes the neurological conditions are easy to diagnose and treat but it can be attributed to a number of conditions. This may indicate towards a more complex condition that may be difficult to diagnose. Hence it is important to consult a senior neurologist who specializes in these complex areas.  

What questions do neurologists ask?  

A neurologist may ask you a series of questions to examine your muscle strength, balance, and other functions related to the central nervous system.  Such as:    

  • Medical history and the occurrences of neurological episodes along with psych evaluation (at times) 
  • You may be asked about the tasks associated with coordination and balance, like walking on a straight line  
  • Test of reflexes, sensation and some for the autonomic nervous system that controls breathing, heart rate, blood pressure, and body temperature  
  • Depending on the complexity of your disease you may be asked to get an MRI 
What are some of the warning signs indicating you should see a neurologist?

Have you ever noticed changes in the way you talk, move, or think? Or having problems with your senses like touch, vision, or smell if so, then it’s always good to listen to your body. Muscle weakness, confusion, dizziness, or having problems with your memory can also be an indication to see a neurologist. It is always important to acknowledge your symptoms if you are feeling off. 

iCardin

Why should I choose iCardin?

We are a patient centric platform that focuses on providing in-patient care, best treatment advice and plan for stroke and any neurological issues. 

On which diseases I’ll get the consultation on iCardin?
  • Strokes
  • Headaches and Migraine
  • Neuropathy
  • Dementia
  • Radiculopathy
  • Seizures and epilepsy
  • Alzheimer’s disease
  • Attention deficit/hyperactivity disorder
  • Parkinson’s disease
  • Tourette’s syndrome
  • Sclerosis
  • Sleep disorders
  • Infections, tumors of the nervous system
  • Vertigo and balance disorders
  • Memory disorders
  • Pediatric neurological disorders
Who will be giving the consultation about the issues?

Our super-specialist neurology doctors in Pune PCMC with 14+ years of experience will be providing medical consultation. 

What is the advantage of our ‘Stroke & Neurology Center’?
  • 24*7 stroke specialists, neurosurgeons, interventional radiologists and rapid action team
  • Neurology consultation and second opinion
  • Complex brain and spine surgery
  • Advanced investigations – CT-Scan, MRI, EMG, EEG
  • Neuro Rehabilitation
How is iCardin different from other hospitals?

 We are on a mission to create awareness about ‘Brain Stroke’ and the importance of taking prompt decisions, when confronted with it. We aim to build most advance all equipped neuro center in PCMC & Pune to reduce the door-to-needle time to 30 minutes 

Can I consult online?

Yes. You can upload the relevant medical reports for our doctor’s reference and we can set up an online consultation based on your availability.