Fast scans and treatment for stroke, round the clock, followed by rehabilitation. If you see a drooping face, a weak arm or slurred speech, call for help now.

One side of the face drops. An arm goes weak, or speech comes out slurred. A stroke usually strikes without warning, and the person may not realise anything is wrong. If you see these signs, call an ambulance or get to the nearest emergency department at once. Don't wait to see if it passes.
A stroke happens when the blood supply to part of the brain is cut off, most often by a clot (ischaemic stroke) and less often by an artery bursting and bleeding into the brain (haemorrhagic stroke). Brain cells start dying within minutes. The two types need opposite treatment, so a brain scan comes first. A clot can be dissolved with medicine through a drip (thrombolysis), but only within about 4.5 hours of the first symptom.
Many people regain a lot of what they lost, mostly in the first 3 to 6 months. Some are left with lasting weakness or speech problems, and preventing a second stroke becomes part of daily life.
At Prakash Hospital, suspected strokes go straight to the resuscitation bay of our 24/7 emergency department. Our neurology team follows a dedicated stroke protocol with the emergency, radiology and critical care teams to cut the time to treatment, and rehabilitation starts early.
Remember FAST. Any one of these signs, even briefly, is an emergency.
A medicine such as alteplase or tenecteplase, given into a vein, can dissolve the clot if it's started within about 4.5 hours, and the earlier the better. The scan must show no bleeding, and the team checks for reasons it would be unsafe, such as recent surgery or blood thinners.
When a large brain artery is blocked, a specialist neuro-interventional team can pull the clot out through a catheter, in selected people up to 24 hours after onset. The first scans show whether you might benefit, and your neurologist will explain the options straight away.
Blood pressure is lowered carefully and blood thinners are reversed. Some bleeds, and some large strokes with dangerous swelling, need surgery by the neurosurgery team.
Suspected strokes skip the queue. Breathing, pulse, blood pressure and blood sugar are checked at once, since low sugar can mimic a stroke.
A doctor checks speech, vision and strength and confirms when the symptoms began, and a CT scan shows whether there's bleeding.
If there's no bleed, you're within the time window and it's safe, clot-busting medicine starts. For a bleed, blood pressure is lowered and the neurosurgery team reviews you.
You're admitted to intensive care, where blood pressure, heartbeat, sugar and brain function are watched closely. A swallow check comes before any food or drink.
Over the next few days, an MRI, blood tests, an echocardiogram and heart rhythm monitoring look for why the stroke happened.
The brain can rewire itself to a surprising degree, especially in the first few months. Progress is often slower than families hope, but regular therapy makes a real difference.
Once you're stable, physiotherapists help you sit and move, and speech therapists check swallowing and speech. Family members start learning how to help.
Most people go home within 1 to 2 weeks. A commode chair or raised seat is safer than squatting on an Indian toilet while balance is poor. Ask about our home care plan for nursing or physiotherapy at home.
Most recovery happens now, so keep up physiotherapy every day. Don't drive or ride a two-wheeler until your neurologist says it's safe, usually at least a month.
Take your prevention medicines daily, usually a blood thinner, a statin and blood pressure tablets. Cut down on salt, pickles and papad, keep diabetes on target and stop smoking.
Call us on +91-8826000033 or come straight to our 24/7 emergency department.
Talk to our Neurosciences / Neurology team
Ask about your options, the cost and your insurance before you decide. See the insurance and TPA panels we work with.
This page explains Emergency Stroke Management and Care in general terms. Your own plan depends on your health, your test results and your doctor's advice. Please read our medical disclaimer.
Emergency Stroke Management and Care is led by our Neurosciences / Neurology team, with other departments stepping in at each stage of your care.

At Prakash Hospital, our Neurology Department provides expert care for brain and nervous system disorders, offering accurate diagnoses and effective treatments to improve your neurological health.
What the department treats
Stroke Management
Epilepsy Care
Movement Disorder Treatment
Headache and Migraine Clinic
Nerve Conduction Studies
Dementia Care
Takes you straight into the resuscitation bay and starts the stroke protocol the moment you arrive.
Visit departmentReviews bleeding strokes and large strokes with brain swelling, and operates when surgery is needed.
Visit departmentStarts rehabilitation early to rebuild walking and balance, and carries it on after you go home.
Visit departmentProcedures often considered alongside Emergency Stroke Management and Care, or that treat related conditions.
An ultrasound of the heart that shows how well it pumps and how the valves work. Painless and radiation-free.
Learn moreCardiologyA portable ECG worn for 24 to 48 hours to catch irregular heartbeats that come and go.
Learn moreTargeted injections for chronic migraine, dystonia, eyelid spasm and muscle stiffness after a stroke.
Learn moreCollects spinal fluid from the lower back to diagnose meningitis, bleeding around the brain and nerve inflammation.
Learn moreRecords the brain's electrical activity through scalp electrodes to help diagnose epilepsy and seizures.
Learn moreOther procedures our Neurosciences / Neurology team performs.
Guides from our doctors on Emergency Stroke Management and Care and the conditions it treats.

जानिए स्ट्रोक के शुरुआती लक्षण जैसे चेहरे का टेढ़ा होना, बोलने में दिक्कत और अचानक कमजोरी। समय पर पहचान और तुरंत इलाज से गंभीर नुकसान से कैसे बचा जा सकता है, आसान भाषा में समझें।
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Prakash Hospital Pvt. Ltd. is a 100 bedded NABH NABL accredited multispecialty hospital along with a center of trauma and orthopedics. We are in the service of society since 2001.
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