Stroke: Symptoms, Diagnosis & Treatment

A stroke is a serious medical condition that occurs when the blood supply to part of the brain is interrupted by a blockage or when there is a haemorrhage due to a burst blood vessel. Strokes are a medical emergency and it is imperative to seek urgent medical advice if any one of these events occurs by dialing 999.

A stroke is a serious medical condition that occurs when the blood supply to part of the brain is interrupted by a blockage or when there is a haemorrhage due to a burst blood vessel. Strokes are a medical emergency and it is imperative to seek urgent medical advice if any one of these events occurs by dialing 999.

A stroke is a serious medical condition that occurs when the blood supply to part of the brain is interrupted by a blockage or when there is a haemorrhage due to a burst blood vessel. Strokes are a medical emergency and it is imperative to seek urgent medical advice if any one of these events occurs by dialing 999.

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Stroke Treatment

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A stroke is a serious medical condition that occurs when the blood supply to part of the brain is interrupted by a blockage or when there is a haemorrhage due to a burst blood vessel.

The F.A.S.T. test as an easy way to remember the most common signs of stroke.

Using the F.A.S.T. test involves asking these simple questions:

  • Face Check their face. Has their mouth drooped?
  • Arms Can they lift both arms?
  • Speech Is their speech slurred? Do they understand you?
  • Time Is critical. If you see any of these signs call 999 straight away.

Same Day Diagnosis

At Dementech Neurosciences, we endeavour to see you on the same day, if possible. You no longer have to wait to be seen by an expert and can be seen alongside your journey with the NHS, With your consent, we can also share the full consultation report with your GP.

Same Day Tests, Assessments & Scans

At Dementech we have available the Stroke Risk Analysis (SRA) clinic. The SRA is a telemedicine service based on an automated software providing automated AF detection. The SRA has been demonstrated to be able to improve AF detection.

15-minute Consultation with Patient Advisor

Schedule a free 15-minute initial consultation with a Patient Advisory. This is an opportunity to discuss your condition where the Patient Advisor will suggest the most appropriate route to suits your specific needs.

Video Consultations Available

Dementech Neurosciences is now offering tele consultations to patients who are unable to physically attend our clinic on Wimpole street.

We will be conducting these calls through Skype, FaceTime and WhatsApp call/Video call.

Stroke Treatment

What Is A Stroke?

A stroke occurs when a blood clot blocks a blood vessel (artery) and interrupts blood flow to the brain region supplied by that artery, or when a blood vessel breaks and bleeding occurs into an area of the brain.

Every stroke is different. The symptoms and effects vary according to the type of stroke, the part of the brain affected and the size of the damaged area. For some people the symptoms are severe, for some mild. Nevertheless, people with mild symptoms should also seek urgent attention, since a “mini stroke” can be a warning for a severe one. Also, the intensity of the symptoms can fluctuate within the first time period. Usually, the symptoms of stroke come on suddenly, but in a quarter of cases they may come on during sleep, and the symptoms will only be noticed at the time of waking.

Stroke Symptoms

The following signs of stroke may occur alone or in combination:

  • Face Check their face. Has their mouth drooped?
  • Arms Can they lift both arms?
  • Speech Is their speech slurred? Do they understand you?
  • Time Is critical. If you see any of these signs call 999 straight away.
Stroke Treatment
Stroke Treattment

Risk Assessment & Prevention

Patients with a history of stroke are at much higher risk of suffering a further stroke. Consequently reducing stroke risk following a stroke is a major goal. The management of treatable risk factors is important for reducing the risk of ischemic stroke.

The major modifiable risk factors for stroke are the following:

  • Hypertension
  • Diabetes mellitus
  • Smoking
  • Dyslipidemia
  • Physical inactivity

Important but un-modifiable risk factors for stroke include age, ethnicity, sex, family history, and genetics.

 

Atrial fibrillation (AF) is a heart rhythm disturbance that causes at least 20% of all ischemic strokes; these strokes have a higher mortality and are frequently more disabling compared to other etiologies.

 

Ischemic strokes caused by AF can be effectively prevented by oral anticoagulation. However, because AF is often asymptomatic and only paroxysmally present, it can easily escape diagnosis. Reportedly, delayed detection of AF is common in patients with stroke.

What is atrial fibrillation (AF)?

Atrial fibrillation is the most common heart rhythm disturbance. There are 1.2 million people with AF in the UK and it is more common in older people.

 

Atrial fibrillation makes your risk of a stroke five times higher. If you have this condition, it’s important that you get the right treatment – both to control it and to reduce your risk of stroke.

Vascular Dementia
Vascular Dementia

Why does AF increase your risk of stroke?

If your heartbeat is irregular and fast, your heart may not have a chance to relax and empty properly before filling up with blood again. Blood can collect inside the upper chamber of the left side of the heart, and this increases the risk of blood clots forming.

 

If blood clots form in your heart, there is a risk they can travel in your bloodstream towards your brain. If a clot blocks one of the arteries leading to your brain, it could cause a stroke

What are the symptoms?

Palpitations (being aware of your heart beating fast), breathlessness, chest pain or fatigue are common symptoms of AF. However, some people do not have any symptoms at all and AF is often only diagnosed during a specialist medical check-up.

Stroke Treatment
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How is AF diagnosed?

There are several technologies available for AF detection after stroke. These technologies may vary significantly in their invasiveness and duration of monitoring. Non-invasive screening for AF is possible with Holter monitoring, wearable patches or belts.

 

At Dementech we have available the Stroke Risk Analysis (SRA) clinic. The SRA is a telemedicine service based on an automated software providing automated AF detection. The SRA has been demonstrated to be able to improve AF detection.

 

The SRA Holter can be released on request and after 24h, 48h or 7 days patients will come back at Dementech for the follow up. SRA data will be sent via a secure internet connection to the central SRAclinic server for analysis. The SRAclinic analysis report will be available within few minutes.

 

In the case of detected AF, the SRA service provides source ECG tracks for clinical confirmation of AF. In the presence of manifest AF on ECG data, SRA clinic has a 99% sensitivity and specificity compared to normal standard of care. In this case your Stroke physician will discuss with you the treatment options available.

Hear From Our Happy Patients

My family and I experienced one of the hardest times of our lives having to deal with my wife’s deteriorating condition. I would like to personally thank the lovely young lady Zobiaa from Dementech, for showering us with compassion, empathy and genuine care and concern. Her professionalism, high-level customer service and communication, eye for detail, and willingness to go the extra mile to accommodate our needs and make not only my wife, but our whole family, feel as comfortable and supported as possible, is something we will always be grateful for. Thank you so much for your friendly and polite presence Zobiaa and taking the time and effort to build a relationship with us. You really made our visits to the clinic a positive, 5 star experience.P Allen
Have had nothing but kindness and professionalism from Dementech and all their staff. From their initial guidance by Shakeela, through to staff conducting the MRI tests and Dr. Lucio D'Anna for his expertise clarity of explanation, compassion and consideration. Special mention to Zobia, who saved the day with her quick thinking that helped my mother-in-law to obtain extended care. Overall a perfect experience. Cannot recommend them enough.N Mohamed

Stroke Treatment

In patients who have an acute stroke, it is recommended the admission in a Hyperacute Stroke Unit (HASU) which is a specialised unit committed to providing the most effective and successful forms of treatments.

 

Following emergency treatment to prevent further damage, the secondary prevention is crucial.

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Frequently Asked Questions

I'M CLAUSTROPHOBIC. DO YOU HAVE ANY ALTERNATIVES TO THE MRI SCAN?

Yes we do. We offer an Upright MRI and an Open MRI

WILL I GET A COPY OF MY TEST RESULTS?

Yes, you will get a copy of your results as well as a CD of the MRI scan on request

HOW QUICKLY CAN I BE SEEN?

We endeavour to see you on the same day, if possible.

CAN YOU ARRANGE TESTS?

All tests can be arranged prior to your consultation with us and ever after the consultation.

WHAT DOES THE CONSULTATION ENTAIL?

The consultation will begin with an assessment, followed by a diagnosis. Once you have received your diagnosis, you will be given a management plan and will be prescribed with medication. You will also receive a full consultation report.

IF I AM SEEN PRIVATELY, WILL I BE TAKEN OFF THE NHS WAITING LIST?

No. Seeing a doctor at Dementech will not affect your care through the NHS.

DO YOU OFFER VIDEO CALLS?

Dementech Neurosciences is now offering tele consultations to patients who are unable to physically attend our clinic on Wimpole street. We will be conducting these calls through Skype, FaceTime and WhatsApp call/Video call.

DO YOU PROVIDE FINANCE?

At this current time we do not offer finance. Payments will need to be made prior to tests and consultations.

HOW QUICKLY CAN WE GET AN MRI, BLOOD TEST AND OTHER TESTING DONE?

You can get the tests within 2 days of requesting it.

Test results will be received within 2 days.

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