Brain Stroke Treatment in Hyderabad

A brain stroke occurs when blood supply to part of the brain is disrupted. Ischemic stroke (80% of cases) is caused by a clot blocking a blood vessel. Hemorrhagic stroke (20%) occurs when a blood vessel ruptures, causing bleeding into or around the brain. Risk factors include high blood pressure, diabetes, smoking, heart disease, and high cholesterol. Immediate medical attention is critical — every minute counts.

FAST stands for: F – Face drooping or uneven smile; A – Arm weakness, one arm drifts down; S – Speech difficulty, slurred or strange; T – Time to call emergency services immediately. Additional warning signs include sudden severe headache, vision loss, balance problems, and confusion. If you notice any of these symptoms, reach Yashoda Hospital Malakpet Emergency or call +91 97782 80044 immediately.

Hemorrhagic stroke occurs when a blood vessel ruptures in or around the brain, causing intracerebral hemorrhage (ICH) or subarachnoid hemorrhage (SAH). Surgery is indicated when: the hematoma is large (>30mL) and causing brain compression, the patient is deteriorating neurologically, the bleed is in an accessible location (lobar or cerebellar), or there is an underlying aneurysm or AVM requiring repair. Dr. Sayuj performs minimally invasive ICH evacuation and open craniotomy depending on the clinical scenario.

Decompressive craniectomy involves removing a portion of the skull to allow the swelling brain to expand without being compressed. It is indicated in malignant middle cerebral artery (MCA) infarction — a severe ischemic stroke where massive brain swelling can be fatal without surgery. The procedure is life-saving for selected patients aged under 60 with large MCA territory strokes who are deteriorating rapidly.

A ruptured brain aneurysm causes subarachnoid hemorrhage (SAH) — a severe form of hemorrhagic stroke. Patients present with a sudden thunderclap headache ("worst headache of life"), vomiting, neck stiffness, and loss of consciousness. Emergency treatment includes securing the aneurysm by surgical clipping or endovascular coiling to prevent re-bleeding. Dr. Sayuj performs surgical aneurysm clipping; complex cases are managed with interventional neurology collaboration.

Post-stroke rehabilitation begins in the Neuro-ICU and continues in the ward, sub-acute rehab unit, and outpatient setting. It includes physiotherapy for limb weakness, speech therapy for language and swallowing difficulties, occupational therapy for daily activities, and neuropsychology for cognitive recovery. Recovery depends on stroke severity, location, and time to treatment — early intervention consistently leads to better outcomes.

Yes. High blood pressure is the single most important modifiable risk factor for stroke. Keeping blood pressure below 130/80 mmHg reduces stroke risk by up to 40%. Other preventive measures include antiplatelet or anticoagulation medications for atrial fibrillation, statin therapy for high cholesterol, smoking cessation, diabetic control, regular exercise, and a heart-healthy diet. Dr. Sayuj advises on neurovascular risk reduction as part of a comprehensive stroke prevention programme.