Stroke ^{Stroke Treatment | Best Brain Stroke Hospital in Delhi | Moolchand Hospital}

Acute Stroke Triage and Emergency Assessment

• Immediate stroke recognition and FAST protocol activation upon patient arrival

• Rapid neurological assessment and NIHSS stroke severity scoring

• Urgent CT brain for haemorrhagic stroke exclusion and ischaemic change detection

• CT angiography for large vessel occlusion identification and thrombectomy eligibility

• CT perfusion imaging for penumbra assessment and extended treatment window evaluation

• MRI brain for detailed infarct characterisation and small vessel disease assessment

• Door-to-needle and door-to-groin time minimisation protocols

• Immediate neurology specialist assessment within the emergency department

Intravenous Thrombolysis

• IV alteplase thrombolysis for eligible acute ischaemic stroke patients within treatment window

• Tenecteplase thrombolysis as an alternative for eligible patients

• Strict thrombolysis eligibility assessment and contraindication screening

• Continuous neurological monitoring and blood pressure management during thrombolysis

• Haemorrhagic transformation surveillance following thrombolysis

• Bridging thrombolysis before mechanical thrombectomy for large vessel occlusion

• Post-thrombolysis neurological assessment and neuroimaging follow-up

Mechanical Thrombectomy for Large Vessel Occlusion

• Emergency mechanical thrombectomy for acute ischaemic stroke with large vessel occlusion

• Stent retriever and aspiration thrombectomy techniques by expert interventional neuroradiologists

• Extended treatment window thrombectomy based on advanced perfusion imaging criteria

• Tandem occlusion management including cervical carotid stenting and intracranial thrombectomy

• Post-thrombectomy neurological assessment and reperfusion grade evaluation

• Management of thrombectomy complications including vessel perforation and haemorrhage

• Recognised as a leading centre for mechanical thrombectomy in Delhi

Haemorrhagic Stroke Management

• Emergency intracerebral haemorrhage evaluation and haematoma volume assessment

• Blood pressure management and anticoagulation reversal for haemorrhagic stroke

• Surgical haematoma evacuation for selected supratentorial intracerebral haemorrhage

• Cerebellar haematoma evacuation for life-threatening posterior fossa haemorrhage

• External ventricular drain insertion for hydrocephalus complicating haemorrhagic stroke

• Minimally invasive haematoma evacuation for selected cases

• Coordination with neurosurgery for complex haemorrhagic stroke surgical management

Subarachnoid Haemorrhage Management

• Emergency SAH diagnosis and CT angiography for aneurysm identification

• Endovascular coil embolisation for ruptured intracranial aneurysms

• Neurosurgical clipping for selected aneurysms based on morphology and location

• Vasospasm monitoring using transcranial Doppler and CT perfusion imaging

• Triple H therapy and endovascular vasospasm treatment for symptomatic vasospasm

• Hydrocephalus management including lumbar drain and ventriculoperitoneal shunt

• Long-term aneurysm surveillance and follow-up imaging

Transient Ischaemic Attack Management

• Rapid TIA assessment and ABCD2 risk stratification for early stroke risk quantification

• Urgent brain and vascular imaging for TIA cause identification

• Early antiplatelet or anticoagulation therapy initiation based on TIA mechanism

• Carotid artery evaluation and urgent carotid endarterectomy or stenting for high-grade stenosis

• Cardiac monitoring for paroxysmal atrial fibrillation detection

• Rapid secondary prevention optimisation to prevent early stroke recurrence

Neuro-Critical Care for Stroke

• Dedicated neuro-ICU care for severe stroke patients requiring intensive monitoring

• Continuous multiparameter neurological monitoring and critical value management

• Raised intracranial pressure monitoring and management for malignant MCA infarction

• Decompressive hemicraniectomy coordination with neurosurgery for malignant cerebral oedema

• Fever, hyperglycaemia and blood pressure management for secondary brain injury prevention

• Deep vein thrombosis prophylaxis and aspiration pneumonia prevention protocols

• Nutritional support and enteral feeding management for stroke patients

Stroke Secondary Prevention

• Comprehensive stroke aetiology workup including cardiac, vascular and haematological evaluation

• Antiplatelet therapy optimisation for non-cardioembolic ischaemic stroke

• Anticoagulation therapy initiation for atrial fibrillation and cardioembolic stroke

• Carotid artery stenosis evaluation and intervention planning

• Intracranial atherosclerosis management and aggressive medical therapy

• Hypertension, diabetes and dyslipidaemia optimisation for secondary stroke prevention

• Lifestyle modification counselling for long-term cerebrovascular risk reduction

Cryptogenic Stroke and Patent Foramen Ovale Management

• Comprehensive cryptogenic stroke evaluation and embolic source identification

• Patent foramen ovale evaluation using bubble echocardiography

• PFO closure candidacy assessment for recurrent cryptogenic stroke

• Long-term cardiac monitoring with implantable loop recorder for paroxysmal AF detection

• Antithrombotic therapy selection for cryptogenic stroke management

Stroke Rehabilitation

• Early stroke rehabilitation initiated within the acute neurology ward and neuro-ICU

• Motor recovery physiotherapy including upper and lower limb functional training

• Gait retraining and balance rehabilitation for post-stroke ambulation restoration

• Constraint-induced movement therapy for upper limb motor recovery

• Speech and language therapy for post-stroke aphasia and dysarthria

• Cognitive rehabilitation for post-stroke memory and attention difficulties

• Activities of daily living training and functional independence restoration

• Swallowing assessment and dysphagia management for stroke patients

Post-Stroke Outpatient Follow-Up

• Dedicated Moolchand Stroke Clinic for structured post-stroke outpatient follow-up

• Neurological recovery assessment and functional outcome monitoring

• Secondary prevention medication review and optimisation

• Recurrent stroke risk assessment and preventive intervention

• Neuropsychological evaluation for post-stroke cognitive impairment

• Depression screening and psychiatric support for post-stroke mood disorders

• Community reintegration and social support guidance for stroke survivors

Stroke Patient and Family Education

• FAST stroke recognition education for patients and families

• Stroke risk factor education and lifestyle modification guidance

• Medication adherence support and anticoagulation monitoring education

• Post-stroke home care guidance and caregiver training

• Stroke support group and peer support facilitation

• Return to driving, work and daily activities guidance following stroke