Timely treatment given by doctors of Wockhardt hospital in Mumbai to an ischemic stroke-affected 84-year-old lady, saved her from permanent disability. Mrs Nirmala Desai was recently rushed to the hospital during the window period. She was given thrombolytic therapy and clot-busting medications by the doctors that saved her from disability.
Mrs Desai had lost her speech and was unable to move her right upper and lower limb when she was brought to the hospital. The availability of thrombolytic therapy and devices that can mechanically remove the clot from the involved blood vessel has revolutionized the management of stroke. However, the success of these interventions is time-dependent.
Patients who reach the hospital within the window period, that is within 4.5 hours of the onset of stroke, which in some cases can be extended up to 6hrs, remain eligible for receiving thrombolytic therapy or mechanical clot retrieval therapy.
Mrs Desai was rushed to the hospital within 20 minutes of the onset of stroke. She was evaluated by the emergency team and after determining her eligibility, she received thrombolytic therapy.
Dr. Prashant Makhija, Consultant Neurologist, Wockhardt Hospital, said that the patient suffered from an acute ischemic stroke. An ischemic stroke is a medical condition in which interruption of blood supply to the brain results in cell death.
She was not able to speak and move her right upper and lower limbs. After she was evaluated in the emergency, she was immediately taken for MRI of the brain which showed early evidence of stroke.
She was then administered thrombolytic therapy. It is a treatment to dissolve clots in blood vessels, enhance blood flow, and thus prevent damage to the involved part of the brain.
Dr Makhija said that the therapy involves administration of clot-busting drugs through an intravenous line or through a long catheter which passes through the involved blood vessel and delivers drugs directly to the site of the blockage. When the drug fails to dissolve the clot, mechanical retrieval of the clot can also be performed through specialized clot-retrieval devices.
Mrs Desai was discharged after 4 days and now happily sings bhajans and is back to her routine.