Bangalore Mirror - 14th August 2018
~BRAIN STROKE, a serious illness which is striking younger people nowadays~ It was just a normal day until Divya (name changed), a 34-year-old software engineer from Bengaluru noticed tingling sensation on the right half of her body. She soon realised that she was unable to speak and was unable to explain the situation to her roommate. Realising that something was amiss, her roommates quickly brought her to the emergency department of Sakra World Hospital. As she arrived at the emergency room (ER) in Sakra, after a quick examination by the ER team it was clear that Divya had all the symptoms and signs of a developing stroke or a “BRAIN ATTACK”.
In a rapid sequence after all her blood tests were sent off and she was rushed to the MRI suite where the
clinical suspicion was proved right. MRI brain revealed an impending stroke where the main artery supply
blood to the speech and language centres on the left side of the brain called the Middle Cerebral Artery
(MCA) was blocked, with no flow forwards to the speech area which is a vital area.
Delay in this situation would mean a complete stroke for Divya and severe disability which would involve
loss of speech and higher mental functions and a weak right side of her body. Fortunately modern
medicine and science has come to the help of patients like Divya where the deadly consequences of the
stroke can be prevented by clot busting or thrombolytic injections given intravenously or intra
arterially.
Further if there is a visible block in a major artery supplying the brain due to a clot, these can be
safely extracted using retrievers called “STENTRIEVERS” or aspirated (suck out) using pumps which lead
to a better outcome.
The Neurosurgical Team headed by Dr. Swaroop Gopal, Head of Neurosciences & Senior
Consultant Neurosurgeon performed the surgery where a small needle puncture was made in
the right groin to access the femoral artery through which smaller catheters were successfully passed to
get past the blocked artery in the left side of the brain. All this was done under X-ray control.
Through the micro catheter a small basket like device called Stentriever was introduced past the blocked
artery and after 2 passes the blocked artery was re-opened immediately. The final angiography pictures
showed complete reopening of the blocked artery and restoration of normal blood flow within 30 mins of
the procedure.
“BRAIN ATTACK or BRAIN STROKE is an absolute EMERGENCY and can strike anytime and anywhere. It is
advised to rush to a nearby STROKE ready hospital without any delay. There is a rise in conditions such
as stroke among the younger generation. The increasing pressure on the mind, sedentary lifestyle and
adoption of hazardous habits as coping mechanisms are to blame for this” commented Dr. Swaroop
Gopal, Neuroendovascular Surgeon at Sakra World Hospital who conducted the surgery.
Stroke is one of the illnesses where patients are rushed to faraway places mindlessly to receive non-
scientific and irrational treatments and where valuable time and brain is lost. (1 million neurons or
nerve cells die every delayed minute in the brain). A few hours later her weakness on the right side and
the speech difficulty had improved completely. She continued to remain in the ICU overnight.
The next day, Divya was relieved to see her family and speak with them after they had arrived from
Rajasthan. A CT scan was repeated to confirm the completeness of the procedure and the following day and
she was discharged the next day, walking out of the hospital much to the delight of her family and
friends.
In case a BRAIN STROKE does strike, immediate attention and rushing the patient to a well-equipped and
stroke ready center is the key. In case of a Brain stroke TIME is vital.
Deccan Herald - 28th August 2018
Sleep is food for the brain. However, but one in three of us suffers from poor sleep.
Sleep relaxes our body, gives our brain a break, and calms the heart, allowing it to work at a lower
rate and allowing our blood pressure to drop to lower levels. Poor sleep puts people at risk of serious
medical conditions, including, obesity, heart disease and diabetes — and it shortens the life
expectancy.
Causes
With access to the internet and poor eating habits, sleeplessness can affect anyone. Teenagers are
caught in between long school days, late nights on the computers, piling up homework and projects etc.
They ignore sleep. Women are more prone to insomnia because of differences in genetics, sex hormones,
stress, and reaction to stress.
The most important health condition causing poor sleep is sleep apnoea. It is often ignored or left
undiagnosed as a case of snoring.
Most of us need around eight hours of good-quality sleep a night to function properly. A variety of
factors can cause poor sleep, but in most cases, it’s due to bad sleeping habits.
Solution
Compensating a sleep debt doesn’t happen with a single early night. If you’ve had months of restricted
sleep, expect the recovery to take several weeks. Caffeine or energy drinks are short-term pick-me-ups
and can disrupt your sleep patterns even further in the long term.
The only solution is to change your habits and actively decide to sleep early. Avoid using digital
screens just before falling asleep. If there are signs of a blocked airway e.g. snoring, mouth
breathing, dryness of the mouth, nose block etc. consult an ENT.
The New Indian Express - 23rd August 2018
Question and Answers for “ASK AN EXPERT COLUMN”
Q) My father has been suffering from Schizophrenia for a long time and it has been only six
years since we have found out about it. In 2010 we consulted a doctor and he adviced to take
sirilept 50. After three months my father discontinued the medicine and never consulted the doctor
after that. But my mother always gave him the medicine by mixing it in his food and after two three
days he was back to normal again. Whenever there were symptoms of it coming back, we used to give
him that medicine. Six months ago we took him to the doctor again and the doctor adviced him to take
Oleanz rt 10 and Tremlin 2mg. But the situation has worsened. So the doctor again switched back to
sirilept 50. But now the problem is that the medicine is not available anywhere. I tried to buy it
online with valid prescription but cannot find it anywhere. I have also asked our doctor but he said
that this was the only medicine that can cure him. What should we do now?
A - There are many medications available to treat schizophrenia. These group of medications are called
as antipsychotics. Sirilept is one of it. Looks like your father has responded well to this medicine,
but many people did not show good improvement with this medicine, hence the availability of it might
have become less. Kindly consult your psychiatrist and try a different medicine. If olanzapine didn’t
suit him, it doesn’t mean that other medicines will also not suit. Doctor will select an antipsychotic
based on the nature of the symptoms and side effect profile. These medicines take three to four weeks
for full action. So you need to wait for some time before concluding that the medicine is not working.
Q) My sister is suffering from schizophrenia, she is 35-years-old and has been taking medicine
as prescribed. But she has this constant fear that some one is going to kill her. She has been
taking Palip xr 3, zenoxa od 300, sulphitac 100 and pacitane 2. And she has also been having sleep
disorders. What can I do to help?
A - Your sister has not improved completely. She is still having the symptoms. She is on less dose of
medicines. For her symptoms to improve she will require a higher dose, probably with a combination of
sedative. Kindly consult your doctor and review the dose of medicines.
Vartha Prabha - 30th August 2018
The Indian Practitioner Magazine - August 2018 Magazine
Bangalore Mirror - 08th August 2018
Deccan Herald - 28th August 2018
The New Indian Express - 23rd August 2018
Health Vision - 27th August 2018