Latest news with #DigitalSubtractionAngiography
The Hindu
21-07-2025
- Health
- The Hindu
World Brain Health Day: Stroke management and head injury care to be provided on a ‘hub-and- spoke' model in Karnataka
Soon timely stroke management and head injury care will be available for people in government medical colleges closer to their residing districts. NIMHANS in coordination with the State government has developed 'hub-and-spoke' model for stroke and head injury care across Karnataka. Under this model, an advanced stroke and head injury centre (hub) at NIMHANS will coordinate for establishment of spoke centres in six medical colleges and provide guidance and support across the State. July 22 is observed as World Brain Day and the theme for 2025 is 'Brain Health for All Ages.' A stroke occurs when the blood supply to part of the brain is disrupted, either by a blockage or a bleed, causing brain cells to die due to lack of oxygen and nutrients. This can lead to a range of disabilities, from mild weakness to severe paralysis, and in some cases, permanent disability and even death. Golden hour Recognising the symptoms and seeking immediate medical attention within the 'golden hour' - four to six hours after symptoms begin - is crucial for minimising damage and maximising recovery. Immediate treatment can significantly improve outcomes by restoring blood flow to the brain and preventing further cell death, doctors said. The stroke management and head injury care project will be on the lines of Karnataka's heart attack (ST-Elevation Myocardial Infarction - STEMI) management project currently running in 86 taluks. The hub-and-spoke model will avoid delay in providing stroke diagnosis and treatment apart from head injury care to needy patients. Accessibility to timely care closer to their place of stay will avoid patients rushing to NIMHANS, thereby ensuring there is no congestion at the premier mental health institution. At NIMHANS six to 12 stroke patients and 15 to 16 head injury cases are seen daily. NIMHANS apex centre Girish B. Kulkarni, Professor of Neurology and head of the stroke unit at NIMHANS, told The Hindu on Monday that the hub-and-spoke model for stroke management, involves a network of healthcare facilities where NIMHANS - the apex stroke centre (hub) will provide advanced care and support to surrounding smaller facilities (spokes). 'This model aims to improve stroke outcomes by streamlining access to timely and appropriate care, especially in the crucial 'golden hour' after a stroke,' Dr. Girish said. While the apex centre at NIMHANS started three months ago, a spoke centre at the Karnataka Medical College and Research Institute (KMCRI) in Hubballi has started tracing stroke patients and has been providing routine stroke management recently. With funding from the State government, KMCRI is all set to get a Digital Subtraction Angiography (DSA) machine shortly. This equipment is used in stroke management to visualise blood vessels in the brain and identify blockages or abnormalities that may be causing a stroke, the doctor said. Apart from KMCRI, spoke centres will be established in government medical colleges in Bengaluru (Bangalore Medical College and Research Institute), Mysuru Medical, Raichur and Ballari. 'We have identified the colleges and the centres will be established soon at a total cost of ₹56 crore,' Dr. Girish said. Brain health Karnataka's Brain Health Initiative (KaBHI) being run in collaboration with NIMHANS has helped improve early detection and management of neurological disorders at the grassroots level. The initiative has trained primary healthcare providers — including doctors and nurses — to identify and treat common neurological conditions such as stroke, epilepsy, and headache in district and taluk hospitals. This has already brought neurological care closer to the people, especially in rural and semi-urban areas, and reduced delays in diagnosis and treatment.
Hans India
17-06-2025
- Health
- Hans India
From Coma to Comeback: 49-Year-Old Woman Survives Rare Brain Aneurysm Rupture
Bengaluru: In what doctors are calling a remarkable recovery, a 49-year-old woman who was found unconscious at her home has survived a rare and life-threatening brain aneurysm rupture, thanks to timely intervention and coordinated care at Vasavi Hospital. The woman was brought to the hospital in a critical condition—unresponsive, with oxygen saturation at a dangerously low 70%, blood pressure at 90/60 mmHg, and frothing at the mouth, likely due to fluid accumulation in the lungs. Initial assessments including ECG, echocardiogram, and chest CT pointed to severe lung involvement. However, a CT scan of the brain revealed subarachnoid haemorrhage, indicating a ruptured aneurysm. 'Aneurysms are balloon-like dilations in blood vessels that can rupture under increased intracranial pressure, sometimes triggered by coughing or even straining,' explained Dr. Pratham Byasani, Consultant Neurosurgeon at Vasavi Hospital. "Our patient was in shock—either due to a lung infection or a rare condition known as neurogenic shock, caused by a sudden surge of hormones following increased brain pressure." The patient was placed on a ventilator and stabilised in the ICU with multiple medications to support her blood pressure. Over the next two days, a CT angiogram was performed to locate and assess the aneurysm. Once her condition allowed, she underwent a complex procedure involving Digital Subtraction Angiography (DSA) followed by balloon-assisted coiling of the aneurysm. 'Her case was extremely challenging,' said Dr. Byasani. 'Unlike the typical aneurysm presentation of high blood pressure and severe headache, she was unconscious with low blood pressure and signs of pneumonia. Aneurysms with a wide neck are difficult to treat, as coils can dislodge into the main artery and cause a stroke. In her case, we used a balloon to secure the coils and prevent such complications.' Despite the odds, the patient made a full neurological recovery, surprising even the clinical team. The success, Dr. Byasani noted, was due to the combined effort of specialists in neurosurgery, pulmonology, intensive care, internal medicine, and anaesthesia. This case underscores the importance of timely multidisciplinary care in managing rare neurological emergencies, and offers hope in situations that often carry high mortality.
Time of India
15-05-2025
- Health
- Time of India
SGPGI starts 10-bed dedicated stroke unit for timely treatment
Lucknow: Department of neurology of SGPGIMS on Thursday started a dedicated 10-bed stroke unit in the emergency medical response and treatment centre building. "This one-of-its-kind unit has embraced the integrated working of the department of neurology, diagnostic radiology, and interventional radiology departments for the benefit of patients," said SGPGIMS director Prof Radha Krishna Dhiman while inaugurating the unit. Doctors said the unit will primarily cater to ischemic stroke patients. "Such patients develop weakness in half of the body or report any weakness, abnormality in vision, balancing, speech etc., due to blocking of blood vessels that supply the brain. If they arrive within six hours of the onset of symptoms, treatment can prevent the lifelong disability that such patients suffer due to ischemic stroke," said Prof Jayantee Kalita, head of the neurology department. An official spokesperson said the unit would work on the principle of "Time is Brain," and to ensure timely treatment, all stakeholders must always remain on alert mode. "Since the stroke unit is located in the emergency building, no time will be wasted in unnecessary referral to the neurology department that is in the adjacent building. A dedicated CT scan and a Digital Subtraction Angiography suite are also in the vicinity of the stroke unit so that the patient can be subjected to diagnostic imaging and intervention without wasting any time," they said.
Time of India
08-05-2025
- Health
- Time of India
NEIGRIHMS gets advanced med tech for better treatment
1 2 Shillong: Director of the North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences ( NEIGRIHMS ), Dr. Nalin Mehta, on Wednesday inaugurated a Biplane Digital Subtraction Angiography (DSA) system and a Picture Archiving and Communication System (PACS)."This state-of-the-art technology enhances the hospital's capabilities in diagnosing and treating complex neurological and blood vessel conditions. This will be the second biplane DSA in the northeast, a boon not only for the people of Meghalaya, but for the entire region," a NEIGRIHMS statement newly installed Biplane DSA system offers high-resolution, real-time imaging from two perpendicular angles, providing comprehensive views of blood vessels in the brain and other critical areas, thus adding precision in neurovascular imaging . The dual-plane imaging facilitates accurate diagnosis and precise guidance during interventional procedures such as aneurysm coiling, arteriovenous malformation treatment, and stroke interventions. The integration of the PACS system enables healthcare professionals to access patient images and reports instantly from any location within the hospital network, facilitating timely and accurate diagnoses.
