Vanchilingam Hospital Thanjavur




Neurology Treatments

We make sure that sufficient care is provided to the children so that they are able to lead a normal life.

Stroke recovery treatments provided by Dr.Vanchilingam Hospital is the best for all the stroke-related issues. Below are the services provided by Dr Vanchilingam Hospital.

1) Primary stroke prevention
Primary stroke prevention means providing treatment to individuals who have no history of stroke. There are some risk reduction measures to prevent primary stroke, they are the usage of drugs such as anticoagulants, antihypertensive medications, 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors (stains) and platelet anti aggregants. Other preventive measures include smoking cessation, the dietary intervention like intake of diet rich in fruits and vegetables and potassium-rich foods, weight loss and involved in physical exercises. Diabetic patients should undergo close monitoring of sugar levels and regular monitoring of blood pressure for hypertensives.

2) Emergency management of stroke

  1. IV Thrombolysis  
    The most common treatment for stroke is intra-venous thrombolytic therapy where Intravenous recombinant tissue plasminogen activator (rt-PA) is given within 3 to 24 hours of stroke onset. This is favourable to patients who have occlusions beyond M1 segment of MCA and in posterior circulation and patients who are younger than 75 years. The outlook of these patient changes dramatically after the treatment.
  1. IA Thrombolysis  
    This is done in the Cath lab. Patient is catheterised at the groin via a femoral puncture and a guiding catheter is placed in the ICA. A microcatheter is navigated via the guiding catheter to the site of occlusion and chemical thrombolysis using Heparin,rt-PA or Urokinase is done locally via the microcatheter.
  2. Mechanical Thrombolysis
    Intra-Arterial Mechanical Thrombolysis is currently considered the gold standard treatment for stroke. Various devices and stentriever are used to pull out the blood clot from the occluded vessel. It can be done till 24 hours of stroke onset
  3. The least treatable stroke is intracerebral haemorrhage where the death rate is from 20% to 50%. Recombinant activated factor VII (rFVIIa) is used to reduce the growth of hematoma but does not improve survival.

3) Peri-stroke Management

Managing patients with large vessel occlusion in a dedicated stroke unit involves a considerable amount of effort and expertise. It requires collaboration among neuro physicians, strokologists, intensive care physicians, stroke care nurses, physiotherapists, and respiratory therapists.

4) Stroke Rehabilitation and Physiotherapy

Passive physiotherapy and respiratory therapy are crucial components of stroke rehabilitation, especially for patients on ventilators. Our experienced team of physiotherapists and respiratory therapists closely collaborates with physicians. Early involvement and assessment by physiotherapists are essential for better outcomes. Rehabilitation can occur in acute care or other wards, with care seamlessly provided. The type and intensity of therapy depend on the patient’s needs.

Rehabilitation Goals:


Minimizing Impairments: The primary goal is to reduce physical and cognitive limitations resulting from the stroke.


Maximizing Functions: The rehabilitation program aims to enhance overall functionality, helping patients regain independence in daily activities.


Preventing Complications: Focused efforts are directed towards minimizing and preventing complications that could impede the return to normal function.


The rehabilitation program consists of two key components:

Maintenance Phase: This phase concentrates on preserving physical integrity and minimizing complications immediately post-stroke. It aims to prevent issues that may hinder or prolong the return of normal function.


Restorative Treatment: This phase focuses on promoting functional recovery. It begins when the patient is neurologically and medically stable, possessing the physical and cognitive capacity to actively participate in the rehabilitation program. Stroke patient management initiates in acute care during hospitalization, transitioning seamlessly into rehabilitative care as the patient’s medical and neurological status stabilizes. Community reintegration continues during the community care stage.