The importance of seeing a neurologist after a stroke

When a stroke happens, every moment counts. Immediate medical attention can save lives and enhance recovery prospects. However, the importance of seeing a neurologist after a stroke is also important when it comes to recovery. Their expertise is essential regarding both acute care and long-term management.

Here to discuss this important topic is leading consultant neurologist, stroke and rehabilitation physician Dr Arvind Chandratheva who practises at the Cleveland Clinic Rehabilitation Unit. 

Why is immediate medical attention crucial during a stroke?

Strokes can cause significant and sometimes irreversible damage to the brain. The quicker the response, the better the chances of minimising this damage. Immediate medical attention involves:

• Rapid assessment: Identifying the type of stroke (ischaemic or haemorrhagic) is vital. This is because treatments differ.
• Timely intervention: For ischaemic strokes, medications such as tissue plasminogen activator (tPA) can dissolve clots if administered within a critical time window.
• Preventing complications: Early treatment can prevent complications such as increased brain swelling or further bleeding.

What role does a neurologist play after a stroke?

Seeing a neurologist after a stroke is essential for several reasons:

Accurate diagnosis and evaluation

A neurologist conducts a thorough assessment to understand the extent and impact of the stroke. This includes:

Neurological examination: Assessing cognitive functions, motor skills and sensory perception.

Imaging studies: Utilising CT scans, MRI and other imaging techniques to visualise the brain and identify areas affected by the stroke.

A personalised treatment plan

Based on the evaluation, a neurologist devises a personalised treatment plan. This may involve:

Medication: Prescribing drugs to prevent further strokes, manage risk factors such as high blood pressure, cholesterol and diabetes, and alleviate symptoms.

Rehabilitation: Recommending physical, occupational and speech therapy to aid in recovery and improve function.

Monitoring and follow-up care

Regular follow-up visits with a neurologist ensure continuous monitoring of the patient’s progress and adjusting treatment as needed. This ongoing care helps to:

Prevent recurrence: Identifying and managing risk factors to reduce the likelihood of another stroke.

Address complications: Monitoring for and addressing complications such as seizures, depression and cognitive decline.

Support recovery: Providing guidance and support throughout the rehabilitation process to maximise recovery.

Patient education and support

Neurologists play a crucial role in educating patients and their families about stroke recovery and prevention. This includes:

Understanding the condition: Explaining the nature of the stroke, its effects, and what to expect during recovery.

Lifestyle modifications: Advising on diet, exercise and other lifestyle changes to improve overall health and reduce stroke risk.

Support resources: Connecting patients with support groups, counselling services and other resources to aid in their recovery journey.

When should you see a neurologist after a stroke?

Early neurological assessment and intervention are crucial for best outcomes. If a neurologist wasn’t involved during the initial hospital stay, it’s important to schedule an appointment as soon as possible after discharge. This is to arrange a comprehensive evaluation and to establish a follow-up plan regarding care.

If you’re looking for expert neurological support after having a stroke, arrange a consultation with Dr Chandratheva via his Top Doctors profile.