AS the incidence of stroke continues to rise in Malaysia, timely intervention and a multidisciplinary approach are crucial in improving patient outcomes.
Cutting-edge stroke treatment that combines the expertise in radiology and internal medicine is the way forward in stroke management.
It is crucial that a highly skilled, multidisciplinary team of experts be available to ensure stroke patients receive the best possible care from the moment they arrive for treatment.
RADIOLOGY — THE CORNERSTONE OF STROKE DIAGNOSIS
From the moment a stroke patient is rushed to the hospital, the clock starts ticking, says Gleneagles Hospital Johor consultant radiologist Dr Md Yuzairif Md Yusof.
"Time is of the essence and rapid diagnosis can mean the difference between recovery and long-term disability. This is where radiology plays a vital role."
State-of-the-art imaging technology, such as CT scans, MRIs and ultrasounds enable immediate and accurate identification of the type of stroke — whether it is ischemic (caused by a clot) or haemorrhagic (caused by bleeding in the brain).
Dr Yuzairif says swift, detailed imaging provides the necessary information for critical treatment decisions.
In cases of ischemic stroke, radiologists play a key role in mechanical thrombectomy procedures, using advanced imaging to guide the removal of blood clots from the brain.
This minimally invasive intervention has become a game-changer in stroke care, he says, significantly improving recovery chances for patients when performed promptly.
INTERNAL MEDICINE — LEADING THE CHARGE IN ACUTE STROKE CARE
Once the diagnosis is made, the internal medicine specialist takes over the acute management of stroke patients.
Gleneagles Hospital Johor internal medicine specialist Dr Norbelinda Norhatta says in cases of ischemic stroke, the patient will be carefully assessed to determine whether he or she is a candidate for thrombolysis, a clot-busting treatment that can dissolve the blockage and restore blood flow to the brain.
Administering tPA (tissue plasminogen activator) within the critical three to 4.5-hour window can prevent brain damage and improve outcomes, she explains.
The patient's underlying conditions, such as hypertension, diabetes and high cholesterol must also be properly managed as these are often contributing factors to stroke.
"Through a careful balance of medications and lifestyle modifications, we can help prevent strokes and support long-term recovery," she says.
A UNIFIED APPROACH FOR BETTER OUTCOMES
Every stroke patient deserves comprehensive, high-quality care and it's crucial that a multidisciplinary team, which includes radiologists and internal medicine specialists, be put in place to accurately diagnose and provide appropriate treatment and management for stroke patients.
"Every second counts during a stroke, and with a cohesive approach to diagnosis and treatment, patients can have the best chance of recovery," says Dr Norbelinda.
A 24/7 comprehensive stroke response team ensures that patients receive immediate attention, she adds. It is equally important for healthcare facilities managing stroke patients to be at the forefront of innovations in stroke treatment.
A combination of advanced imaging and complete facilities, expert clinical care, and a patient-centred approach is key to reducing the devastating effects of stroke, offering hope and better outcomes for patients and their families.
To learn more about the comprehensive Stroke Centre, visit https://gleneagles.com.my/johor or contact the hotline at 07-560 1000.
B.E.F.A.S.T
BALANCE
Sudden loss of balance and dizziness, patient unable to walk in a straight line.
EYES
Sudden vision loss in either eye (usually one side), Ask the patient to conduct a simple vision test.
FACE
Sudden drooping or numbness on one side of the face, one of the easy ways to track is to ask the patient to smile.
ARMS
Sudden weakness or numbness in one arm. Ask the patient to raise both arms and see if one drifts downward.
SPEECH
Slurred or difficult speech, ask the patient to repeat a simple sentence and check for any signs of slurring.
TIME
If any of these signs are present, immediately call emergency services as time is not your ally.
KKLIU Approval No: KKLIU3363 Exp: 31.12.2026