“Cerebrovascular disease”: evaluate, treat in time, reduce the risk and severity

World Health Organization (WHO) indicate that neurological disease There are hundreds of categories. One of the most common diseases is stroke It is the second leading cause of death and the third leading cause of disability.

Survey results in 2019 around the world found patients. stroke More than 101 million people, 12.2 million new patients and 6.5 million deaths, while Thailand in 2020 has a stroke death rate of 53 people per 100,000 people. and still has a tendency to increase

“Assoc. Prof. Dr. Yos Navaritloha”, neurosurgery specialist Bumrungrad Hospital told a press conference Most of the patients will come with 2 main groups of diseases:

  • group of cerebrovascular diseases
  • Vascular disease

especially aneurysms or abnormal blood vessels and group of brain tumors. On average, about 200 patients are operated on each year, and neurosurgery requires the expertise of the medical team, for example, to treat patients with large brain tumors. Diameter greater than 2 inches, which will require urgent surgery. Because if left untreated, there is a possibility of paralysis or paralysis. At present, the patient can live a normal life.

Another patient was diagnosed with a giant brain aneurysm, larger than 1.25 inches. This condition usually occurs in important arteries deep within the brain structure. This requires highly qualified doctors. Also, during surgery and after treatment, patients may experience complications at any time.

from the previous example is the reason “Spinal and Neural Cord Intensive Care Unit” Therefore, it plays a very important role in closely monitoring patients 24 hours a day because patients are at risk of bleeding recurrence. and increased brain damage AND there may be weakness or paralysis in the arms or legs, difficulty speaking, loss of vision. memory loss And there is also the risk of loss of sensation

This is because the nervous system is a complex system. It is responsible for controlling and coordinating the functions of various body organs such as movements, thoughts, feelings, speech, breathing, which are related to the functions of the brain and spinal cord.

nervous system disorders including structural defects It is considered a silent threat that threatens life. Violence can be avoided or reduced. If evaluated and treated promptly and on site by a team of specialists with specific experience

Department of Intensive Care, Neurology

last Bumrungrad hospital The establishment of the Neurocritical Care Unit (NCCU) is very important in strengthening the capacity of the department.seriously ill (ICU) to make critical care more efficient and achieve better results. reducing secondary brain injuries, which are leading causes of disability and death after a primary brain injury occurs before it

Dr. Rerkchai Tulyapornchot Chief Physician of Center for Neurological Diseases and Neurology Specialist Bumrungrad Hospital He further explains that Bumrungrad NCCU Division There are 4 major readiness factors:

1. A team of specialized medical professionals with advanced experience and expertise in medical treatment, capable of accurately diagnosing and treating diseases.

2. Work seamlessly with a multidisciplinary team

3. Modern medical technology and equipment

4. Readiness to care for patients in any crisis 24 hours a day.

“Because every minute brain cells lack blood supply About 1 million brain cells die, which means “minutes of life”. Brain cells die a lot and lead to disability or death. The NCCU is ready to provide services of care for patients with serious or life-threatening emergencies and brain and nervous system injuries.

“Including high-risk brain or spinal surgery such as ischemic stroke, meningeal hemorrhage, ischemic stroke, acute spinal injury, brain tumor, etc. with medical technology and equipment. Advanced”

radiotherapy co-treatment of the nervous system

Prof. Dr. Sirinthara Singhara Na Ayudhya, MD, specialist in neuroradiology and spinal cord therapy Bumrungrad Hospital added that Bumrungrad has other treatment methods besides surgical methods. Because in many cases there are patients who are not suitable for surgery, such as age restrictions. or have some congenital disease Neuro Intervention is a radiotherapy treatment that meets the needs of this group of patients.

He is working with a team of internal medicine doctors and a team of neurosurgeons. Treating this method will be surgery without a craniotomy. which is a medical science specializing in radiology for the diagnosis and treatment of cerebrovascular and spinal cord diseases using minimally invasive surgery (MIS) technology, focusing on small incisions Making a hole in the veins of the upper arm or thigh approximately 1-2mm combined with the use of Bi-plane technology, 2-plane X-ray equipment

Makes blood vessels clear to insert a hair size device to accurately treat blood vessels in the brain and spinal cord which can treat both ischemic stroke and acute phase obstruction Cerebral aneurysm or is it a birthmark from artery to venous from birth or later including spinal cord disease It also shortens the length of stay in the ICU and reduces complications.

The advantage of radiation therapy for the nervous system is that it can be treated accurately and gives the patient the opportunity to return to normal or near-normal life. Your doctor will need to do magnetic resonance imaging (MRI) to determine the location. The size and shape of the clot/aneurysm, the age and health of the patient. Evaluate the appropriate therapeutic approach for each patient to obtain the best results.

Follow-up after surgery

Importantly, after treating critically ill patients Neurological and Spinal Intensive Care Unit It will closely monitor patients after treatment to ensure they are safe from the nervous system patient room It has been designed with special attention to environmental management to maximum security.

along with a monitoring device for each patient’s heart and circulatory system connected to a central vital signs monitoring device so that intensive care unit nurses can monitor the symptoms of critically ill patients The NCCU department has integrated the strength and efficiency of the intensive care unit in providing a better quality of life for patients.

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