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t is self-evident that stroke remains one of the leading causes of death and disability not only in the world but also in Pakistan. The prevalence of stroke risk factors and epidemiological studies shows that the burden of stroke will not decrease in the next decades and beyond. It poses a huge challenge for the affected and their families, for medical services, governments and the society as a whole. The promising thing about stroke is that it is preventable, treatable and manageable and there is potential to drastically reduce the burden of stroke and the long term consequences.1 However, this requires the joint actions of health ministries, government agencies, stroke organizations, healthcare professionals, researchers, pharmaceuticals and the device industries. As acute stroke is a medical emergency , so the benefit of recanalization therapies in patients with acute ischemic stroke is strongly time dependent, with earlier intervention achieving better outcome.2 Stroke care system should therefore minimize the time to assessment and initiation of treatment, before brain injury becomes irreversible.3 The patients need immediate hospitalization and treatment in specialized units in order to reduce the morbidity and mortality with relatively longer stay in the hospital. In case of acute ischemic stroke, every minute that passes without treatment results in a poorer outcome and irreversible damage.

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