“Cerebrovascular disease”: assess, 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 hundred thousand people. and still has a tendency to increase

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

• cerebrovascular disease group
• Vascular disease

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

Another patient was diagnosed with a giant cerebral aneurysm, larger than 1.25 inches. This condition usually occurs in important arteries deep within the brain structure. This requires highly skilled doctors. In addition, during surgery and following treatment, patients are likely to have complications at any time.

from the above example is the reason “Neural and spinal 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 recurrence of bleeding. 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 a risk of loss of sensation as well

This is because the nervous system is a complex system. It is responsible for controlling and coordinating the functions of various organs in the body such as movements, thoughts, feelings, speech, breathing, which are linked 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 assessed and treated promptly and on the spot by a team of specialists with specific experience

Department of Critical Care, Neurology

latest Bumrungrad Hospital Establishment of the Neurocritical Care Unit (NCCU) is very important in strengthening the department’s capacity.critically ill (ICU) to make critical care more efficient and get better outcomes. by reducing secondary brain injuries, which are the leading causes of disability and death following a primary brain injury has occurred before it

Dr. Rerkchai Tulyapornchot Chief Physician of the Center for Neurological Disease and Neurology Specialist Bumrungrad Hospital Explain further that Bumrungrad’s NCCU division There are 4 main readiness factors:

1. A team of specialized medical professionals with advanced experience and expertise in medical care, able to accurately diagnose and treat diseases.

2. Work seamlessly with a multidisciplinary team

3. Modern medical technology and equipment

4. Readiness to take care of patients in every crisis 24 hours a day.

“Because every 1 minute that brain cells lack blood supply Approximately 1 million brain cells die, meaning ‘minutes of life’. Brain cells die a lot and lead to disability or death. The NCCU is ready to provide comprehensive care services for patients with serious or life-threatening emergencies and brain and nervous system accidents.”

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

radiation therapy co-treatment of the nervous system

Prof. Dr. Sirinthara Singhara Na Ayudhya, MD, a specialist in neuroradiology and spinal cord therapy Bumrungrad Hospital added that Bumrungrad has other methods of treatment besides surgical methods. Because there are patients in many cases 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.

It is working with a team of internal medicine doctors and a team of neurosurgeons. By treating this method will be surgery without craniotomy. which is a medical science specializing in radiology for diagnosis and treatment of cerebrovascular and spinal cord diseases by using Minimally Invasive Surgery (MIS) technology, focusing on small incisions By punching a hole in the veins of the upper arm or thigh regarding 1-2 millimeters in combination with the use of Bi-plane technology, 2-plane X-ray equipment

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

The advantage of radiotherapy for the nervous system is that it can be treated precisely and gives the patient the opportunity to return to normal or close to normal life more. The doctor will need to perform magnetic resonance imaging (MRI) to determine the location. The size and shape of the clot/aneurysm, age and health of the patient. To assess the appropriate treatment approach for each patient to achieve the best results.

Follow-up care following surgery

Importantly, following treating critically ill patients Neurological and Spinal Critical Care Unit Will closely follow up on patients following treatment to ensure that they are safe by the nervous system patient room It was designed with an emphasis on environmental management for maximum safety.

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