is a disease of the brain and therefore it is necessary to get proper and
timely treatment from an experienced Physician or a Neurophysician. In order to
locate the lesion and the extent of damage these doctors conduct necessary
Physical examinations and use related diagnostic tools like a CT scan or MRI
for proper diagnosis and decision of the appropriate line of treatment. It is
advisable to get a CT scan done in the initial few hours of a stroke, in order
to find out whether the patient is suffering from a hemorrhage or
thromboembolism. Hemorrhage can readily be detected in a CT scan very easily.
In the cases of thrombosis, CT scan is normal in the first few hours.
Therefore, in cases of paralysis if the CT scan does not show a hemorrhage,
then usually, immediate treatment for thrombosis is started. Another CT scan
done after 24 to 36 hours, with a contrast dye confirms thrombosis along with
the extent of damage. With the help of this, one can predict the future ofthe patient.
Sometimes there can be another disease with similar symptoms and a scan will
diagnose the same, preventing a fatal mistake e.g. Tumor, abscess.
addition to this, hematological tests, biochemistry (sugar, tests related to
kidney etc.), E.C.G. and other important tests are also done to assess the
physical condition of the patient. Lipid profiles are done regularly. For the
assessment of heart diseases 2D Echo test can also be done.
observed earlier the risk factors of stroke as well as heart diseases are the
same and heart disease is comparatively more prevalent than stroke. Therefore,
investigations relating to heart disease are essential in patients of paralysis
to prevent heart disease. According to a scientific research, number of
paralytic patients dying due to heart disease is far more than the deaths
caused by stroke.
young patients of paralysis, who do not have blood pressure or diabetes,
special investigations like anticardiolipin test, homocysteine tests etc. are
damage to the blood vessels can be ascertained by Carotid Vertebral Doppler or
MR angiography (or DSA Angiography). The decision of the investigations
required for the patient, is better left to the doctor.