A stroke occurs when the blood supply to part of the brain is interrupted, leading to brain cell damage. It’s a medical emergency that requires immediate intervention, and neurologists play a crucial role in both preventing and treating strokes. There are two main types of stroke: Ischaemic, caused by a blocked artery, and Haemorrhagic, caused by a ruptured blood vessel. Both types lead to varying degrees of neurological damage, depending on the severity and the area of the brain affected. Let’s explore stroke prevention and treatment options.

Warning Signs of a Stroke


Recognising the early signs of a stroke is key to reducing the risk of long-term damage. Common symptoms include:

  • Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body.
  • Confusion or trouble speaking.
  • Difficulty seeing in one or both eyes.
  • Loss of balance or dizziness.
  • Severe headache without a known cause.

Prompt treatment is essential to minimise damage. A stroke, especially if untreated, can lead to long-term disability or even death.

The Role of Neurology in Stroke Prevention and Treatment

Neurologists focus on identifying individuals at high risk for strokes and providing preventive measures. Common risk factors include high blood pressure, smoking, diabetes and high cholesterol. Regular check-ups with a neurologist can help manage these risk factors, reducing the likelihood of a stroke.

Prevention Strategies:

  1. Blood Pressure Control: Keeping blood pressure in a healthy range is one of the most effective ways to prevent strokes.
  2. Cholesterol Management: High levels of bad cholesterol can lead to plaque buildup in the arteries, increasing the risk of ischaemic stroke.
  3. Antiplatelet and Anticoagulant Therapy: For those at risk of stroke due to blood clots, neurologists prescribe medications like aspirin or warfarin.
  4. Healthy Lifestyle Choices: Regular physical activity, a balanced diet, and quitting smoking can dramatically reduce stroke risk.

Emergency Stroke Treatment
In the event of a stroke, the primary goal is to restore blood flow to the brain as quickly as possible. Treatments differ based on the type of stroke:

Ischaemic Stroke

The most common treatment for an ischaemic stroke is thrombolysis, where clot-busting drugs such are used to dissolve the blood clot. This is most effective if administered within the first few hours of stroke onset.

Haemorrhagic Stroke

Treatment focuses on controlling bleeding and reducing pressure on the brain. This may involve surgery to repair a ruptured blood vessel or procedures to relieve pressure caused by excess fluid buildup.

Long-term Management and Recovery

After the initial stroke treatment, ongoing neurological care helps with recovery and rehabilitation. The impact of a stroke can vary greatly; some individuals may recover fully, while others may experience long-term effects like paralysis, speech difficulties or memory problems.

A neurologist plays a key role in post-stroke care by offering:

  • Rehabilitation: Working with a team of physical, occupational, and speech therapists, neurologists create tailored rehabilitation plans to help patients regain as much independence as possible.
  • Medications: Continuing with medications that manage stroke risk factors, such as anticoagulants or blood pressure-lowering drugs, is vital to prevent future strokes.

Book a Consultation with Dr Dominic Paviour
If you or a loved one is at risk of stroke, or if you’ve experienced a stroke and want more support with your treatment and rehabilitation, get in touch with Dr Paviour. As a consultant neurologist with expertise in stroke prevention and treatment, Dr Paviour offers personalised care to manage your health and reduce the risk of future strokes. Schedule a consultation today and take the first step toward a healthier, more secure future.