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Neurological and spinal problems have to be diagnosed and treated with the up most of care and attention by highly skilled specialists. Neck and spinal injuries are often the result of road traffic accidents, Phyathai Sriracha hospital is ideally located near to Sukumvit Road where many road traffic accidents often occur. Our department is fully equipped and staffed by specialist neurologists to diagnose and treat patients involved in serious accidents.

Services provided :

Accident center with central nervous system neurologist on 24 hour stand by attendance.
Emergency direct line call number no. (66)038-770-218
Diagnosis and surgery for brain tumors and spinal injuries
Care management of Congenital abnormality and Dysraprism ( spinal deformity )
Hematoma Surgery

A stroke occurs when the blood supply to part of the brain is blocked or when a blood vessel in the brain bursts, causing damage to a part of the brain.
Stroke is the third leading cause of death in United States. Among survivors, stroke can cause significant disability including paralysis as well as speech and emotional problems. New treatments are available that can reduce the damage caused by a stroke for some victims. These treatments need to be given soon after the symptoms start.
Knowing the symptoms of stroke, and getting to a hospital are crucial to the most beneficial outcomes after having a stroke. The best treatment is to try to prevent a stroke by taking steps to lower your risk of stroke.

Ischemic Stroke
An ischemic stroke occurs when an artery that supplies blood and oxygen to the brain becomes blocked. Most strokes are of this type. Blood clots are the most common cause of artery blockage. Ischemic strokes can also be caused by narrowing of the arteries (called stenosis). The most common condition that causes stenosis is atherosclerosis a mixture of fatty substance including cholesterol and other lipids. Blood clots build up inside the artery walls, causing thickening, hardening, and loss of elasticity which contributes to decreased blood flow.

Hemorrhagic Stroke
A hemorrhagic stroke occurs when an artery in the brain bursts. Hemorrhage can happen in several ways. One cause is an aneurysm, a weak or thin spot in an artery wall that can expand like a balloon. The thin walls of the stretched artery can rupture or break. Hemorrhage also happens when arterial walls lose their elasticity and become thin and brittle. They then crack and bleed. High blood pressure increases the risk of a hemorrhage stroke.

Transient Ischemic Attacks (TIA)
A transient ischemic attack (TIA) is often called a mini – stroke. It starts just like a stroke but then clears up within 24 hours, leaving no apparent symptoms or deficits. A TIA is a warning that the person is at risk for a more serious stroke. Having other risk factors increases a person’s chances of a recurrent stroke if they have had a TIA. For most TIA’s the symptoms disappear within an hour. However, there is no way to tell whether symptoms will be a TIA or a more serious stroke that can lead to death or disability. The sudden onset of the symptoms of a stroke should signal an emergency! Patients and witnesses should not wait to see if the symptoms go away.

Know the Signs of a Stroke:

• Sudden numbness or weakness of the face, arm, or leg, especially on one side of the body
• Sudden confusion, trouble speaking and understanding
• Sudden trouble seeing in one eye or both eyes
• Sudden trouble walking, dizziness, loss of balance or coordination
• Sudden severe headache with no known cause

Stroke Prevention
Some people are more at risk from stroke than others. Chronic health conditions such as high blood pressure and diabetes can increase your risk, as well as life style choices for example obesity, smoking, and alcohol consumption. Having many risk factors does not automatically
mean you will have a stroke and those with no or few risk factors may not necessarily avoid a stroke.

The National Stroke Association advise patients to:

• Know your blood pressure and have it checked regularly
• Stop smoking
• Drink alcohol in moderation
• Reduce cholesterol
• Exercise
• Eat a low salt diet
• Strict control of diabetes

High blood pressure is the leading cause of stroke.
If you feel you have suffered a stroke then it is of the ut-most importance to get to a hospital as soon as possible. Your goal is to show up at the emergency room no less than 3 hours after the onset of stroke symptoms.

The doctor should then perform a detailed physical examination, including the heart, blood vessels, and the nervous system in addition to specialized tests including a Doppler ultrasound and ultrasound imaging.

If you are concerned about the implications of a stroke and would like to make an appointment to see a doctor then please contact the hospital on the tab provided.

	Wirote Jiamsiri M.D. Neurologist Board of Neurosurgery
	Sippanont Samchai M.D. Neurologist Board of Neurology
	Chalermpol Chacuttarayapong M.D. Neurologist Board of Neurosurgery

For more information please call
Tel. (66)892-703-000
(66)038-770-200 Ext. 4117, 4118