Annals of Indian Academy of Neurology
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Year : 2010  |  Volume : 13  |  Issue : 1  |  Page : 28-32

Stroke program for India


1 Acute Stroke Unit, Western Infirmary and Faculty of Medicine, Department of Medicine and Therapeutics, University of Glasgow, 44, Church Street, Glasgow, G11 6NT, Scotland, United Kingdom
2 Department of Neurology, Grant Medical College and Sir JJ Group of Hospitals, Byculla, Mumbai 400008, India

Correspondence Address:
Nishant K Mishra
Acute Stroke Unit, Western Infirmary and Faculty of Medicine, University of Glasgow, 44 Church Street Glasgow, G11 6NT Glasgow
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.61273

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India is silently witnessing a stroke epidemic. There is an urgent need to develop a national program towards "Fighting Stroke". This program should be specific to our national needs. In order to recommend on who should lead an Indian fight-stroke program, we examined the published opinions of stroke clinicians and the official documents on stroke care training abroad. We identified the resources that already exist in India and can be utilized to develop a national fight-stroke program. Through a review of published literature, we noted different opinions that exist on who would best manage stroke. We found that because stroke is a cardiovascular disorder of the central nervous system, its management requires a multi-disciplinary approach involving clinicians with background not limited to neurology. India has very few neurologists trained in stroke medicine and they cannot care for all stroke patients of the country. We propose a mechanism that would quickly put in place a stroke care model relevant in Indian context. We recommend for tapping the clinical expertise available from existing pool of non-neurologist physicians who can be trained and certified in stroke medicine (Strokology). We have discussed an approach towards developing a national network for training and research in Strokology hoping that our recommendations would initiate discussion amongst stroke academicians and motivate the national policy makers to quickly develop an "Indian Fight Stroke Program."


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