 Hello friends, I am Dr. Khujdu Goyal, I am Senior Consultant Neurology at Manipal Hospital Dwarka, New Delhi. Today through this video I will discuss some important facts about acute stroke. Stroke as we all know, it's a brain attack, it's a neurological emergency, it is very important to know about certain aspects of stroke, why, what is stroke, why it occurs, what are the risk factors for stroke. How can we prevent the risk factors and the next thing which is most important, why it is important to know the stroke symptoms and to recognize them in time and what are the treatment options available. Stroke as we know, it's an emergency condition, how we can recognize, for this we can remember the mnemonic BEFAST, B stands for certain onset, difficulty in balance, E stands for sudden onset, difficulty in vision, F, sudden onset weakness in face phase, A stands for arm weakness, S for speech difficulty which is sudden in onset and T, reach hospital in time. So by this mnemonic or by this line BEFAST, we can recognize the stroke symptoms because it is very important to recognize it in time, time is brain because every second after the brain attack, 32,000 cells, neuronal cells, they die. So we have to be on our feet, once we recognize a stroke symptom. So stroke can happen at any age, though the incidence doubles every decade after the age of 55. So what happens in the stroke, the blood supply to one particular part of the brain is impaired, this results in impairment of function of that part of the brain. So now I will discuss the most common risk factors for stroke, so these are diabetes, high blood pressure, high cholesterol, poor diet, poor lifestyle, the acid entry lifestyle, excessive alcohol consumption, smoking or heart disease. So these are the common risk factors which predispose one person to stroke besides age and other genetic factors. So stroke does not affect a single person or patient, it affects the entire family because if let's suppose we reach the hospital late or the treatment is delayed, the recovery may be very slow or there may not be a recovery at all. So it is very important to recognize the symptoms of stroke in time and reach the hospital in time so that proper treatment can be started in time. Here at the Manipal Hospital we have a comprehensive stroke care team and we are dealing with every aspect of stroke, be it the immediate treatment at the emergency department or there is a clot buster treatment that is IV thrombosis which we provide for acute opening of the blood vessels or be the sucking of the clot from the blood vessels by the mechanical intervention. We have all the facilities at the Manipal Hospital for acute stroke treatment and we have a comprehensive stroke care unit. But it is very important on the patient's part or the family part to recognize a stroke symptom which I have discussed earlier and reach the hospital in time call the ambulance immediately because as I discussed time is brain, every second after the stroke the thousands of brain cells die. So whenever you see a person having a certain onset weakness be it in the face, arms, speech, balance or vision just call the ambulance immediately and reach the hospital in time. Now I will discuss how we can prevent the stroke. First of all it is very important to know your blood pressure and keep the blood pressure in control. Check the blood pressure at least annually. Know your blood sugar and if you have diabetes be in contact with your doctor and keep your blood sugar in good control. Take healthy diet, exercise regularly. If you have high cholesterol then meet your doctor and take the proper treatment. If you take alcohol which is excess in amount then reduce it to the moderate amount at least or try to stop it and if you smoke to stop it. So please follow all these instructions and have a healthy life.