PACHARA LEEMINGSAWAT, M.D.
General Neurology, Vascular Neurology
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The brain controls movement, thought, and the coordination of all bodily functions. When its lifeline—the blood vessels—becomes narrowed or ruptured, these functions can be disrupted. The acronym B.E.F.A.S.T. is a simple tool to identify early signs of stroke. If even one symptom occurs, seek immediate medical attention.
Stroke ranks among the leading causes of death, following heart disease and cancer. It can result from various factors such as stress, aging, smoking, or pre-existing conditions like high cholesterol, diabetes, or hypertension. The manifestation—whether narrowing, blockage, or rupture—depends on the underlying cause.
An Ischemic Stroke occurs when a blood vessel supplying the brain becomes narrowed or blocked, typically due to a blood clot, reducing blood flow to the brain tissue. In contrast, a Hemorrhagic Stroke results from a ruptured blood vessel caused by weakened or damaged arterial walls, leading to bleeding in or around the brain.
While the symptoms of both types may appear similar, an accurate diagnosis through CT scan or MRI is essential to determine the appropriate treatment.
While strokes are more common in individuals over 55 due to vascular degeneration, younger adults are increasingly affected by smoking, diabetes, high cholesterol, genetics, and heart conditions. Notably, atrial fibrillation (AF)—an irregular heartbeat—can cause blood clots that lead to stroke.
If any of the following symptoms appear suddenly, seek medical care immediately:
Treatment within 4.5 hours significantly improves recovery and survival chances.
Do not ignore minor symptoms. Tomorrow is never guaranteed. The Brain Center at Ramkhamhaeng Hospital is here to support you—because every second counts. Prompt care ensures the best chance for recovery and a return to normal life... without having to say, “It’s too late.”
General Neurology, Vascular Neurology