Academic Day Presentations on 04.10.2024 at 8.00 AM by Department of Neurology
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Item Strengthening Secondary Stroke Prevention through Community Models and Digital Health Tools(SCTIMST, 2025-10-04) Veena BabuStroke is an important public health issue worldwide. A decrease in stroke mortality in the past few decades has increased the absolute number of stroke survivors globally, and thus, prevention of recurrent stroke is increasingly important. The pooled stroke recurrence rate increases from 7.7% at 3 months to 39.7% at 12 years, and approximately one out of four strokes is a recurrent event. Evidence shows that secondary prevention strategies are important in preventing stroke recurrence and is associated with an 80% reduction in risk of recurrent stroke. Effective measures, including improving medication adherence by daily reminders/providing financial assistance, aggressive control of risk factors and educating the survivors, can help to prevent another stroke. However, studies from our own settings showed reduced medication adherence and poor control of risk factors among stroke survivors. Limited geographic access and financial barriers further limit access to health services. Hence, task shifting and delegation to Community Health Workers (CHW) have emerged as effective approaches to address these challenges. Furthermore, a multimodal coordinated community health worker intervention model was developed for stroke survivors to improve medication adherence and risk factor monitoring in community settings. Additionally, integration of mobile phone technology into secondary prevention of stroke care holds immense potential, particularly in resource-constrained settings like India. Widespread connectivity, ownership of a mobile phone, and willingness to receive m-health advice provide an enabling environment. An RCT was conducted to assess if mobile Apps can improve medication, risk factor control and stroke awareness. To implement this in the community, a multicentric trial is currently conducted to validate the use of a smartphone-based app for improving medication adherence, vascular risk factor control, lifestyle and behavioural modification among stroke survivors in Kerala.Item Deep Brain Stimulation for Movement Disorders- Insights and Lessons learned over 25 years(SCTIMST, 2025-10-04) Syam, KThe Comprehensive Care Centre for Movement Disorders of SCTIMST, the first of its kind in India, has completed 25 years in the field of Deep Brain Stimulation (DBS) for movement disorders, with the first patient getting operated on 10th June, 1999. This patient also happened to be the first patient undergoing DBS in the country. In this session, the lessons learned over this 25-year journey, the technological advances which have happened, their impact on clinical practices and cost of therapy, and how the cost factor is impacting the developing world’s perspective of DBS, will be discussed, based on our data. The recently published data on the survival outcomes following DBS, the largest one from any single centre from the developing world, will also be presented.