The lead consultants for the Stroke Prevention Centre are Dr James Rakshi, Consultant Neurologist, and Mr David Greenstein, Consultant Vascular Surgeon.

We have developed a new Stroke Service which incorporates a multidisciplinary approach to stroke prevention. The service involves different medical and surgical experts including a consultant neurologist, consultant cardiologist, consultant vascular surgeon and consultant neuroradiologist who have particular experience in stroke assessment and management. Patients are assessed by a consultant neurologist and where appropriate by a consultant cardiologist and or vascular surgeon on the same day. All investigations are carried out on the day and reported on so that a recommendation on management or treatment can be made.

Who might benefit from this service?

  • Patients with a previous history of Stroke with new symptoms
  • Patients with neurological symptoms of possible previous Stroke
  • Individuals with risk factors for Stroke
  • Those with a family history of Stroke
  • Individuals wanting comprehensive assessment for Stroke 

Most “Heart Attacks” occur when a blood clot blocks the flow of blood to the heart, similarly a “Brain Attack” or Stroke occurs when a blood clot blocks the flow of blood to the brain. Optimal stroke prevention and treatment can now have a major impact on preventing a stroke or a further stroke and on the degree of neurological impairment caused by a stroke. 

A simple quick test has been developed by the Stroke Association to give everybody the ability to recognise the possibility of stroke.

Simple test for recognising a Stroke - FAST test from The Stroke Association

Three simple checks can help you recognise whether someone has had a stroke or mini-stroke (transient ischaemic attack – TIA)

F – Facial weakness: Can the person smile? Has the eye or the mouth drooped?

A – Arm weakness: Can the person raise both arms?

- Speech problems: Can the person speak clearly and understand what you say?

T – Time to call 999

If you see any of these signs, call 999 immediately.

How can we prevent Strokes occurring?

The best way to prevent a stroke is by identifying, managing and controlling known risk factors. This involves identifying individuals who are at greatest risk and minimising that risk. Some patients who have had a stroke are at greater risk of having a further stroke than other stroke patients.

For more information or to make an appointment please call 020 8901 5505.