Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 1414  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
  » Next article
  » Previous article 
  » Table of Contents
 Resource Links
  »  Similar in PUBMED
 »  Search Pubmed for
 »  Search in Google Scholar for
  »  Article in PDF (72 KB)
  »  Citation Manager
  »  Access Statistics
  »  Reader Comments
  »  Email Alert *
  »  Add to My List *
* Registration required (free)  

  In this Article
 »  References

 Article Access Statistics
    PDF Downloaded82    
    Comments [Add]    

Recommend this journal


Year : 2006  |  Volume : 54  |  Issue : 4  |  Page : 444-445

Authors' reply

1 Stroke Unit, Royal Brisbane and Women’s Hospital, Brisbane, Australia
2 Department of Neurology, Christian Medical College, Ludhiana, Punjab, India
3 Saint Vincent Hospital at Worcester Medical Centre, Worcester, MA, USA

Correspondence Address:
J D Pandian
Stroke Unit, Royal Brisbane and Women’s Hospital, Brisbane
Login to access the Email id

Source of Support: None, Conflict of Interest: None

Rights and PermissionsRights and Permissions

How to cite this article:
Pandian J D, Kalra G, Jaison A, Deepak S S, Shamsher S, Singh Y P, Abraham G. Authors' reply. Neurol India 2006;54:444-5

How to cite this URL:
Pandian J D, Kalra G, Jaison A, Deepak S S, Shamsher S, Singh Y P, Abraham G. Authors' reply. Neurol India [serial online] 2006 [cited 2022 Aug 7];54:444-5. Available from: https://www.neurologyindia.com/text.asp?2006/54/4/444/28129


We appreciate the comments received for our recently published original article in Neurology India.[1]

We certainly agree with the two issues that were highlighted i.e., knowledge of stroke symptoms and identifying them during the onset of stroke. Good knowledge of stroke symptoms is not sufficient to enable self-diagnosis of stroke by patients.[2]

We had 29 (20%) patients with a previous history of stroke (n=26, 18%) or transient ischemic attack (TIA) (n=3, 2%). Twenty-five (86%) subjects in this group knew at least one warning symptom of stroke ( P =0.01). However, the knowledge regarding organ affected in stroke and risk factors for stroke did not differ between the subjects with and without previous history of stroke or TIA. Fourteen (48%) out of 29 patients in this particular group recognized the stroke symptoms ( P =0.004). Only 13 (45%, P =0.38) patients reached the hospital directly. Better knowledge and self-recognition of stroke symptoms in this subgroup did not lead to an appropriate response to the symptoms.

There were 40 (27%) subjects who recognized the stroke symptoms at the onset. However, only 13 (33%) of them reached the hospital early i.e., within six hours. Self-recognition of stroke symptoms is not sufficient to result in rapid medical access.[2] Stroke symptoms are heterogeneous unlike myocardial infarction. Educational programs about stroke should stress the importance of all individual stroke symptoms and also reinforce the need for early admission to a hospital with acute stroke services.

 » References Top

1.Pandian JD, Kalra G, Jaison A, Deepak SS, Shamsher S, Singh Y, et al . Knowledge of stroke among stroke patients and their relatives in Northwest India. Neurol India 2006;54:152-6.  Back to cited text no. 1    
2.Caroll C, Hobart J, Fox C, Teare L, Gibson J. Stroke in Devon: Knowledge was good, but action was poor. J Neurol Neurosurg Psychiatry 2004;75:567-71.  Back to cited text no. 2    


Print this article  Email this article
Previous article Next article
Online since 20th March '04
Published by Wolters Kluwer - Medknow