Stroke is one of the most common neurological disorders and is responsible for the most neurological disability. It is typically caused by blockage in the arterial blood supply to the brain or spine, but it can also be caused by bleeding into the brain.

Common presentations of stroke are sudden onset loss of speech and weakness down one side of the face, arms and legs. Risk factors include age, smoking, hypertension, hypercholesterolaemia and diabetes.

There has recently been a move towards more aggressive management of the acute phase of stroke, specifically thrombolysis (clot-busting). This is performed on the City Hospital site, where the Stroke Unit is based. This treatment formed the basis of a national advertising programme to promote early recognition and treatment of stroke (FAST).

Dr Adrian Wills does a weekly acute stroke unit ward round at City Hospital, and participates in the on-call rota for thrombolysis and acute stroke.



NHS Nottingham University Hospitals
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