Stroke, a formidable adversary, stands as the second leading global cause of mortality. This neurological and vascular assailant, with its ominous potential for physical disability, ranks as the third major contributor to worldwide disability, casting a significant shadow over India. On the hallowed date of October 29th, every year, the world comes together to observe World Stroke Day, a solemn occasion to kindle awareness about stroke prevention, the beacon of hope in treatment, and the indomitable spirit of survivors. This year, we rally around the resonant theme, "Together we are greater than Stroke."

The eminent neurosurgeon, Dr. DP Sharma, brings forth a disconcerting revelation for India. Within the vast expanse of the country, approximately 108 to 172 individuals per 100,000 bear the heavy burden of stroke each year. These statistics resound as a grim reminder of the monumental health threat that stroke embodies. It is imperative to delve into the intricacies of this silent assailant that haunts the brain. The brain, the conductor of our thoughts, guardian of memory, the wellspring of emotions, the master of touch, motor skills, vision, and the regulator of life itself – breathing, temperature, hunger, and all bodily functions. However, when the delicate tapestry of blood vessels, serving as the vital lifelines, is besieged by the relentless march of fatigue, stroke emerges.

During this cataclysmic event, blood flow is abruptly disrupted in a specific region of the brain, wreaking havoc on the realm of bodily functions it governs. The extent of the devastation is determined by the location of the blockade or the portion of brain tissue impacted. Different precincts of the brain dictate various aspects of our physical and cognitive faculties. Therefore, a stroke that lays siege to one side can result in sensory and motor impairment on the opposing side of the body.

While the shadow of stroke looms large, there is hope on the horizon. Lifestyle changes and the vigilant management of risk factors, under the guidance of a healthcare professional, can help shield against this menace. The clarion call to quit smoking is a non-negotiable. Smoking, a treacherous companion, elevates the risk of stroke significantly. Research has unveiled a startling truth – the daily consumption of five or more cigarettes augments the risk of stroke by a staggering 12%. While the world may be well-acquainted with smoking's sinister link to lung cancer, its pernicious influence on the brain and the intricate network of blood vessels often remains concealed in the shadows.

In the face of a stroke, time is of the essence. In those critical moments, the acronym "B.E.F.A.S.T." shines as a beacon of hope.

B - Balance
E - Eyes
F - Face
A - Arms
S - Speech
T - Time

If someone experiences sudden imbalance, a distortion in vision, a countenance marred by drooping, weakened arms, garbled speech, or faltering communication, immediate action is imperative. A call to emergency services or a swift journey to the nearest hospital is the only course of action.

The sage counsel of Dr. DP Sharma echoes through the corridors of medical innovation – Mechanical Thrombectomy, a modern marvel, has emerged as a potential lifesaver when administered within the precious window of six hours after a stroke's onset. This advanced procedure utilizes specially designed stent retrievers and aspiration devices to extract the menacing clots. It has been the harbinger of reduced mortality and morbidity, casting a ray of hope for those facing the daunting prospect of stroke.

On this World Stroke Day, we stand united against the onslaught of stroke, armed with knowledge, awareness, and the collective resolve that together, we are indeed greater than Stroke.