📞 044-24353079 | ✉ info@stroke-india.org
India's Apex Stroke Authority Since 2002
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🚨 Suspected stroke? Call an ambulance and reach a stroke-ready hospital — do not wait.
India's Apex Stroke Authority

Advancing Stroke Care
across every corner of India.

Empowering neurologists, physicians, and communities to prevent, recognise, and treat stroke — saving millions of lives.

1400+
ISA Members
200+
Hospitals
33
States
7
Countries
Brain Attack is Preventable
Recognize a Stroke

Recognize a Stroke with B.E.F.A.S.T.

A stroke kills 1.9 million brain cells per minute. Learn all six warning signs and act immediately.

B
⚖️

Balance

Sudden loss of balance or unexplained dizziness.

E
👁️

Eyes

Sudden blurred or double vision in one or both eyes.

F
😶

Face

Facial drooping or an uneven smile on one side.

A
💪

Arms

Sudden arm or leg weakness on one side of the body.

S
🗣️

Speech

Slurred or garbled speech — ask them to repeat a phrase.

T
📞

Time

Call an ambulance and reach a stroke-ready hospital. Note the time symptoms started.

India Map — ISA Stroke Centres
Who We Are

India's Largest Professional Organisation for Stroke

Founded in 2002, the Indian Stroke Association brings together neurologists, neurosurgeons, and allied health professionals committed to reducing the burden of stroke across India.

  • Promote scientific research in stroke and allied disciplines
  • Develop and disseminate clinical guidelines for stroke care
  • Organise CMEs, workshops, and national conferences
  • Foster collaboration between research institutions in India
Learn More About Us →
1400+
ISA Members Nationwide
200+
Accredited Stroke Hospitals
24+
Years of Leadership
33
States & Union Territories
7
Countries
Leadership

From the Desks of the President and Secretary

Insights from our leadership on stroke care and awareness across India.

Dr. Vikram Huded
President, Indian Stroke Association
Dr. Vikram Huded

"It is a great honour to serve as President of the Indian Stroke Association. Together, we can transform stroke care across every part of our nation..."

Read full message →
Dr. Arvind Sharma
Secretary, Indian Stroke Association
Dr. Arvind Sharma

"Our association has been actively engaged in awareness campaigns, professional training, and policy-level advocacy to improve stroke outcomes in India..."

Read full message →
What We Do

Core Programmes at Indian Stroke Association

Raising stroke awareness, improving timely care, and supporting healthcare professionals across India.

100 Years of Cerebral Angiography logo
Indian Stroke Association Save the Brain logo
100 CMEs for Stroke Awareness
Stroke Awareness

100 CMEs for Stroke Awareness

Public education campaigns to recognise F.A.S.T. signs and act within the golden hour. Empowering communities and clinicians across every state.

Learn more →
Save the Brain
National Campaign

Save the Brain

A nationwide campaign to reduce treatment delays through early identification and rapid response. Every minute without treatment is brain lost.

Learn more →
ISA Accreditation Programme

Is Your Hospital Ready to Treat Stroke?

ISA's Stroke Accreditation Programme certifies hospitals that meet national standards for acute stroke care — from emergency protocols to rehabilitation facilities. Join 200+ accredited centres across India.

Hospital Accreditation Team
Video Library

Video Library of Indian Stroke Association

Videos copied from the previous ISA video library, presented in the updated site layout.

Hosted ISA Video
ISA Awareness Video 01
Video Library · 01
Hosted ISA Video
ISA Awareness Video 02
Video Library · 02
Hosted ISA Video
ISA Awareness Video 09
Video Library · 09
Hosted ISA Video
ISA Awareness Video 10
Video Library · 10
Events & Conferences

View Upcoming Events

Stay updated with conferences, workshops, and initiatives that bring together experts to advance stroke care across India.

Flagship Conference
Jaipur · 2027
Indian National Stroke Conference — INSC 2027
ISA's premier annual conference in Jaipur, bringing together stroke specialists from across India and the world.
14-16th
Aug 2026

Stroke Summer School

14th, 15th & 16th August 2026

Become a Member

Join the Community of
India's Stroke Specialists

Access CME credits, guidelines, the ISA journal, and a network of 1400+ stroke professionals across India.

Video Library

The complete video library from the previous Indian Stroke Association website, now arranged for the new responsive layout.

ISA Media

Educational Videos & Messages

Browse hosted ISA videos and official YouTube messages in one place. The layout adapts from single-column mobile viewing to a multi-column desktop library.

Back to Home
Hosted ISA Video 01

ISA Awareness Video 01

Hosted ISA Video 02

ISA Awareness Video 02

Hosted ISA Video 03

ISA Awareness Video 03

Hosted ISA Video 04

ISA Awareness Video 04

Hosted ISA Video 05

ISA Awareness Video 05

Hosted ISA Video 06

ISA Awareness Video 06

Hosted ISA Video 07

ISA Awareness Video 07

Hosted ISA Video 08

ISA Awareness Video 08

Hosted ISA Video 09

ISA Awareness Video 09

Hosted ISA Video 10

ISA Awareness Video 10

YouTube Video 01

Your Brain Matters: Don’t Ignore the Signs | Act Now with Dr. Vijaya, Indian Stroke Association

YouTube Video 02

Dr. Arvin Sharma, Secretary of the Indian Stroke Association

YouTube Video 04

Message from the Immediate Past President’s Desk - Dr Nirmal Surya

Upcoming Events

Indian Stroke Association events, conferences, and academic programmes.

Upcoming Events

12th ISA Stroke Summer School

14th, 15th & 16th August 2026

Stroke Summer School Flyer

Past Events

Indian Stroke Association conferences, summer schools, and national stroke prevention campaigns.

Past Events

INSC

Annual Conference
2025

Venue: Lucknow

2024

Venue: Kolkata

2023

Venue: Chennai

2022

Venue: Mumbai

2021

Venue: Virtual Conference

2020

Cancelled due to COVID-19

2019

Venue: Ahmedabad

2018

Venue: Hyatt Regency, New Delhi

2017

Venue: Amristar

2016

Venue: Hyderabad

2015

Venue: Chandigarh

2013

Venue: Ludhiana

2012

Venue: Pune

2011

Venue: Indore

2010

Venue: New Delhi

2009

Venue: Hyderabad

2008

Venue: Amristar

2007

Venue : Mumbai

2006

Venue: Chennai

STROKE SUMMER SCHOOL

Training Programme
2024

Venue: HYDERABAD Date: 23RD - 25TH AUGUST 2024

2023

Venue: AMRITSAR

Date: 4TH - 6TH AUG 2023

2022

Venue: UDAIPUR

Date: 19TH - 21ST AUGUST 2022

2021

Venue: VIRTUAL CONFERENCE

Date: 6TH - 8TH AUGUST 2021

2019

Venue: Golden Palms Avenue, Bangalore.

Date: 6th September 2019 to 8th September 2019

2018

Venue: Holiday Inn Resort, Goa

Date: 31st August 2018 to 2nd September 2018

2017

Venue: Chennai

Date: 18TH - 20TH AUGUST 2017

2015

Venue: Munnar

Date: 14TH - 16TH AUGUST 2015

2014

Venue:  Pune

Date: 22ND TO 24TH JUNE 2014

2013

Venue: New Delhi

Date: 2ND & 3RD JUNE 2013

NPSC

Pediatric Stroke
National Pediatric Stroke Conclave
2024

NATIONAL PEDIATRIC STROKE CONCLAVE

29 - 30 June 2024

gALLERY →
NPSC 2023

17TH-18TH JUNE 2023

MUMBAI

YSNF

Young Stroke Neurologist Forum

YSNF

Young Stroke Neurologist Forum

YSNF Lecture Series 1 Stroke Basics and Stroke Scales
04-11-2025

Lecture Series 1 Stroke Basics & Stroke Scales

Key  Speaker : Dr. Monika Singla

Date : 04-11-2025

Time : 8:00 pm - 9:00 pm

YSNF ER Preospital Recognition Pre-notification and Rapid Transfer
13-11-2025

ER Preospital Recognition, Pre-notification & Rapid Transfer

Key  Speaker : Dr. Salli Uppal

Date : 13-11-2025

Time : 8:00 pm - 9:00 pm

YSNF ER Assessment and Stroke Imaging
20-11-2025

ER Assessment & Stroke Imaging

Key  Speaker : Dr. Amit Kulkarani

Date : 20-11-2025

Time : 8:00 pm - 9:00 pm

YSNF Lecture Series 4 IV Thrombolysis
27-11-2025

Lecture Series 4 : IV Thrombolysis in 4 11/2 hours & Extended window Situations

Key Speaker : Dr. Pawan Kumar Ojha

Date : 27-11-2025

Time : 8:00 pm - 9:00 pm

YSNF Lecture Series 5 Tools for LVO Recognition
04-12-2025

Lecture Series 5 : Tools for LVO Recognition & Accessing MT Pathways

Key Speaker : Dr. Trilochan Srivastava

Date : 04-12-2025

Time : 8:00 pm - 9:00 pm

YSNF Lecture Series 6 Acute management of ICH and SAH
11-12-2025

Lecture Series 6
Acute management of ICH & SAH

Key  Speaker : Dr. Shripal Shah

Date : 11-12-2025

Time : 8:00 pm - 9:00 pm

YSNF Lecture Series 7 Stroke Unit Care and Secondary Prevention
18-12-2025

Lecture Series 7
Stroke Unit Care & Secondary Prevention

Key  Speaker : Dr. Jayanta Roy

Date : 18-12-2025

Time : 8:00 pm - 9:00 pm

YSNF Lecture Series 8 Establishing Stroke Systems of Care and Stroke Networks
26-12-2025

Lecture Series 8
Establishing Stroke Systems of
Care & Stroke Networks

Key  Speaker : Dr. P. Vijaya

Date : 26-12-2025

Time : 8:00 pm - 9:00 pm

YSNF Lecture Series 9 Newer Avenues in Neuro Protection and Technology in Stroke
02-01-2026

Lecture Series 9
Newer Avenues in Neuro Protection and
Technology in Stroke

Key  Speaker : Dr. R. Lakshmi Narasimhan

Date : 02-01-2026

Time : 8:00 pm - 9:00 pm

ISA Activity

Indian Stroke Association activity pages from the live website, rendered in the ISA theme.

2025 Stroke Awareness

2025 – Check BP Stop Stroke

2025 STROKE AWARENESS

High blood pressure (Hypertension) is one of the most important – yet most silent – health risks faced by adults today.

It is one of the leading causes of brain stroke, heart attack, kidney failure, and blindness. In India, 1 in 4 adults has hypertension, but only half know about it. Regular BP screening is the only way to detect it early.

Uncontrolled BP can cause severe brain damage through blood clots or bleeding. The positive news: 50% of strokes can be prevented by checking and controlling blood pressure on time.

Common risk factors include family history, obesity, smoking, excess alcohol, high-salt diet, and lack of physical activity. Hypertension can be prevented by reducing salt intake, eating healthy, avoiding tobacco and alcohol, staying active, and taking BP medicines regularly.

BP Stages

  • Normal:120/80 mmHg
  • Borderline:120–139 / 80–89 mmHg
  • Stage 1 HTN:140–159 / 90–99 mmHg
  • Stage 2 HTN:160+ / 100+ mmHg
  • Stage 3 HTN:180+ / 110+ mmHg

Free BP screening and medicines are available at PHCs, UHCs, 104 ambulances, and government hospitals.

All adults aged 18+ should check their BP regularly — early detection saves lives.

Articles

2025 – Check BP Stop Stroke

2024 – Stroke Awareness

Mission Brain Attack

2024 - Stroke Awareness

Mission Brain Attack

Dear ISA Team,

We are pleased to share the complete media coverage of the recent press conference held at Chatrapati Sambhaji Nagar ( formerly known as Aurangabad) on 21st July 2024. Print Coverage has been shared in jpeg format in the attachments, along with the date and the name of the newspaper. One You tube link has been mentioned below here.

We will also

Assuring you of our best services at all times,

Cordially,

For Indus Communications,

Mahendra Singh

Mobile:8655566077

Articles

2024 – Stroke Awareness

Contact Us

The Indian Stroke Association (ISA) has been pushing scientific research and breakthroughs in the field of stroke and also relentlessly working to boost community and physicians awareness about the importance of early identification and intervention.

Contact Us

ISA Registered Office

Mercury Nursing Home,
36, Pantheon Road, Egmore,
Chennai – 600 008.

Contact Us

Secretary - Indian Stroke Association

Dr. Arvind Sharma,
H- 101, Red Avenue, Maple County 2, B/H Ornet Park,
Sindhu Bhavan Road. Thaltej
Ahmedabad – 380058
Gujarat

Contact Us

Association Secretariat

Marundeshwara Enterprises,
A4, Shanthi Apartments,
18, TTK 1st Cross Street, Alwarpet,
Chennai- 600 018.

About ISA

India's largest professional stroke organisation, working relentlessly since 2002 to decrease the burden of stroke and minimise stroke disability.

Who We Are

Indian Stroke Association — Advancing Stroke Care

The Indian Stroke Association (ISA) is the largest professional organization in India focused exclusively on stroke, established in 2002. ISA has been pushing scientific research and breakthroughs in the field of stroke while relentlessly working to boost community and physician awareness about the importance of early identification and intervention.

With an ever-increasing pressure of high stroke cases and the burden of high mortality and catastrophic disability, ISA brings together all contributors to combat this disease. The golden window for treatment is just 4.5 hours — and ISA’s mission is to ensure no Indian misses it.

Stroke is preventable. Stroke is treatable. Through awareness, science, and collective action, we can save millions of brains and lives across India.

Quick Facts
2002
Year Founded
1400+
Professional Members
200+
Accredited Hospitals
33
States & Union Territories
7
Countries
Our Purpose

Aims & Objectives

01

Scientific Research

To encourage scientific research in stroke and allied disciplines, fostering breakthroughs that improve diagnosis, treatment, and outcomes for stroke patients across India.

02

Knowledge Exchange

To promote, develop, and provide exchange of knowledge as well as technical cooperation between research institutions in India and collaborations with institutions abroad.

03

Education & Conferences

To conduct conferences, refresher courses, CMEs, lectures, seminars, and exhibitions related to stroke research, empowering the next generation of stroke specialists.

04

Public Awareness

To propagate education and awareness about stroke in the general public, to apprise them about the latest developments in this field and help them make right decisions.

Leadership Messages

From the President & Secretary’s Desk

Dr. Vikram Huded
President, ISA
Dr. Vikram Huded

Save the Brain: A National Movement to Transform Stroke Care in India

Dear Members of the Indian Stroke Association and Colleagues in Neurosciences, warm greetings to all.

It is a great honour and privilege to assume the responsibility of serving as the President of the Indian Stroke Association. I sincerely thank each one of you for the trust and confidence placed in me. Stroke is preventable. Stroke is treatable. Through awareness, science, and collective action, we can save millions of brains and lives across India.

Read Full Message →
Dr. Arvind Sharma
Secretary, ISA
Dr. Arvind Sharma

Dear Esteemed Indian Stroke Association (ISA) Members

As the Secretary, it is my responsibility to ensure effective communication with all our ISA members. I would like to express my gratitude to each one of you for your continued support and dedication to our mission of stroke prevention, treatment, and rehabilitation across India.

I am pleased to inform you that our association has been actively engaged in various initiatives aimed at raising awareness about stroke prevention.

Read Full Message →

Constitution

Memorandum of Association & Bye-Laws — the legal and procedural foundation of the Indian Stroke Association.

Legal Framework

Memorandum of Association & Bye-Laws

1. Name & Registered Office

The name of the Association shall be the Indian Stroke Association (ISA), registered under the Tamil Nadu Societies Registration Act, 1975. Date of formation: 19th July, 2002.

Registered Office: 36, Pantheon Road, Egmore, Chennai – 600 008.

2. Objectives of the Association

  • To encourage scientific research in the area of stroke ("brain-attack") and allied disciplines.
  • To promote, develop, and provide exchange of knowledge as well as technical cooperation between research institutions in India.
  • To conduct conferences, refresher courses, lectures, seminars, demonstrations and exhibitions related to stroke research.

3. Membership

Life Members: A medical expert with post-doctoral qualification DM/DNB Neurology engaged in medical practice in stroke care, on payment of Rs. 3,000/-

Associate Members: A medical practitioner with a graduate degree or diploma in any general speciality or allied specialities, on payment of Rs. 3,000/-. They do not have voting rights and are not eligible for office bearer posts.

Every application for membership shall be recommended by at least two Members of ISA. The Executive Committee has absolute power to admit or reject any application.

4. Executive Committee & Management

The Executive Committee shall comprise the following:

  • One President
  • One Vice-President / President Elect
  • One Secretary
  • One Treasurer
  • Six Executive Committee members (inclusive of one Webmaster)
  • One Editor
  • Ex-officio members: Two past presidents and representatives from India in world stroke bodies

Tenure: President and Vice-President/President Elect — one year. Secretary, Treasurer, Editor and Executive Committee members — three years.

Candidates applying for any post in the Executive Committee must have been a Life Member for at least 5 years. Candidates for Vice-President/President Elect must have served in the Executive Committee for at least one term (3 years).

5. General Body Meeting

The Annual General Body Meeting of ISA shall be held on the occasion of the annual conference. The quorum for all meetings of the General Body shall be 10% of all registered members entitled to vote. Only Life Members have voting rights.

Notice for General Body Meetings shall be given at least 21 days before the meeting date. Extraordinary General Meetings may be convened at the request of not less than one-third of members.

6. Finance & Accounts

The financial year of ISA shall be from 1st April to 31st March. Accounts shall be audited every year by a Chartered Accountant appointed at the Annual General Meeting.

7. Conferences

The Annual Conference of ISA shall be organized every year between January and March. The organizers shall contribute 25% of the registration fee to ISA and 50% of any surplus funds after the conference.

8. Dissolution

Upon winding up or dissolution, after satisfaction of all debts and liabilities, any remaining property shall be transferred to another institution having similar objects — not distributed among members.

9. Special Resolution

A Special Resolution requires a majority of not less than three-fourths (3/4) of members entitled to vote, present at a General Body Meeting with at least 21 days' notice. Special resolutions are required to amend objectives, amend Bye-Laws, change the name, or dissolve the Association.

Document: Memorandum of Association and Bye-Laws of Indian Stroke Association — Registered under Tamil Nadu Societies Registration Act, 1975. Registration No. 307/2002.

⬇ Download Memorandum & Bye-Laws (PDF)

ISA Committee

Meet the ISA Executive Committee 2026–2027 — dedicated leadership driving stroke care advancement across India.

Committee

ISA Executive Committee

2026 – 2027
Dr. Vikram Huded
President ISA
Dr. Vikram Huded
Indian Stroke Association 2026–2027
Dr. Pawan Kumar Ojha
Dr. Pawan Kumar Ojha
President Elect
Dr. Arvind Sharma
Dr. Arvind Sharma
Secretary
Dr. Salil Uppal
Dr. Salil Uppal
Treasurer
Dr. R. Lakshmi Narasimhan
Dr. R. Lakshmi Narasimhan
Editor
Dr. Vijaya P
Dr. Vijaya P
Immediate Past President
Dr. Nirmal Surya
Dr. Nirmal Surya
Past President
Dr. Amit Kulkarni
Dr. Amit Kulkarni
Executive Committee Member
Dr. Jayanta Roy
Dr. Jayanta Roy
Executive Committee Member
Dr. Monika Singla
Dr. Monika Singla
Executive Committee Member
Dr. Shripal Shah
Dr. Shripal Shah
Executive Committee Member
Dr. Trilochan Srivastava
Dr. Trilochan Srivastava
Executive Committee Member

Global Advisors

ISA is guided by an esteemed panel of international stroke experts bringing global best practices to strengthen stroke care in India.

International Panel

Our Global Advisors

ISA is guided by an esteemed panel of international stroke experts from across the world, bringing global expertise and best practices to strengthen stroke care in India.

🇺🇸
Dr Vineetha Singh
USA
🇯🇵
Dr Yukito Sinohara
Japan
🇸🇬
Dr Vijay Sharma
Singapore
🇳🇿
Dr Valert Feigin
Newzealand
🇦🇺
Dr Tissa Wijeratne
Australia
🇦🇺
Dr Stephen Davis
Australia
🇺🇸
Dr Seemant Chaturvedi
U.S.A
🇯🇵
Dr Schinichiro Uchiyama
Japan
🇨🇦
Dr Ramesh Madhavan
Canada
🇺🇸
Dr Ralph Lewis Sacco
U.S.A
🇺🇸
Dr Philip Benjamin Gorelick
U.S.A
🇱🇰
Dr Padma Gunaratne
Sri Lanka
🇹🇭
Dr Nippon Poungvarin
Thailand
🇮🇱
Dr Natan Bornstein
Israel
🇵🇰
Dr Mohammad Wasay
Pakistan
🇦🇺
Dr Micheal Brainin
Australia
🇫🇮
Dr Markku Kaste
Finland
🇺🇸
Dr Majaz Moonis
U.S.A
🇺🇸
Dr Larry B. Goldstein
U.S.A
🇭🇰
Dr Byung Woo Yoon
Hong Kong
🇦🇺
Dr Geoffrey Allan Donnan
Australia
🇺🇸
Dr Culebras Antonio
U.S.A
🇦🇺
Dr Craig Anderson
Australia
🇰🇷
Dr Byung Woo Yoon
South Korea
🇨🇦
Dr Antoine M. Hakim
Canada
🇺🇸
Dr Aneesh Singhal
U.S.A
🇺🇸
Dr Andrew Xavier
U.S.A

From the Desk

Leadership message from Dr. Vikram Huded, Indian Stroke Association 2026–2027.

Dr. Vikram Huded
President, Indian Stroke Association
Dr. Vikram Huded
Indian Stroke Association 2026–2027

Save the Brain: A National Movement to Transform Stroke Care in India

Dear Members of the Indian Stroke Association and Colleagues in Neurosciences,

Warm greetings to all.

It is a great honour and privilege to assume the responsibility of serving as the President of the Indian Stroke Association. I sincerely thank each one of you for the trust and confidence placed in me. I also take this opportunity to acknowledge and appreciate the remarkable work done by our past presidents and leaders who have built a strong and vibrant organization dedicated to improving stroke care in India.

Stroke continues to be one of the leading causes of death and disability in our country. Yet, the encouraging reality is that stroke is both preventable and treatable when recognized early and managed appropriately. Every day, as clinicians and neuroscientists, we witness how timely recognition and intervention can change the course of a patient's life — saving not only the brain, but also the dignity, independence, and future of families.

Despite remarkable scientific advances, the challenge before us in India remains substantial. According to recent data from ICMR studies, intravenous thrombolysis is delivered in less than 5% of stroke patients, and mechanical thrombectomy in less than 1%. In contrast, nearby developed countries such as Singapore have treatment rates approaching 30%. These numbers remind us that the science already exists — our responsibility now is to ensure that this science reaches every patient who needs it.

With this perspective, the focus during my tenure will be on awareness, education, collaboration, and action to strengthen stroke care across India.


Save the Brain – A National Awareness Initiative

One of the central initiatives during this year will be "Save the Brain."

The message is simple, clear, and powerful:
Stroke is preventable. Stroke is treatable.

Through this national initiative, we aim to improve awareness among the general public as well as physicians who may not yet fully recognize the urgency of stroke care. Public education, physician engagement, and collaborative efforts across healthcare systems will be key components of this initiative. By spreading the message that "Time is Brain," we hope to ensure that more patients reach hospitals in time to receive life-saving treatments.


Centenary Celebration of Cerebral Angiogram – A Tribute to Dr. Egas Moniz

The coming year also marks the centenary of cerebral angiography, first performed in 1927 by the visionary neurologist Egas Moniz. This landmark discovery transformed our understanding of the cerebral circulation and laid the foundation for modern neurovascular imaging and intervention.

To commemorate this historic milestone in neuroscience, the Indian Stroke Association plans to organize 100 Continuing Medical Education (CME) programs across India. These programs will strengthen academic exchange, encourage multidisciplinary collaboration, and inspire the next generation of neurologists, neurosurgeons, neuroradiologists, stroke specialists and Neurointerventionists.


Working Together for the Future

India stands at an important moment in its history as we move toward becoming a developed nation by 2047. Strengthening healthcare systems and reducing the burden of diseases such as stroke will be essential in achieving this vision.

The Indian Stroke Association will continue to work toward improving stroke prevention, public awareness, timely treatment, and rehabilitation across the country. However, this mission cannot be achieved by individuals alone. It requires the collective strength, wisdom, and commitment of the entire neuroscience community.

I warmly invite all ISA members, neurologists, neurosurgeons, neuroradiologists, Neurointerventionists, physicians, nurses, emergency teams, and allied healthcare professionals to join hands in this mission. Together, we can build stronger stroke systems of care, empower young clinicians, and make a meaningful difference in the lives of millions of Indians.

Stroke is preventable. Stroke is treatable. Through awareness, science, and collective action, we can save millions of brains and lives across India.

Dr. Vikram Huded
President, Indian Stroke Association
2026 – 2027

From the Desk

Leadership message from Dr. Arvind Sharma, Indian Stroke Association.

Dr. Arvind Sharma
Secretary, Indian Stroke Association
Dr. Arvind Sharma
Indian Stroke Association

Dear Esteemed Indian Stroke Association (ISA) Members,

As the Secretary, it is my responsibility to ensure effective communication with all our ISA members.

Firstly, I would like to express my gratitude to each one of you for your continued support and dedication to our mission of stroke prevention, treatment, and rehabilitation across India. Your commitment plays a vital role in our collective efforts to combat stroke-related challenges in our communities.

I am pleased to inform you that our association has been actively engaged in various initiatives aimed at raising awareness about stroke prevention. From organizing educational campaigns to facilitating training programs for healthcare professionals, we have been striving to make a positive impact on the landscape of stroke care in our country.

In line with our commitment to promoting excellence in stroke research and clinical practice, we have achieved long cherished goals which include:

a) National Stroke Accreditation Program
b) Clinical Stroke Fellowship (FNB) for 2 years by National Board Examinations (NBE)
c) Joint Academic Sessions with ISC – American Stroke Association (AHA/ASA) and many others.

These platforms will serve as valuable opportunities for knowledge sharing, networking, and skill enhancement within the stroke community.

As we move forward, I assure you that the Indian Stroke Association remains dedicated to advancing the field of stroke medicine and enhancing the quality of care for individuals affected by stroke. Together, we can make a difference and create a brighter future for stroke patients and their families.

Thank you once again for your unwavering support and collaboration. Should you have any questions, suggestions, or concerns, please feel free to reach out to me or any member of the executive committee.

Jai Hind!!!

Dr. Arvind Sharma
Secretary, Indian Stroke Association

ISA Constitution

Memorandum of Association & Bye-Laws of the Indian Stroke Association.

📄 Memorandum of ISA Association & Bye-Laws ⬇ Download

Past Presidents

Honoring the distinguished leaders who have served as President of the Indian Stroke Association since its founding in 2002.

Prof G. Arjundas
Prof G. Arjundas
2002 – 2008
Prof P. M. Dalal
Prof P. M. Dalal
2008 – 2009
Dr. Subhash Kaul
Dr. Subhash Kaul
2009 – 2010
Dr. Shirish Madhav Hastak
Dr. Shirish Madhav Hastak
2010 – 2011
Dr. Man Mohan Mehndiratta
Dr. Man Mohan Mehndiratta
2011 – 2012
Dr. M. R. Sivakumar
Dr. M. R. Sivakumar
2012 – 2013
Dr. M. V. Padma Srivastava
Dr. M. V. Padma Srivastava
2013 – 2014
Dr. Nagaraja D
Dr. Nagaraja D
2014 – 2015
Dr. Dheeraj Khurana
Dr. Dheeraj Khurana
2015 – 2016
Dr. Ashok Uppal
Dr. Ashok Uppal
2016 – 2017
Dr. Deepak Arjundas
Dr. Deepak Arjundas
2017 – 2018
Dr. P. N. Sylaja
Dr. P. N. Sylaja
2018 – 2019
Dr. Vinit Suri
Dr. Vinit Suri
2019 – 2020
Dr. Rohit Bhatia
Dr. Rohit Bhatia
2020 – 2021
Dr. Jeyaraj Durai Pandian
Dr. Jeyaraj Durai Pandian
2021 – 2022
Dr. V G Pradeep Kumar
Dr. V G Pradeep Kumar
2022 – 2023
Dr. Anand Alurkar
Dr. Anand Alurkar
2023 – 2024
Dr. Nirmal Surya
Dr. Nirmal Surya
2024 – 2025
Dr. Vijaya P
Dr. Vijaya P
2025 – 2026

ISA Guidelines

Clinical guideline documents and consensus resources from the Indian Stroke Association.

Professional Stroke Guideline Library

Browse the same guideline resources listed on the old ISA website. Each PDF opens inside this website with a dedicated reader page, while the COVID-19 consensus opens in the journal source.

Guideline PDF

Endovascular Treatment

Endovascular treatment guideline resource from the ISA guideline section.

PDF 7 Pages
Download
Supplement

ISA Recommendations Supplement

Supplement document associated with ISA acute stroke recommendations.

PDF 35 Pages
Download
External Consensus

Acute Stroke Management During COVID-19

Consensus statement and suggested recommendations for acute stroke management during the COVID-19 pandemic.

Journal External Link

Acute Ischemic Stroke

Recommendations for the early management of acute ischemic stroke from the Indian Stroke Association.

Acute Ischemic Stroke Guidelines

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Endovascular Treatment

ISA guideline PDF for endovascular treatment.

Endovascular Treatment Guidelines

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Guideline Supplement

Supplement document for ISA recommendations.

ISA Recommendations Supplement

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Stroke Education For General Public

Understanding stroke — what it is, how to recognise it, who is at risk, and how it is treated. Knowledge saves lives.

Medical Emergency

Stroke — A Medical Emergency

In India, over 1.8 million people suffer a stroke each year, making it a leading cause of death and disability. The Indian Stroke Association (ISA) emphasizes the importance of swift action using the BE FAST method.

B
⚖️

Balance loss

Sudden loss of balance or coordination, unexplained dizziness or falls.

E
👁️

Eye disturbances

Sudden blurred, double or lost vision in one or both eyes.

F
😶

Facial drooping

Ask the person to smile — does one side of the face droop?

A
💪

Arm weakness

Ask them to raise both arms — does one arm drift downward or feel numb?

S
🗣️

Slurred speech

Is speech slurred, strange or hard to understand? Ask them to repeat a phrase.

T
📞

Time to act fast

If you see any of these signs, call an ambulance and reach a stroke-ready hospital. Note the time symptoms began.

Time saved is brain saved. For every minute a stroke goes untreated, the brain loses 1.9 million cells. Immediate care at a capable stroke centre can drastically improve outcomes.
📞 Call ambulance Reach a stroke-ready hospital
Understanding Stroke

What is Stroke?

A stroke occurs when blood flow to a part of the brain is interrupted, either due to a blocked artery (ischemic stroke) or a ruptured blood vessel (hemorrhagic stroke). Acute Ischemic Stroke (AIS) is the most common type — caused by obstruction of cerebral arteries, leading to brain tissue damage due to lack of oxygen. When this happens, brain cells begin to die within minutes.

Types of Stroke

🧠 Ischemic Stroke — Most Common (~87% of strokes)

A blood clot or narrowed artery blocks blood flow to the brain.

  • Thrombotic stroke: Clot forms in a blood vessel inside the brain
  • Embolic stroke: Clot or debris forms elsewhere (e.g., heart) and travels to the brain

TOAST Classification: Large-Artery Atherosclerosis (LAA) · Cardioembolic (CE) · Small-Vessel Disease / Lacunar · Other Determined Etiology · Cryptogenic (Undetermined)

💧 Hemorrhagic Stroke

A blood vessel in the brain ruptures, causing bleeding into or around the brain.

  • Intracerebral hemorrhage: Bleeding within the brain tissue
  • Subarachnoid hemorrhage: Bleeding into the space between the brain and skull, often from an aneurysm rupture

⚡ Transient Ischemic Attack (TIA) — “Mini-Stroke”

A temporary blockage of blood flow to the brain. No permanent damage, but symptoms mimic stroke and resolve within minutes to hours.

Warning: TIA indicates a high risk of future full stroke. Needs urgent medical attention.

Risk Factors

Risk Factors of Stroke

Stroke risk factors are classified as non-modifiable (cannot be changed) and modifiable (can be controlled with lifestyle and medical management).

⬛ Non-Modifiable Risk Factors
Age (>65 years) Gender (male predominance) Ethnicity Genetics Low birth weight Previous Stroke or TIA
🔴 Modifiable Risk Factors
Hypertension (most common) Diabetes Mellitus Atrial Fibrillation Smoking Alcohol Dyslipidemia Obesity Sedentary lifestyle Heart disease (AF, valvular) Metabolic syndrome Poor Diet Physical Inactivity High Cholesterol
Who Is At Risk

Who All Can Get Affected by Stroke?

👴

Elderly People (≥65 years)

Most commonly affected. However, there is a rising incidence in younger adults (<55 years) due to smoking, obesity, and lifestyle changes.

👩

Women

Post-menopausal women face increased stroke incidence due to loss of estrogen’s vascular protective effect.

🫀

People with Chronic Diseases

Those with high blood pressure, diabetes, high cholesterol, heart diseases (e.g., atrial fibrillation), or obesity are at much higher risk.

🚬

Smokers and Alcohol Users

Tobacco and excessive alcohol damage blood vessels and increase blood pressure and clot formation.

🪑

People with a Sedentary Lifestyle

Lack of physical activity increases risk of stroke-related conditions like obesity and high blood pressure.

🧬

People with a Family History of Stroke

Genetics plays a role. If close relatives had a stroke, your risk is higher.

👶

Children (Rare but Possible)

Though rare, strokes can occur in newborns and children due to congenital heart defects, blood disorders (like sickle cell disease), or infections.

Medical Treatment

What is the Treatment?

Stroke treatment depends on the type of stroke, time of onset, and the patient’s condition. The goal is to restore blood flow to the brain quickly, minimize brain damage, and improve recovery outcomes.

A. Acute Stroke Treatment

Acute stroke management is a medical emergency. Every minute counts — millions of brain cells die each minute during a stroke. Treatment focuses on reperfusion therapy, where the blocked blood vessel is opened as soon as possible.

There are two main evidence-based treatments for Acute Ischemic Stroke (AIS):

💉

Thrombolysis (Intravenous Thrombolytic Therapy — IV tPA)

Must be given within 4.5 hours of symptom onset

Thrombolysis involves the use of a clot-dissolving drug — rtPA (recombinant tissue plasminogen activator), commonly Alteplase — to break down the blood clot blocking the brain artery. The rtPA activates plasminogen in the blood, converting it to plasmin, which breaks down fibrin, the main component of blood clots.

A patient can receive IV thrombolysis if:

  • Stroke onset is within 4.5 hours
  • CT scan rules out bleeding
  • No recent surgery or bleeding disorder
  • Blood pressure is controlled (≤185/110 mmHg)
Benefits
  • Increases chance of complete or partial recovery
  • Reduces the size of the stroke and brain damage
  • Improves chances of walking independently again
Risks
  • Bleeding in the brain (symptomatic intracranial haemorrhage)
  • Must be administered only in stroke-ready hospitals
🔬

Mechanical Thrombectomy

Ideally within 6 hours — up to 24 hours in selected patients

Mechanical thrombectomy is a minimally invasive surgical procedure where a blood clot is physically removed from the brain artery using a catheter-based device. A catheter is inserted through a groin or wrist artery, navigated to the brain artery where the clot is located, and a stent retriever or suction device grabs or aspirates the clot — restoring blood flow to the affected brain area.

Benefits
  • Highly effective in restoring blood flow in major strokes
  • Increases chance of a good functional outcome
  • Reduces risk of death and long-term disability
  • Works even when IV tPA is contraindicated or fails
Risks
  • Bleeding at catheter site or in the brain
  • Blood vessel injury
  • May not be successful in all patients
  • Requires specialized team and hospital infrastructure
🏥

Supportive Care

Foundation of stroke management from early hours through recovery

Supportive care ensures the patient remains stable and safe, preventing complications and improving recovery chances.

1

Airway and Breathing

Oxygen saturation must be kept above 94%. Patients with decreased consciousness or impaired swallowing may need oxygen therapy or mechanical ventilation.

2

Blood Pressure Management

For patients not eligible for thrombolysis, BP up to 220/120 mmHg may be allowed. For those receiving IV tPA, BP must be reduced to ≤185/110 mmHg before treatment.

3

Blood Sugar Control

Both hypoglycemia (<60 mg/dL) and hyperglycemia (>180 mg/dL) worsen brain injury. Blood sugar should be maintained between 140–180 mg/dL.

4

Fever Control

Elevated temperature increases brain injury. Antipyretics (like paracetamol) should be used to manage fever promptly.

5

Hydration and Nutrition

IV fluids (e.g., normal saline) may be given carefully. Nutrition via feeding tubes may be needed for patients with swallowing difficulty.

6

Infection Prevention

Stroke patients are at risk of pneumonia, urinary infections, and bedsores. Early mobilization and proper nursing care are crucial.

7

Seizure Management

Seizures may occur post-stroke. If they do, antiepileptic drugs may be started promptly.

Antiplatelet Therapy — Indicated for non-cardioembolic ischemic stroke (e.g., caused by large artery atherosclerosis or small vessel disease).

  • Common drug: Aspirin (160–325 mg/day), started within 24–48 hours of symptom onset
  • In high-risk or minor strokes, dual antiplatelet therapy (DAPT) using aspirin and clopidogrel for 21 days can reduce early recurrence
  • Long-term: single antiplatelet therapy is usually continued

Anticoagulant Therapy — Indicated for cardioembolic strokes, especially due to atrial fibrillation (AF).

  • Common drugs: Warfarin (requires INR monitoring), or Direct Oral Anticoagulants (DOACs) — apixaban, rivaroxaban, or dabigatran
  • Initiation timing: usually 4–14 days after stroke, based on infarct size and bleeding risk (the “1-3-6-12 day rule”)
  • DOACs are preferred over warfarin in most elderly patients due to fewer interactions and lower risk of brain bleeding

D. Secondary Prevention

Once the immediate danger is controlled, the focus shifts to preventing another stroke — a lifelong process involving medications, lifestyle changes, and monitoring.

🫀 Blood Pressure Control

Target BP: <140/90 mmHg. Common medications: ACE inhibitors, ARBs, calcium channel blockers, diuretics.

📊 Cholesterol Management

High-dose statins (e.g., Atorvastatin 40–80 mg) to lower LDL cholesterol <70 mg/dL. Statins also stabilize plaques and reduce inflammation.

🩸 Diabetes Control

Maintain fasting glucose and HbA1c in target range. Use metformin or insulin if needed under medical supervision.

💊 Antiplatelet / Anticoagulant Continuation

Based on stroke type and individual risk profile. Lifelong aspirin or DOACs may be continued.

🏃 Lifestyle Modifications

  • Quit smoking and limit alcohol
  • Regular physical activity (30 min/day, 5 days/week)
  • Healthy diet: low in saturated fats and salt, high in fruits and vegetables
  • Maintain healthy weight and waist circumference

D. Secondary Prevention

Yes, for secondary prevention, long-term management of risk factors is necessary. This includes:

  • Lifelong use of antiplatelets or anticoagulants (based on stroke type)
  • Control of BP, glucose, cholesterol
  • Lifestyle modifications
  • Ongoing physiotherapy or rehab for recovery.
Prevention

Can We Prevent Stroke?

Yes, stroke is largely preventable through:

Effective Control of Risk Factors

Effective control of modifiable risk factors such as BP, diabetes, and lipids.

Smoking Cessation

Smoking cessation is an important step in lowering stroke risk.

Physical Activity

Physical activity helps reduce stroke-related risk factors and supports better vascular health.

Regular Health Checkups

Regular health checkups help detect atrial fibrillation and other conditions.

Eat a Healthy Diet

Eat a healthy diet high in fruits, vegetables, whole grains, and nuts. Keep it low in salt, sugar, saturated fats, and processed foods.

Maintain a Healthy Weight

Maintaining a healthy weight reduces risk of diabetes, high BP, and heart disease.

Control Heart Problems

Atrial fibrillation (AFib) increases clot risk and needs anticoagulants. Regular heart check-ups are important.

Prevent Transient Ischemic Attacks (TIAs)

TIAs (mini-strokes) are warnings. Take them seriously. After a TIA, strict prevention is needed to avoid a full stroke.

Rehabilitation

What is the Role of Physiotherapy in Stroke?

Physiotherapy is crucial for recovery, especially in elderly.

It helps with:

Regaining Function

Regaining motor skills, speech, and daily function.

Preventing Complications

Preventing stiffness, pressure ulcers, and falls.

Improving Quality of Life

Enhancing independence and quality of life.

Multidisciplinary Rehabilitation

Early, multidisciplinary rehabilitation includes physiotherapists, occupational therapists, and speech therapists.

Stages of Physiotherapy

1. Acute Stage — Hospital Phase

  • Positioning and passive movements to prevent stiffness and bedsores
  • Breathing exercises to improve lung capacity
  • Begin basic sitting and movement training.

2. Subacute Stage — Rehabilitation Center or Home

  • Active exercises for weak limbs
  • Transfer training (bed to chair)
  • Standing and walking practice with aids
  • Gait training and balance work

3. Chronic Stage — Ongoing Rehab at Home/Clinic

  • Advanced walking, stairs, coordination, and resistance exercises
  • Independence in daily activities
  • Long-term strength and endurance building

For any doubts and inquiries, feel free to email us at info@stroke-india.org and our top doctors will respond with expert guidance.