Treatment methods

Acute treatment: intensive first aid in hospital

A stroke or temporary disruption of blood flow (transient ischemic attack) should always be treated in hospital! Stroke units certified by the German Stroke Society are available around the clock for this purpose in many different locations. These intensive care departments are specialised in the treatment of stroke patients. We are proud that two of our hospitals have this certification:
  • Stroke Unit at the Schoen Clinic Bad Aibling
  • Stroke Unit at the Schoen Clinic Neustadt
Every minute counts.
The earlier treatment is started, the greater the chances are that only minor disability or no disability at all remains.

Conservative treatment methods

Back home

Rehabilitative care always has the goal of enabling you to lead as independent a life as possible when you return home. If you have lasting physical disabilities following a stroke, you may need help in everyday life depending on the circumstances. Our occupational therapists offer support. They advise you and your family members about what can be done so that you can stay in the environment you are used to. Often it’s sufficient to acquire a walking frame, wheelchair or stair lift. Sometimes, the apartment needs to be redesigned to make it accessible.

Family members often need to re-structure their lives as well. If the situation is too much for them to handle, going to a self-help group can help to manage the burden.

Relearning old functions: rehabilitation following acute treatment

Depending on the severity of the damage, our consultants will choose the right rehabiltative care measures for you following acute treatment. Physiotherapy, occupational therapy, neuropsychological or speech therapy approaches may be used. With the guidance of our specially trained therapists, for example, you can fully or partially recover lost abilities or acquire new movement pattern.

Early rehabilitative care reduces complications

At the stroke unit we already start with activating measures as part of early rehabilitative care. This is done to prevent or lessen possible long-term damage to your brain. Our primary goal is to get you back to living life as quickly as possible. After that, the focus is on the gradual recovery of your independence.

Early rehabilitative care consists of three elements:
  • Activating care (at least three hours per day)
    Our nursing staff start practising movements with you early on. Then you can again manage your own personal hygiene and trips to the toilet – at least some of the time.
  • Activating therapies (at least two hours per day)
    Our physiotherapists offer you support in retaining or improving your mobility. In occupational therapy you practice abilities important in everyday life. Emphasis is also placed on treatments that train your mental fitness and improve your speaking and swallowing abilities.
  • Medical therapy
A monitoring system tracks your heart, circulation and breathing. It sends an alert if anything changes. That way we can detect dangerous situations immediately and respond quickly. Patients who have difficulty coughing up saliva and mucous from their windpipe, for example, are helped by a suction device. The additional administration of oxygen helps to improve the often impaired functioning of the lungs.

Stroke treatment – drug treatment

If a blood clot is the cause, we try to break it up  before the tissue is irreparably damaged – usually this is up to 4.5 hours (in exceptional cases 6 hours) after the symptoms first occur.This is done using medication (called lysis therapy).

Surgical treatment methods

Stroke treatment – surgical treatment

If breaking up the blood clot is unsuccessful, it is possible to remove the clot from larger vessels using a catheter up to 12 hours after the symptoms started. This procedure is done in a specialised centre.
If a brain haemorrhage has caused the stroke, we usually first lower the often high blood pressure using medication. The blood leaking out into the brain pushes against the brain tissue, increasing the pressure inside the skull. If the bleeding can be stabilised in this way, it is a promising treatment. Sometimes, surgery is necessary for larger brain haemorrhages.

A type of haemorrhage called subarachnoid haemorrhage, which is associated very severe neck pain, represents a special form of haemorrhage. This typically requires immediate neurosurgical or neuroradiological intervention for possible aneurysms.