For Patients Our dedicated team has successfully treated the most challenging diseases, and achieved the best outcomes in the most critically ill patients, while providing continuing outpatient preventative stroke care. Our center provides a comprehensive multidisciplinary team comprised of fellowship-trained vascular neurologists, neurosurgeons, neuroradioradiologists and neurocritical care specialists. Our facilities include the most advanced MRI and CT capabilities, the only dedicated neurointensive care unit, and the only hybrid intraoperative/endovascular biplane angiosuite in the region. By combining expert care and sophisticated technology, we give our patients the best chance of recovering from stroke and avoiding future strokes. Conditions We Treat Below is a listing of the conditions treated by the UR Medicine Comprehensive Stroke Center. Please contact us, or click on a condition to read more about the condition in a new window. Cerebral Aneurysms Subarachnoid Hemorrhage Carotid Stenosis Intracerebral Hemorrhage Intracranial Stenosis Acute ischemic stroke and TIA Vascular Malformations (an abnormal blood vessel or group of blood vessels) Vertebro Basilar Insufficiency Treatments Aneurysm Clipping Aneurysm Coiling and Stenting Arteriovenous Malformation Surgery and Embolization Carotid Angioplasty/Stenting Carotid Endarterectomy, Cerebrovascular Bypass Surgery Endovascular Thrombectomy Intra-arterial Thrombolysis Intravenous Thrombolysis Stereotactic Radiosurgery Medical Treatment Within the first 3-4.5 hours of having a stroke, an intravenous clot-busting drug can be given to open blocked arteries. Stroke patients are rapidly assessed in the emergency department by a specialized stroke team including vascular neurologists, neurosurgeons, and emergency physicians. In patients with an “ischemic stroke” (i.e. no blood is seen on their initial CT scan) who arrive in time, a clot-busting medication called tPA can be used to help open blocked arteries. This greatly improves the chances of recovery and independence after stroke. In patients with hemorrhagic stroke (bleeding in the brain), control of blood clotting factors, blood pressure, and even emergent surgery may be required. After initial treatment, patients are either admitted to a dedicated stroke unit, or may first require critical care in our neurointensive care unit. Supportive medical treatments and stroke prevention therapies are then instituted by our neurocritical care specialists and vascular neurologists who specialize in treatment of stroke. Based upon results of the tests above, our team will design the right combination of medication, therapy, and in some cases preventative surgery, to avoid future strokes. Identifying risk factors and how to best control them will minimize the risk of stroke recurrence. Surgical Treatments Some patients aren’t candidates for clot-busting drugs and need emergency surgery to treat blocked or bleeding brain blood vessels. Initial tests (such as a CT angiogram) may show a clot inside an artery, blocking blood flow to the brain (ischemic stroke). Our neurosurgeons are fellowship-trained to use special catheters and devices to emergently open these brain arteries. This can restore blood flow to the brain and reverse the cause of stroke, thereby giving patients the best chance of recovery. Following recovery from stroke, our cerebrovascular neurosurgeons can perform surgery or stenting to open a narrowed artery that caused the initial stroke, thus helping prevent future events. Patients with stroke caused by leaking blood vessels (such as burst brain aneurysms or AVM) may require embolization (using wires and catheters inside the arteries) and/or craniotomy (open brain surgery). Our neurosurgeons have extensive subspecialty training in these life-saving surgeries, and perform the largest number of these procedures in the region. Recovery & Rehabilitation Our multidisciplinary stroke team will help manage all aspects of your recovery. While some patients recover within days, it is not unusual for recovery to take weeks to months. To help stroke patients recover to their maximum potential, each patient is evaluated for their physical, occupational, and speech therapy needs, along with intensive rehabilitation. Ongoing follow-up visits with our stroke specialists help insure the best medical and preventative care is in place to minimize chances of a future stroke.