Cerebrovascular Disorders
The Northwestern Stroke Center provides state-of-the-art care to patients
with stroke or at risk for having a stroke, does research into better ways
to treat and prevent cerebrovascular disease, educates patients and lay-people
about all aspects of stroke, and provides training and education to health-care
professionals working in the field of cerebrovascular disease and related areas.
The field of stroke or cerebrovascular disease encompasses several entities,
including transient ischemic attacks (TIAs, mini-strokes), actual strokes,
diseases of blood vessels that can lead to a stroke (such as narrowing of
the carotid artery or an aneurysm of a cerebral vessel), as well as heart
diseases (atrial fibrillation or a heart attack, for example) which are major
risk factors for a stroke. There are two major types of strokes: an ischemic stroke
occurs when a blood vessel in or around the brain becomes occluded or blocked—this
accounts for about 85% of all strokes; a hemorrhagic stroke occurs when a blood
vessel in or around the brain ruptures.
The majority of the patient care at the Northwestern Stroke Center occurs
at Northwestern Memorial Hospital (NMH), located close to North Michigan
Avenue in downtown Chicago. The hospital has several unique resources to ensure
excellence in the care of patients with an acute stroke, including a specialized
Stroke Unit, a dedicated Neurosciences Intensive Care Unit, a Stroke Team, and
specially trained physicians, nurses, therapists, and many others. NMH
has been recognized as a Stroke Center by JCAHO, which certifies hospitals for
specialized care.
Patients with very severe strokes are cared for in the Neurosciences
ICU (NICU) by a multidisciplinary team of neurointensivits, anesthesiologists,
neurologists, neurosurgeons, and other health-care professionals. The NICU has
all of the necessary equipment, personnel, and protocols to care for all types
of stroke patients, including those in need of brain surgery.
The main strength of our Stroke Center is our faculty. All of our
faculty members have received special training in the care of patients
with stroke and cerebrovascular disease, and all have extensive experience
in this area. All
are board-certified in Neurology, and most are also board-certified in
Vascular Neurology. The Stroke Center is led by Mark J. Alberts,
MD, who is Professor of Neurology and is board certified in Neurology
and Vascular Neurology. Profiles
of each faculty member an be found here.
We are able to treat our patients with all of the latest medications
and tools, including tissue plasminogen activator (TPA) for acute ischemic
stroke, mechanical clot removal, carotid endarterectomy, carotid stenting,
coiling and clipping of intracranial aneurysms, and other interventions. We also are involved
in the testing of new therapies to treat and prevent all types of strokes.
In addition to excellent patient care, the Stroke Center faculty is participating
in a number of important clinical research studies to improve the acute
care of patients with stroke, improve their outcomes, and find new methods
to reduce the risk of having a stroke. The specific studies that we are doing change
frequently as new results become available, so interested patients and families
should contact the specific faculty who is doing research in a particular area
of interest for them.
Another aspect of the Stroke Center is the out-patient Stroke Clinic,
which is located in the Galter Pavillion directly adjacent to NMH. A faculty
member of the Stroke Center attends a stroke clinic each day of the week. We
typically see out-patients after they have been hospitalized with a stroke, as
well as patients who ma have unusual types of strokes or be at high risk for
a stroke. New patients should have a written referral to the Stroke
Clinic by their primary care provider or their neurologist or neurosurgeon.
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