UCSF Stroke Center
Comprehensive patient care for stroke, TIA, aneurysm and AVM. This center isa Comprehensive Stroke Center, the highest and most demanding certification awarded to hospitals that can treat the most complex stroke cases.
Providers
Gary Abrams, MD
Donald Easton, MD
Cathra Halabi, MD
Karunesh Ganguly, MD, PhD
S. Andrew Josephson, MD
Anthony S. Kim, MD, MS
Nerissa U. Ko, MD
Kamesh Krishnamurthy, MD, PhD
Lauren Patrick, MD
Neel Singhal, MD, PhD
Wade Smith, MD, PhD
Anirudh Sreekrishnan, MD
Adelyn Tu-Chan, DO
UCSF Neurovascular Division
This division treats and researches conditions of the brain’s blood vessels.This includes acute ischemic stroke, intracerebral hemorrhage, vascular malformations (arteriovenous malformations, cavernous malformations, fistulas). We care for patients within minutes of their stroke 24/7 in our Comprehensive Stroke Center and in our outpatient stroke clinic. We have been instrumental in getting FDA clearance for the first devices used in treating acute ischemic stroke, stroke prevention following TIA,risk stratification for patients with TIA, mortality risk from intracerebral hemorrhage,and we publish multiple manuscripts annually. We are a StrokeNet site and currently run several NIH-sponsored clinical trials in parallel. Additionally, we are engaged in our own investigator-initiated research; to name a few: cranial accelerometry in the detection of large vessel stroke;Internet-based recruitment of patients for clinical trials; genetic vulnerability in outcomes following subarachnoid hemorrhage;and etiology and treatment of pulsatile tinnitus of venous origin.
We train both vascular neurologists and neurointensivists in accredited programs. Interested applicants, please follow the links below.
The Vascular Neurology Fellowship, directed by Dr. Wade Smith, trains leaders in the fields of stroke neurology and clinical research. The program is ACGME accredited. Click here for more information.
The Neurocritical Care Fellowship, directed by Dr. Nerissa Ko, trains leaders in Neurocritical Care in an academic medical center environment. The fellowship program is accredited by UCNS. Click here for more information.
TheBugher Foundation Hemorrhagic Stroke Scholars Program: A Centralized Research Training and Leadership Center - read a Q & A with Dr. Ko about this new center.
TheBugher Foundation Center of Excellence for Hemorrhagic Stroke Research- read a Q & A with Dr. Fullerton about this new center.
FAQs
Definition. Neurovascular disease is a broad term encompassing a range of medical conditions that affect the blood vessels and blood supply to the brain, spinal cord, and peripheral nerves.
What are examples of neurovascular? ›
Stroke, transient ischemic attacks, and aneurysms are all types of neurovascular disease. Other examples include carotid artery disease, intracranial stenosis, and vascular malformations.
What is a neurovascular problem? ›
A neurovascular disorder is a condition that affects the blood supply in the brain or spinal cord. Blood flow may be affected by: Narrowing, hardening, or abnormality of the blood vessels. A blockage caused by a clot or embolism. A hemorrhage, or bleeding from a ruptured blood vessel.
What are neurovascular symptoms? ›
Neurovascular Conditions Symptoms
- Numbness or muscle weakness on one side of the body.
- Motor problems, including trouble grasping objects and walking.
- Trouble speaking or understanding speech.
- Vision problems.
- Hearing problems.
- Dizziness.
- Loss of balance or coordination.
- Severe headache.
The neurovascular system (NVS), which consisted of neurons, glia, and vascular cells, is a functional and structural unit of the brain.
What is the meaning of neurovascular? ›
: of, relating to, or involving both nerves and blood vessels.
What are neurovascular signs? ›
Assessment of neurovascular status is monitoring the 5 P's: pain, pallor, pulse, paresthesia, and paralysis.
How do I check my neurovascular status? ›
Test each nerve-related area using the tip of your index finger. When testing sensation, the location of numbness, tingling or prickling must be determined to indicate distribution of vascular compromise or nerve damage. Assess and record the nerve sensation as normal, pins and needles or absent.
How do you treat neurovascular disease? ›
Today, there are many options for treating neurovascular disease. For example, small mesh tubes, or "stents," can be used to open narrowed arteries. Materials can be injected into blood vessels to close off vascular malformations or reduce the blood supply to tumors.
What is neurovascular damage? ›
Neurovascular injury refers to damage to the major blood vessels supplying the brain, brainstem, and upper spinal cord, including the vertebral, basilar, and carotid arteries. These vessels are located both extra- and intracranially, and injuries can occur in either or both locations.
Neurovascular diseases affect blood vessels that deliver oxygen to the brain. The most serious is stroke, which can cause life-changing brain damage within minutes. Specialized care from stroke experts at Henry Ford Health helps many people avoid this medical emergency.
What are the 7 neurovascular checks? ›
The components of the neurovascular assessment include pulses, capillary refill, skin color, temperature, sensation, and motor function. Pain and edema are also assessed during this examination. Comparison of assessment findings bilaterally is extremely important. Even subtle changes can have significant implications.
What are the symptoms of a neurovascular deficit? ›
If neurovascular status is compromised, patients may report decreased sensation, loss of sensation, dysesthesia, numbness, tingling, or pins and needles. Altered sensation may be a result of a nerve block or epidural.
What is an example of a neurovascular assessment? ›
It is evaluated by firmly pressing on the nail bed of fingers or toes, briefly interrupting blood supply in the capillary system causing the nail bed to blanch, and timing how long it takes for the blood to return. Colour should return within 2-3 seconds once the pressure is released.
What are the 6 neurovascular PS? ›
The 6 P's of a neurovascular assessment are pain, poikilothermia, paresthesia, paralysis, pulselessness, and pallor.
What are neurovascular devices? ›
Neurovascular medical devices can be used to treat these disorders, such as: Delivery of embolic coils and flow diversion stents to prevent aneurysm rupture and reduce patient risk. Destruction or removal of cerebral blood clots using a neurothrombectomy device.
