Services > Neurology > Stroke Center > Treatment Options

 

 

Treating Stroke

 

When patients are seeking stroke treatment at LLUMC, they receive educational information about strokes and its risks, and are encouraged to make lifestyle changes when appropriate. Each patient will have an outpatient visit with a neurologist to make sure that all stroke risk factors have been addressed and that continued care with a primary care physician is arranged. 

 

 

Treatment Options

 

Depending on the type of stroke you or loved one has suffered, your physician will give you the appropriate treatment.

 

Hyperacute Phase


During the hyperacute phase of care, tPA would be administered to the appropriate tPA candidate.

 

LLUMC has a dedicated biplane CT angiogram suite and a specialty-trained neurointerventionalist with the capability to perform intra-arterial tPA as well as a variety of clot-retrieval procedures (using the MERCI or Penumbra devices) in select patients.

 

Acute Phase

 

Durin the acute phase, clinical staff perform work ups to identify the cause of a stroke. These tests may include a Computerized Tomography (CT) scan, Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), CT Angiography (CTA), Cartoid Duplex scanning, cerebral angiography or Transesophageal Echocardiography.

 

A patient may also be a candidate for certain surgical procedures, which may be done to prevent complications of stroke, such as carotid endarterectomy. Lifesaving procedures such as a craniotomy, are sometimes used to reduce the pressure to the brain. Vascular surgeons and neurosurgeons will be called on to perform these procedures. 

 

Hospital consults will also be made with physical therapy.

 

Chronic Phase

 

Specific lifestyle changes are discussed to decrease the likelihood for the recurrence of stroke. Patients who suffered from an ischemic stroke will receive blood-thinning medication to prevent blood clots and future strokes. Other medications may be prescribed to decrease blood pressure, cholesterol, and blood sugar.  In hospital physical therapy will be followed by intense outpatient rehabilitation when necessary.