Stroke Treatment

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Each year, stroke impacts approximately 750,000 to 800,000 individuals in the United States, taking a tremendous toll on these patients, their families, and society in general. A major cause of disability, many stroke survivors are left with significant speech, motor, and memory difficulties and more than half of them can't return to work.

Stroke occurs when the blood flow to a part of the brain stops, usually due to a blood clot or clogged arteries or because a weak blood vessel ruptures as in an aneurysm or moyamoya disease. In rare cases, a patient may have abnormalities in the veins and arteries called arteriovenous malformations (AVMs), cavernous malformations, or duralarteriovenous fistulas (DAVFs) that rupture. Stroke is a serious condition needing immediate treatment for optimal recovery.

At the Stroke and Cerebrovascular Center at Brigham and Women's Hospital (BWH), our multidisciplinary team of specialists uses advanced diagnostic capabilities to determine the best treatment approach for the individual patient. The Center's stroke treatment options include medical, endovascular, and surgical therapies, often given in combination.

Medical and endovascular treatments for stroke include intravenous and intra-arterial thrombolysis to break up blood clots. Identification of and medical treatment of underlying causes and risk factors can help reduce further stroke risk.

Neurosurgical procedures, including brain aneurysm surgery, may also be performed as part of stroke treatment. These procedures may include:

Neuro-interventional procedures are provided in our state-of-the-art interventional neuroradiology suite at BWH. These procedures include:

  • Urgent revascularization of blockages in the brain's arteries
  • Carotid and cerebral artery angioplasty
  • Minimally invasive procedures such as coil embolization of aneurysms
  • Microcatheter embolic injection to fill malformations and decrease the risk of dangerous bleeding in patients with intracranial vascular malformations

For patients with acute neurological conditions, including stroke, the 20-bed Neuroscience Intensive Care Unit provides dedicated care and treatment by neurologists, neurosurgeons, and other specialists. For those patients with serious, life-threatening neurologic and cardiac emergencies, our Emergency Cardiac Neuro Unit (ECNU) provides rapid response care.

Learn more about stroke treatment at BWH's Boston area locations.

In this video, Dr. Ali Aziz-Sultan, Chief of Vascular/Endovascular Neurosurgery in the Department of Neurosurgery at Brigham and Women’s Hospital, outlines the different types of strokes and the newest stroke treatment options that are designed to minimize the long-term effects of stroke. He also discusses the benefits of hybrid environments that enable both open and minimally invasive stroke treatment for ischemic and hemorrhagic strokes, in one setting. Read the Innovative and Minimally Invasive Treatments for Stroke and Brain Aneurysm Patients video transcript.

The Neurosciences Center at BWH: innovative neurological and neurosurgical services

The Stroke and Cerebrovascular Center is part of the Neurosciences Center at BWH, which offers many innovative and advanced therapies for all diseases of the nervous system, including stroke. The center also includes Boston neurology and Boston neurosurgery, delivering state-of-the-art treatment through many innovative techniques to improve outcomes for patients with neurological conditions. The center has one of the largest and most specialized clinical teams of neurosurgeons, psychiatrists and radiologists available anywhere.

Pioneering research in treatment for stroke

The Stroke and Cerebrovascular Center at BWH has extensive research underway, including many NIH-funded studies aimed at developing new treatment for stroke and cerebrovascular disease.

Learn more about Stroke Treatment at Brigham and Women's Hospital.

Find a DoctorFind a Vascular/Endovascular Surgeon specializing in cerebrovascular neurosurgical procedures.

Find a Vascular/Endovascular Surgeon specializing in cerebrovascular neurosurgical procedures.

Quality and SafetyLearn how quality and patient safety are at the core of Brigham and Women's mission and vision.

Learn how quality and patient safety are at the core of Brigham and Women's mission and vision.

Top HospitalLearn more about how U.S. News & World Report ranks Brigham and Women’s Hospital.

Learn more about how U.S. News & World Report ranks Brigham and Women’s Hospital.

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