Cerebrovascular diseases affecting blood vessels and blood flow to the brain are serious, complex and often life threatening or debilitating. Such conditions demand the skill of highly trained and experienced physicians using the most advanced technology and supported by a multi-disciplined, collaborative team of specialists. That’s what you’ll find at Crouse Neuroscience Institute.

Medical Director Eric M. Deshaies, MD, FAANS, FACS is one of just a few dual-fellowship-trained neurosurgeons in the United States and the only one in Central New York. At Crouse, he’s assembled a stellar team that specializes in the treatment and management of all forms of cerebrovascular diseases and conditions.

Crouse is home to the area’s most sophisticated minimally invasive, microsurgical tools available. Our two new hybrid operating rooms combine radiology suites into the traditional operating room. Patient benefits include faster treatment, minimized complication rates are improved outcomes.

Vascular Neurology Services in Syracuse, NY

Vascular neurologists focus on treating patients who have experienced a form of stroke or stroke symptoms and work with a multidisciplinary approach to prevent any further cerebrovascular events. 

Stroke occurs when brain cells die due to disruption of blood flow to the brain. There are two types of stroke:

  • Ischemic Stroke: Occurs as a result of a blockage within a blood vessel that supplies blood to the brain. This is the more common form of stroke. The underlying condition that is the cause of most ischemic strokes is called atherosclerosis, or fatty deposits in vessel walls. These fatty deposits are deemed responsible for the blockage or clot that causes the ischemic stroke. 
  • Hemorrhagic Stroke: Occurs as a result of a weakened vessel that ruptures into the surrounding brain. There are two types of weakened vessels that cause this type of stroke:
    • Aneurysm: Ballooning of a weakened region of a blood vessel
    • Arteriovenous Malformation (AVM): Cluster of abnormal blood vessels. 
    • It can also be caused when small vessels rupture due to uncontrolled high blood pressure.
  • Transient Ischemic Attack: Also referred to as “TIA” or “mini stroke." These attacks are caused by clots – the difference is that the blockage is transient or temporary. Symptoms of TIA’s will appear rapidly and usually last less than 5 minutes and cause no permanent damage. TIA’s should serve as a warning, and warrant immediate medical attention. These are often a precursor to stroke and about ¼ of stroke patients experience this warning of impending serious stroke. TIAs should be treated urgently in order to prevent future stroke.

Stroke Treatment:

  • Ischemic Stroke Treatment:
    • Tissue Plasminogen Activator (tPA) : This is the gold standard of treatment for ischemic strokes. The medication is given intravenously and works by dissolving the blood clot and improving blood flow to the affected area of the brain. tPA must be administered within 3-4 hours (up to 4.5 hours in select cases) of the initial stroke symptoms; thus why it is so important to identify stroke symptoms as soon as possible and immediately seek medical treatment. 
    • Endovascular Procedure: Specially trained surgeons remove the blood clot by sending a catheter directly to the site of the blocked vessel and restore blood flow to the affected area. 
  • Hemorrhagic Treatment:
    • Endovascular Procedures: Specially trained surgeons use procedures to reduce the risk that the weakened blood vessel will rupture and cause more bleeding  
    • Surgical treatment: To stop bleeding and relieve pressure inside the skull

Signs and Symptoms of Stroke or TIA:

  • The signs and symptoms of a stroke are important to remember and if you or a loved one experience any one of the following symptoms it is important to dial 911 immediately and get to a hospital. 
  • There is a common acronym to help remember the most common signs and symptoms of stroke:
    • - Face drooping
    • - Arm weakness
    • - Speech difficulty
    • - Time to call 911
  • Additional signs and symptoms include:
    • Numbness, weakness or tingling of the face, arm or leg, usually on only one side.
    • Sudden confusion, trouble speaking or understanding.
    • Vision loss in one or both eyes
    • Sudden severe headache with no apparent cause
    • Trouble walking, dizziness, or loss of balance and coordination.

Stroke Prevention

  • Approximately 80% of all strokes are preventable
  • Management of key risk factors can prevent stroke. These risk factors include:
    • Hypertension or uncontrolled blood pressure
    • Cigarette smoking
    • High cholesterol
    • Atrial fibrillation
    • Sedentary Lifestyle
  • Medical management is available and can include:
    • Anticoagulant/Antiplatelet Therapy: These medications (aspirin, Plavix, warfarin, etc.) interfere with the blood’s ability to clot and can play a key role in preventing ischemic stroke.
    • Anti-hypertensives: Medications that treat high blood pressure
    • Cholesterol medications: Lower cholesterol and decrease the probability of plaque depositing in blood vessels.

Websites for More Information

Cerebral Aneurysm

AVM/AVF

Cavernous Malformation

Subarachnoid Hemorrhage

Stroke

Stroke Rescue Therapy

Carotid Stenosis

Intracerebral Hemorrhage


Neurovascular Neurosurgery & Stroke Physicians/Providers


Neurovascular Neurosurgery & Stroke Locations