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Evaluation and Treatment

University Primary Stroke Center offers state-of-the-art medical, surgical and neuroradiologic therapies to prevent strokes in many people at high risk. Emergency stroke treatments administered by specially training, rapidly responding care teams are available to significantly reduce permanent disability. UMMC features a neuroscience intensive care unit and acute stroke unit staffed by a multidisciplinary team devoted to quality patient care.

Tissue plasminogen activator (t-PA) has been shown to effectively limit the debilitating effects of an ischemic stroke when given within the first three hours after onset of stroke symptoms. When administered outside guidelines or beyond the three-hour window, the risk of serious complications can exceed the potential benefits from this therapy. The well-educated, rapidly responding UMMC team is experienced at appropriate assessment and treatment of acute stroke patients.


  • Advanced neuro-imaging capabilities
  • Surgical and endovascular therapies, including aneurysm clipping, AVM resection, EVD placement, carotid endarterectomy and decompressive hemi-craniectomy
  • Endovascular therapies, including aneurysm coiling, AVM gluing, intra-arterial thrombolysis, clot retrieval and extracranial and intracranial angioplasty with and without stenting
  • More about diagnostic tests

"Code Gray"

A special protocol is in place when a stroke (ischemic or hemorrhagic) patient arrives or is expected at UMMC's University Primary Stroke Center. The "Code Gray" emergency stroke management team, named after their goal to save the gray matter of the brain, includes professionals from emergency medicine, neurology, neurosurgery, radiology, nursing, laboratory, pharmacy, rehabilitation and respiratory therapy. Aided by a unified pager system, they come together to provide immediate care during a narrow window of time to reverse the stroke.

Secondary stroke prevention

Sophisticated diagnostic tools aid the University Primary Stroke Center team in preventing secondary stroke. Prevention depends on the identification of the first stroke as well as management of risk factors. Clinicians are experienced with appropriate use and interpretation of studies, and experienced neurosurgeons and interventional radiologists are available when preventive procedures are required.