Stroke & Aneurysm

Scott & White Memorial Hospital in Temple was recently designated as a Primary Stroke Center by the Joint Commission for Primary Stroke Centers. Scott & White Hospital in Round Rock was previously awarded the same recognition by the Joint Commission.

Designation as a Primary Stroke Center means an institution provides a team that is available 24 hours a day, seven days a week, and offers immediate and comprehensive evaluations of patients with acute stroke.

Scott & White sees a large number of patients with stroke annually including ischemic strokes, intracerebral hemorrhages, and subarachnoid hemorrhages. There is an inpatient stroke team that cares for patients with both ischemic stroke and intracerebral hemorrhages. Patients with TIA’s (transient ischemic attack) are treated both as an inpatient as well as evaluated in our urgent outpatient TIA clinic. Care for all of the stroke patients at Scott & White is through a multidisciplinary approach through neurology, neurosurgery, interventional neuroradiology, vascular surgery, emergency medicine, and hospital medicine.

The Neuroscience Institute at Scott & White has two fellowship-trained neurointerventional surgeons who perform a full spectrum of procedures related to neurological disease. They perform minimally invasive procedures to “coil” or otherwise endovascularly obliterate a majority of aneurysms without need for "open" surgery. They perform angiograms of the head and neck as well as spinal cord. They also place stents in cerebral vessels and perform cerebral blood vessel angioplasty.

In addition, the Department of Neurosurgery treats the vast majority of all types of aneurysms in the head. These include simple and complex aneurysms of the circulation to the brain that are not treatable with endovascular techniques.

Combined, the Neuroscience Institute can provide patients with a full spectrum of treatment options in the management of intra-cranial vascular abnormalities, ranging from aneurysms to arterio-venous malformations (AVMs) by treatments through the blood vessels themselves, as well as employing techniques requiring open surgery and clipping.

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