Stroke

Stroke Center

Loma Linda University Medical Center is a Joint Commission-certified Advanced Primary Stroke Center committed to comprehensive, competent, and compassionate care of individuals affected by stroke.  The Stroke Program at Loma Linda University Medical center strives to streamline an interdisciplinary effort to rapidly recognize and treat stroke patients with the highest quality of care.

Our Stroke Program is an alliance of health professionals all working toward the common goal of protecting and healing patients from stroke.

Education is a key element of the Stroke Program; we are committed to educating staff and patients alike in the care and prevention of stroke.

We are dedicated to the continual pursuit of the highest quality of healthcare by tracking significant outcomes to effectively evaluate our methods.

Services

Our stroke program provides the full spectrum of stroke care, from when a patient has a stroke to when they go home and beyond.

Acute Stroke

Multi-disciplinary collaboration is delivered by specialty-trained physicians and nurses in Stroke Neurology, Emergency Medicine, Neuro-critical care, Cerebrovascular Neurosurgery, Interventional Neuroradiology, Vascular Surgery, and Neuro-Rehabilitation.

Our Stroke Center offers 24/7 care for all forms of stroke, including acute ischemic stroke, intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH). Our cutting-edge treatment options include intravenous t-PA, mechanical thrombectomy, aneurysmal coiling and clipping, and craniotomy and evacuation of intracerebral hemorrhage.

Interventional stroke therapy is housed in a bi-plane CT angiogram suite, with physicians, technologists, and nurses available 24/7.

Advanced care is delivered in our dedicated Neurocritical Care unit and dedicated Stroke Unit by specialty-trained physicians, nurse practitioners, and nurses.     

Our multidisciplinary allied health team is staffed with trained physical, occupational, speech, and respiratory therapists, as well as nutritionists, Case Managers, and Social Workers.

Immediate access to state-of-the-art neuroimaging employs MRI (DWI, SWI, MR perfusion), CT angiogram and perfusion, acetazolamide SPECT, and conventional angiography.

Rehabilitation

Stroke rehabilitation occurs in our spacious and beautiful 24 bed facility, the Zapara Rehabilitation Pavilion, located on the East Campus.  At the Zapara Rehabilitation Pavilion, evidence-based healing is supported by a connection to nature, access to social support, elimination of environmental stressors, and innovative rehabilitative therapies.

Stroke Clinics

Our neurology clinic follows patients for both primary and secondary stroke prevention. Our physicians and nurse practitioners will ensure that patients are taking the right medications and participating in the necessary lifestyle modifications to prevent future strokes by collaborating with our Wellness Center.

Outcomes

Our program boasts excellent outcomes which include, in 2015, a 0% complication rate from carotid stenting, and a 2.6% complication rate of carotid endarterectomies (CEA).

In 2016, complication rates were as follows:

  • There were zero (0/29, 0%) CSF infections in stroke cases from January through November 2016.
  • There were zero major complications (death or stroke) from carotid endarterectomy, including both symptomatic and asymptomatic CEA patients, from January through December 2016.
  • The complication rate from diagnostic angiography was 1.18%.

Research

There is ongoing participation in stroke research.

Stroke Center Team Members

Physicians

Stroke and Vascular Neurology

Interventional Neuroradiology

Critical Care Neurology

  • Ihab Dorotta, MD:  Director of Critical Care Center
  • Gary Stier, MD:  Director of Neurocritical Care
  • James Guth, MD:  Neurointensivist

Neurosurgery

Vascular Surgery

Emergency Medicine

NeuroRehabilitation

Staff

Joanna Yang, NP, DNP:  Stroke Program Coordinator
Cleidimara DeSouza, RN:  Stroke Program Data Coordinator

Loma Linda University Medical Center
Department of Neurology
11370 Anderson Street, Suite B100
Loma Linda, CA 92354

For outpatient appointments or referrals, please call the Neurology/Stroke Clinic at 909-558-2880.