As the first hospital in Orange County certified as a primary stroke center by The
Joint Commission, UC Irvine Medical Center is a national leader in stroke
treatment and rehabilitation. The Stroke and Cerebrovascular Center was
the first in the nation to receive this prestigious certification recognizing
it as one of America’s best-equipped treatment centers for people suffering
a stroke. Hospitals nationwide have used the program at UC Irvine Medical Center
as a model when designing similar programs for their medical centers.
Select a physician »
Our program
The Stroke and Cerebrovascular Center is staffed by a diverse array of specialists,
including neurologists, neurosurgeons, intensivists and neuroradiologists. Key
elements of the program include:
- Acute stroke team
- Integrated emergency response system
- Rapid interpretation of CT scans from Emergency Department
- Neurologists, neurosurgeons and interventional neuroradiologists available 24 hours a day
- Treatments to reverse stroke, such as clot-retrieval devices and clot-dissolving drugs
- Neuroscience Intensive Care Unit
- Research to reverse the effects of stroke
- Clinical care protocols
- Ongoing quality assurance and patient outcome reporting
What is a stroke?
There are two main types of stroke, ischemic and hemorrhagic. Both deprive brain
cells of their needed blood supply, but through different mechanisms of injury.
An ischemic stroke results when a clot blocks an artery that brings blood to the brain.
The vast majority, 85 percent of strokes, arise in this way.
A hemorrhagic stroke results from the rupture of an artery inside the brain or in
the space surrounding it. Approximately 15 percent of strokes arise in this manner.
Stroke treatment
The response team at the Stroke and Cerebrovascular Center acts swiftly to stabilize
vital signs, definitively diagnoses the stroke, locates the precise site of the blood
vessel blockage or breakage, and if appropriate, administers highly specialized
clot-dissolving drugs.
An important new treatment for reducing disability after ischemic stroke, the
clot-busting drug tPA, must be administered within three hours of the onset of
stroke symptoms. For patients who arrive at the hospital too late to receive
clot-busters intravenously, the still-experimental intra-arterial (IA) tPA
treatment, which uses a catheter to deliver tPA directly to the spot in the
brain where the artery is blocked, extends the treatment window to six hours.
For hemorrhagic stroke due to the rupture of an aneurysm (a weakened bulge in the
blood vessel), treatment can include placement of a metal clip at the base of
the aneurysm, or the minimally-invasive placement of materials to reinforce the
aneurysm from within.
Recovery
Rehabilitation is a critical part of recovery for most stroke survivors. The effects
of stroke often change how well a patient can perform activities of daily living.
Stroke rehabilitation often improves an individual’s function and level of
independence.
Rehabilitation provides different forms of therapy to patients with a wide range
of physical disabilities. Rehab specialists develop a treatment program specifically
suited to each patient. The team includes:
- Physicians specializing in physical medicine and rehabilitation
- Neuropsychologists
- Occupational therapists
- Physical therapists
- Speech therapists
All types of stroke-related disabilities can be treated during rehabilitation. These may
include problems with balance, walking, speaking, or using an affected hand to
perform desired tasks. Services are provided on both an inpatient and outpatient basis.
Innovators in stroke care
Our researchers are actively involved in clinical studies aimed at developing
innovative treatments to restore function following a stroke. Furthermore, as
the county’s only university-based hospital, we are actively researching ways
to prevent stroke. Patients enrolled in clinical studies have access to new
medications and treatments not available elsewhere in Orange County.