Wesley Medical Center is accredited by The Joint Commission as a Primary Stroke Center and is staffed by a team of experienced physicians, nurses, radiology and laboratory technicians, physical therapists and speech pathologists. Mayo Clinic-trained physician, Laxmi Dhakal, MD, leads this dynamic team as medical director of Wesley’s Neurocritical Care Unit.
Dr. Laxmi Dhakal, MD, is the region’s only neurocritical care fellowship-trained physician. Board-certified in psychiatry and neurology (ABPN) and neurocritical care (UCNS), Dr. Dhakal completed a fellowship in neurocritical care with the Mayo Clinic. He has been involved in extensive clinical neurologic research and published in leading medical research journals. He also served as a clinical assistant professor for the Neurology Department and Department of Internal Medicine at Kansas University.
Dr. Mohammed Hussain, MD, is the region’s only endovascular surgical neuroradiologist and leads Wesley’s stroke, neurovascular and telemedicine programs. He works with Dr. Dhakal to oversee patients suffering stroke, aneurysmal subarachnoid hemorrhage and additional pathologies such as brain and spine arteriovenous malformations, dural arteriovenous fistulas and carotid cavernous fistulas.
During a stroke, the brain’s blood supply is interrupted, leading to the death of brain tissue within minutes of the blockage. Tissue loss in the brain can cause many sudden and scary symptoms, including a sudden loss of bodily function, such as speech, movement or vision. Stroke symptoms may also include sudden or weakness of face, arm or leg, especially on one side of the body. The longer a stroke goes untreated, the more brain cells die and the chances of a patient making full recovery are significantly decreased.
Types of Stroke
About 87% of all strokes are ischemic. These strokes occur when a blood vessel supplying blood to the brain becomes obstructed. Stroke can involve two types of obstructions:
- Cerebral thrombosis occurs when a blood clot develops at the narrowed part of the vessel. It then obstructs the flow of blood to the brain tissue.
- Cerebral embolism occurs when a blood clot forms at another location in the circulatory system, usually the heart and large arteries of the upper chest and neck. A portion of the blood clot breaks loose, enters the bloodstream and travels through the brain’s blood vessels until it reaches vessels too small to let it pass. It then obstructs the flow of blood to the brain tissue.
About 13% of all strokes are hemorrhagic. Hemorrhagic strokes occur when a weakened blood vessel ruptures and bleeds into the surrounding brain tissue. Blood accumulates and compresses the brain tissue.
Almost all strokes are preventable with the exception of advancing age; most risk factors for strokes can be controlled with lifestyle changes. Risk factors for stroke include diabetes, high blood pressure, physical inactivity and poor diet.
An ischemic attack can be treated by a clot-busting drug called tPA, injected intravenously. tPA can have dangerous effects however, if injected more than three hours after the stroke’s onset. Surgical treatment is often necessary for a hemorrhagic stroke
Wesley offers the latest technology to help patients experience the most positive outcomes possible.
The WesleyCare Virtual Health Network immediate brings experience experienced stroke neurologists to the bedside of patients in community hospitals that may not provide on-site specialty care physicians. The WesleyCare Virtual Health Network helps connect physicians and patients patients in these hospitals with a neurologist anytime of the day or night.