For patients at other Connecticut hospitals who present with acute stroke symptoms, our Stroke Telemedicine Program allows local providers to consult with our neurologists via video- and image-sharing technology. Within minutes of making an initial call to the Stroke Telemedicine Program, the on-call neurologist can examine a patient at the remote hospital to help diagnose and make recommendations for treatment. Yale New Haven Hospital is the only hospital in Connecticut to offer stroke telemedicine services. Some patients who present with the opportunity for treatment with IV tPA may be transferred to Yale New Haven Hospital. tPA is the only FDA-approved treatment for strokes caused by blocked blood vessels, which account for the vast majority of them. Stroke telemedicine programs throughout the country have demonstrated that telemedicine conferencing between outlying hospitals and trained stroke neurologists can improve outcomes for stroke patients, enhancing the use of tPA at hospitals that do not have on-site neurologists 24/7.

The Yale Neurosurgery Normal Pressure Hydrocephalus (NPH) Program is the busiest NPH program in Connecticut and one of the busiest in the region and the nation. Our highly specialized team consists of dedicated physicians, nurses, nurse practitioners, physical therapists, and occupational therapists who care for patients with NPH and are well versed in its presentation, progression, and treatment. NPH is a condition characterized by the buildup of cerebrospinal fluid (CSF) in the ventricles, or cavities, of the brain. It is a condition of “too much water in the brain.” It is not fully understood why this happens, but when this fluid or “water” builds up in the brain, the patient can develop trouble walking, difficulty controlling urine, and have mild memory loss or impairment. Roughly over 700,000 Americans have NPH, although less than 20% are appropriately diagnosed. Diagnosis requires a systematic approach. At Yale, our specialists most often use a 3-day inpatient trial of lumbar drain trial to help determine if symptoms respond to removing the extra fluid in the brain. In addition, while patients are receiving inpatient care, they are evaluated by physical and occupational therapists. If a patient demonstrates improvement we then recommend placement of a permanent drain or shunt, which is most often performed on the same admission. At Yale Neurosurgery we are committed to providing the best care for individuals who have or are suspected of having NPH. We work with patients, their families, and other caregivers to understand the impact the symptoms are having on their life. We look forward to caring for our patients and their family members.

Timely treatment is essential to maximizing quality of life after a stroke. At the Yale Stroke Center, our highly skilled physicians take pride in delivering safe, patient-centered, and efficient care. We provide emergency treatments for conditions such as acute stroke and brain bleeds, where immediate interventions are required, but also elective treatments for aneurysms and other vascular lesions that are discovered incidentally. A dedicated neurovascular surgeon is on call and ready to mobilize a team at a moment’s notice—24 hours a day, 7 days a week. We streamline access to emergency neurovascular care for referring physicians, guaranteeing that patients will receive the timeliest and best care anywhere. Our collaborative team includes neurologists, neurosurgeons, and neuroradiologists, as well as physical medicine and rehabilitation specialists, working together to deliver cutting-edge interventional treatment and imaging. In the emergency department, radiologists are always available to provide readings of imaging scans so that patients can proceed as quickly as possible to treatment. We have an array of 3-D imaging workstations to ensure doctors can pinpoint where they need to concentrate care. We work closely with Yale New Haven Hospital’s emergency medical service and emergency department teams to rapidly diagnose and treat acute stroke and other cerebrovascular disorders 24 hours a day. Our Y Access Line allows for the quick and easy transfer of patients to Yale New Haven Hospital. We also offer SkyHealth, an emergency patient transport helicopter, staffed by highly skilled medical professionals, including a critical care flight nurse and a trained paramedic. Life-saving interventions are delivered en route, for the best possible clinical outcomes. Our state-of-the-art, VISIUS Surgical Theater is equipped with a powerful MRI and an integrated, bi-plane X-ray angiography system that allows our experts to better visualize arteries and vessels. The ability to receive preoperative diagnostic imaging; open micro-surgery; percutaneous, catheter-based endovascular treatments; and postoperative checks all in the same room is unique in the tri-state area. Our services include: A dedicated neurointensive care unit A stroke consult service with a patient- and family-centered approach to the treatment and rehabilitation of patients with cerebrovascular disease Specialized stroke clinics for community physician referrals, stroke consults, and primary and secondary stroke prevention Telemedicine Program Through our Stroke Telemedicine Program, our neurologists use a video- and image-sharing telecommunications system to provide acute stroke care consultative services to outlying hospitals in the state. Yale New Haven Hospital is the only hospital in Connecticut to offer stroke telemedicine services. Within minutes of making an initial call to the Stroke Telemedicine Program, an on-call neurologist can examine a patient at the remote hospital to hel