Department of Neurology


Life-flight Helicoptor landing on the top of Lerner Tower






One of the major highlights of the Case residency program is the extensive exposure each resident receives participating in the evaluation and treatment of acute stroke. UHCMC is one of the few centers certified by the Joint Commission as a Certified Comprehensive Stroke Center. Our stroke and brain attack program has been active since 1993, and is one of the largest programs in the nation using intra-arterial thrombolysis.  

Stroke patient undergoing endovascular therapyPatients are evaluated with treatment initiated acutely by a team of the residents, Attending Neurologists, Neuroradiologists, and Neurointensivists.

Protocols for both intravenous or intra-arterial thrombolysis are used to treat acute stroke patients. Patients with acute stroke are triaged quickly from outlying hospitals and are often life flighted directly to University Hospitals - Cleveland Medical Center.

The patients initially cared for by a resident during a brain attack are continued to be followed by the same resident during their hospitalization from the Neurocritical Care Unit to the Neurology ward and later in the outpatient continuity clinic.



Patient with an acute left MCA embolic occlusion


Above: actual patient treated at University Hospitals with thrombolysis. Note the complete occlusion of the middle cerebral artery (left) that was restored to normal circulation (right).