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UF
& Shands Stroke Program
 The
Shands at the University of Florida Stroke Program is
dedicated to preventing, diagnosing and treating strokes, providing the
latest technology and medications, and treating the stroke patient's
entire needs. Care is coordinated from the first point of contact with
the patient, whether through the emergency department, the Stroke
Program's inpatient or outpatient services or the rehabilitation ward. Dr. Michael Waters,
Director of the Stroke Program, has brought together a multidisciplinary
team of neurologists, neuroradiologists, neurosurgeons, vascular
surgeons, critical care physicians, emergency department physicians,
rehabilitation specialists, nurse specialists and pharmacists who have a
special interest and expertise in stroke and cerebrovascular disease.
The
program has received a 5-star rating for stroke care from HealthGrades
and accreditation from the Agency for Health Care Administration
(AHCA) as a Primary Stroke Center by meeting the
criteria in 59A-3.2085(15), F.A.C. and primary stroke center criteria by the
Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
While many centers are concerned mainly with managing acute stroke, the
Stroke Program's state-of-the-art acute stroke management protocols,
guided by the principles of the American Heart/Stroke Association, Brain
Attack Coalition, and Joint Commission, focus on aggressive prevention of
future stroke with a combination of medications and changes in lifestyle,
and maximum recovery. By decreasing the risks for stroke, the program
improves quality of life and helps give peace of mind.
Comprehensive
Cerebrovascular and Endovascular Neurosurgery
The Neurovascular Program at the
University of Florida is
one of the leading programs in the nation for cerebrovascular and
endovascular neurosurgery. The Program’s experienced UF physicians
provide specialized, state-of the-art care to patients with neurovascular
conditions; care that is both timely and compassionate.
The Neurovascular
Program at UF performs more than 1000 procedures per year, including both
endovascular and open cerebrovascular surgery to treat the most complex
neurovascular disorders. They are pioneers in advancing the treatment of
neurovascular disease through clinical and basic science research, and
through developing, testing and refining the latest technologies and
devices to improve patient care. In addition, these physicians are
dedicated to training and educating the next generation of neurovascular
surgeons.The key treatment for stroke is removal of blood clots
from the brain arteries via endovascular neurosurgery. The University of
Florida is the only center to offer this treatment in North Central
Florida.
Stroke Toolbox
Ischemic Stroke
Ischemic stroke occurs when a blood vessel that
supplies blood to the brain is blocked by a blood clot. This can happen
in two ways:
• A clot can form in an artery that is already very narrow.
The clot is called a thrombus and may completely block the artery,
causing a thrombotic stroke.
• A clot can break off from somewhere else in the body and
travel to the brain, where it blocks an artery. This kind of clot is
called an embolism causing an embolic stroke.
Certain drugs and medical conditions can make your blood
more likely to clot and raise your risk for ischemic stroke.
A cause of ischemic stroke in people under age 40 is a dissection.
This is when the lining of the artery tears.
Hemorrhagic Stroke
Hemorrhagic stroke is caused by sudden
bleeding in or around the brain. A blood vessel bleeding inside the brain
is called a cerebral hemorrhage.
Bleeding in the spaces around the brain is called a subarachnoid
hemorrhage.
• Sudden bleeding may be caused by the bursting of a blood
vessel that has stretched and thinned. This is called an aneurysm.
• The most common cause of bleeding inside the brain is high
blood pressure.
• Some people have defects in the blood vessels of the brain
that makes this kind of stroke more likely.
• Other causes of hemorrhagic stroke include: smoking;
inflamed blood vessels, which may develop from syphilis, tuberculosis or
other infections, blood-clotting disorders; head or neck injuries; and cerebral
amyloid angiopathy.
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Stroke Team
Michael F. Waters, M.D., Ph.D.
 Michael
F. Waters, M.D., Ph.D., is Director of the Stroke Program in the
Department of Neurology at the University of Florida and Shands at
UF. He directs the acute stroke team helping to ensure that Shands
remains at the forefront of acute stroke care. With other members of the
stroke team, he directs the implementation of the American Stroke
Association's Get with the Guidelines national stroke database and
quality assurance program and serves as site principal investigator for
clinical trials designed to improve clinical outcomes in stroke.
Dr. Waters received a master's degree in genetics from Penn
State University. He attended medical school at the University of
Florida, where he also earned his Ph.D. in biochemistry and molecular
biology. He received formal neurological training at David Geffen School
of Medicine at the University of California, Los Angeles (UCLA) and
completed a fellowship in neurogenetics.
Brian L. Hoh, M.D., FACS, FAHA
 Brian
L. Hoh, M.D., FACS, FAHA, is the William Merz Assistant Professor of
Neurological Surgery, a Joint Assistant Professor of Radiology, and a
Joint Assistant Professor of Neuroscience. Dr. Hoh is Associate Program
Director of Neurological Surgery and Director of the ACGME-accredited
Fellowship in Endovascular Surgical Neuroradiology, one of the few
ACGME-accredited neuroendovascular fellowships in the country. He
obtained his undergraduate degree with honors at Stanford University. He
then attended Columbia University for his medical degree. He completed
his internship in surgery, residency in neurological surgery, and fellowship
in endovascular neurosurgery and interventional neuroradiology at Harvard
University at the Massachusetts General Hospital.
J Mocco, M.D., MS
 J Mocco, M.D., MS, obtained his Bachelor
of Science degree with honors at the University of Miami. He then
attended Columbia University's, College of Physicians and Surgeons, where
he completed his medical degree. After finishing his internship in general
surgery at New York Presbyterian Hospital, he spent one year performing a
postdoctoral research fellowship evaluating the pathophysiologic
mechanisms of stroke under at Columbia University. Following this year he
entered and completed a residency in neurological surgery at the New York
Neurological Institute, part of the Columbia University Medical Center.
Simultaneous to completing his neurosurgical training, Dr. Mocco
completed a Master of Science degree in Biostatistics at Columbia
University, with a concentration on clinical research methodology and
analysis. Following the conclusion of his residency, Dr. Mocco completed
an endovascular neurosurgery fellowship under the tutelage of Dr. L.N.
Hopkins at the world-renowned Gates Stroke Center, while concurrently
studying the inter-relationship between cerebrovascular biology and
intravascular hemodynamics at the Toshiba Stroke Research Laboratory.
Anna Khanna, M.D.
 Anna
Khanna, M.D., is an Assistant Professor of Neurology at the University of
Florida. She recently joined the
Vascular Neurology Department as a stroke specialist to assist Dr. Waters
in the fight against stroke. She
will participate in multiple clinical trials and help create both an
inpatient and an outpatient neurovascular service. In conjunction with Dr. Waters and
Neurosurgery, she will be part of a multidisciplinary stroke team aimed
at providing the most rapid diagnostics and state-of-the-art care for
acute stroke patients. She graduated from Rutgers University in 1993 and
from Ross University School of Medicine in 1998. Dr. Khanna completed her
neurology training at the University of Medicine and Dentistry of New
Jersey in 2003. This included being the Chief Resident and completing a
fellowship in cerebrovascular disorders. She then joined the medical
faculty of the medical center as an Assistant Professor in the Department
of Neurology and served as the Medical Director of Stroke Center of Saint
Barnabas Medical Center in New Jersey.
Contact
Information
UF
Department of Neurosurgery
Box 100265
Gainesville, FL
32610-0265
Phone
(352) 273-9000
(800)
633-2122, ext. 39000
Fax
(352) 392-8413
www.neurosurgery.ufl.edu
To
remove your name or to add friends to this mailing list
please e-mail flowek@shands.ufl.edu
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When Stroke Strikes Young
While driving on
Gainesville’s Archer Road in November, healthy and active 18-year-old UF
freshman Barbie Diaz suffered a stroke, causing her to hit a car. Diaz
was immediately in the care of the UF Stroke Program team and physicians
within UF’s neurosciences who diagnosed Diaz with a rare disease called
Takayasu’s arteritis.
To read the full
story: http://floridaphysician.med.ufl.edu/2011/04/features/when-stroke-strikes-young/
Save the Date
Course
June
6-10, 2011
Microsurgical
Approaches to the Brain, Ventricles and Skull Base
A
Five Day Practical Course for Neurosurgeons and Neurosurgical Trainees
Course
Directors:
Stephen
B. Lewis, M.D.
Albert L. Rhoton Jr., M.D.
Graduation
Saturday
June 18, 2011
University
of Florida Residency Program Graduation
6
p.m. Cocktails
7
p.m. Dinner
Emerson
Alumni Hall
1935
W. University Ave
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Shands
Transfer Center
The
Shands at the University of Florida Transfer Center is
a service designed to provide an easier and more efficient way for
referring physicians to transfer their patients to Shands at UF. When you
call the Shands Transfer Center to refer a patient to UF Neurosurgery,
you will always speak directly to a UF Department of Neurosurgery faculty
member.
The Transfer Center
is designed to do the following:
·
Provide an easier and more efficient mechanism for
processing transfers into Shands at UF from other healthcare providers
·
Establish a designated point of contact for referring
physicians
·
Offer the initial follow-up communication with referring
physicians regarding the transferred patient's arrival
Shands at UF
provides free, one-call transfer access 24 hours a day, seven days a week
so physicians can easily arrange for inpatient referrals. Transfer Center
personnel can be reached at
(800) XTRANSFER or
(352) 265-0559.
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