24/7 Dedicated Stroke Team in the Region
With renowned Dr. James Grotta as the Chief of Neurology at Memorial Herman-Texas Medical Center, the Mischer Neuroscience Institute Stroke Center is the region's only on-site, 24/7 dedicated stroke team offering patients comprehensive treatment around the clock. Neurologists at the Stroke Center treat more than 2,000 stroke patients annually, who have early access, through leading-edge research, to potentially life-saving therapies unavailable elsewhere in the region.
Patients also benefit from the institute's state-of-the-art brain imaging capabilities and Memorial Hermann's Level I trauma center. Our team also sees an equal number of patients in our offices, on an outpatient basis, to prevent first or recurrent stroke or to assist with stroke recovery. Our skilled multi-disciplinary team comprises neurologists, neuroradiologists, neurosurgeons, emergency physicians, nurses, physical and occupational therapists, dietitians, speech and language pathologists, psychologists and social workers.
Neuro Critical Care and Stroke Units
Neurointensivists and experienced mid-level practitioners staff our dedicated 32-bed Neuro Critical Care Unit and 12-bed Stroke Unit, around the clock to provide ongoing intensive care to critically ill patients. We manage more neurotrauma cases than any other center in the southwestern United States, and we are internationally recognized for the treatment of high-acuity brain and spinal cord injuries.
tPA Quality Record
Working closely with the Houston Fire Department and local EMS services, the Stroke Center's team has an impressive track record of success in the administration of tPA, the only FDA-approved treatment shown to improve outcome in stroke patients.
25 percent of patients who present with ischemic stroke receive the drug; that is more than 10 times the national average of 2 to 3 percent for tPA administration. Because 80 percent of strokes are caused by cerebral thrombosis, the tPA advantage is an important one.
Using advanced MRI and CT imaging, the Stroke Center's team has the capability to thread tiny catheters into the arteries of the brain to extract the clots causing strokes. This approach allows for reversal of damage in patients who arrive too late for intravenous tPA but within eight hours of symptom onset.
Our stroke team can precisely identify, localize and determine the cause of strokes and other brain lesions using advanced MRI and CT techniques, and can then determine whether treatment will benefit or harm the individual patient.
We are also world leaders in the use of ultrasound both to diagnose and help dissolve the blood clots that cause most strokes.
The MNI Telemedicine Program
The MNI Telemedicine Program improves patient access to emergency neurological care by providing them with access to medical consultation in their own communities. Through remote presence robotic technology, the program provides protocol-based care quickly, efficiently and affordably, offering emergency physicians another set of eyes to examine patients.
Hospitals in the MNI Telemedicine Program are linked to the full range of resources offered at Memorial Hermann-Texas Medical Center, providing patient access to medical consultation and emergency neurological care in their own communities. Through remote presence robotic technology, the program provides protocol-based care quickly, efficiently and affordably, offering emergency physicians another set of eyes to examine patients.
Our staff of stroke rehabilitation specialists continues to research new approaches to treatment, including constraint induced movement therapy (CIMT) following sub-acute stroke. Based on the forced use of affected extremities, CIMT enables other areas of the brain to compensate for lost neurological function. Other novel methods to promote stroke recovery and treat spasticity caused by stroke are also employed.
Patients also have access to care at TIRR Memorial Hermann, recognized for 23 years as one of America's "Best Rehabilitation Hospitals" by U.S. News and World Report.
The Stroke Center at MNI consistently exceeds benchmarks for stroke treatment and is a leader in care delivery and research and innovation. The following is a snapshot of our quality data for stroke care.
- Unruptured cerebral aneurysm clip or coil: 0% mortality rate for 14 months
- Carotid Endarterectomy: 0% mortality rate and 0% post-op strokes from July to December 2012
- tPA treatment rate: 98% of eligible patients received IV tPA over the last 13 months
- tPA treatment time: 40% of eligible patients receive IV tPA within 60 minutes of arrival
- Door to CT time: 90% of patients go from door to CT in 45 minutes (benchmark is 45 minutes)
- Interventional Radiology: Extremely low endovascular complication rate (0.04% for 244 cases)
Appointments and Referrals
To make an appointment or refer a patient, please call (713) 500-7100.