Telestroke partnerships advance stroke care in local communities

LionNet Telestroke Team

L to R: Kevin Cockroft, M.D., Jennifer Humbert, R.N., and Ray Reichwein, M.D.

LionNet, Penn State Hershey’s regional stroke care network, offers real-time video consults with doctors in area emergency departments (EDs) and Penn State Hershey specialists, providing faster diagnosis and treatment of strokes for patients throughout central Pennsylvania.

“When patients come to an ED with suspected stroke, they need immediate evaluation by a specialist who can confirm the diagnosis and make treatment recommendations,” said Jennifer Humbert, R.N., Penn State Hershey LionNet coordinator. Continue reading

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Penn State Hershey named Comprehensive Stroke Center

Penn State Milton S. Hershey Medical Center’s designation as the only comprehensive stroke center in central Pennsylvania means that patients who require treatment beyond administration of the clot-busting tPA drug can get the care they need.

Several hospitals in the central Pennsylvania region have now become certified or primary stroke centers [see graphic for explanation on the differences between certifications].

Many hospitals have increased their rates of diagnosis and tPA administration as a result of a telemedicine partnership with Penn State Hershey.

Still, about a quarter of stroke patients need advanced interventions that only an academic or comprehensive stroke center like Penn State Hershey can provide.

CSCStrokeLogo

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Penn State Hershey Treats 1,000th Gamma Knife Patient

Leksell Gamma Knife® Perfexion™Penn State Milton S. Hershey Medical Center recently completed its 1,000th Gamma Knife radiosurgery procedure. Gamma Knife radiosurgery uses a single dose of radiation instead of a surgeon’s scalpel to treat a wide range of diseases, including both benign and malignant tumors, Parkinson’s disease, vascular malformations and lesions that cause epilepsy.

Penn State Hershey’s 1,000th Gamma Knife patient was Robert Reynolds from Mifflintown, Juniata County. Reynolds was treated for lung cancer that had spread to his brain. Since undergoing the procedure, Reynolds has returned to work as a Juniata County commissioner.

“We were able to treat five lesions in Mr. Reynolds’ brain,” said Dr. Jonas Sheehan, director of neuro-oncology at Penn State Hershey. “His case is a great example of how our experienced neurosurgeons and radiation oncologists are able to provide advanced care that allows patients with complex conditions to enjoy a high quality of life.” Continue reading

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Pipeline Embolic Device for the treatment of complex aneurysms

Pipeline EmbolicPenn State Milton S. Hershey Medical Center is one of the first hospitals in the area to use a new, minimally invasive tool to treat brain aneurysms and prevent stroke. The Pipeline Embolic Device (PED) is part of a new class of devices called flow-diverters, which treat brain aneurysms in an endovascular fashion, without the need to access the aneurysm itself.

Brain aneurysms are typically sack-like out-pouchings that arise from cerebral arteries. A subarachnoid hemorrhage, the type of stroke that results when an aneurysm ruptures, is particularly devastating, carrying a 40-50 percent thirty-day mortality rate and leaving approximately one-third of the survivors disabled. The Pipeline Embolic Device is used to prevent such a stroke. The device, a mesh-like Nitinol tube—similar to a stent—is placed in the parent artery across the base of the aneurysm outpouching. Over time, blood flow into the aneurysm is reduced, or diverted, allowing the aneurysm to clot off. The clotting prevents the aneurysm from rupturing, and eventually leads to shrinkage of the aneurysm. Continue reading

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New Faculty

Cathy Adams, D.O. Cathy Adams, D.O., Neurologist
FELLOWSHIP: Vascular Neurology, Penn State Milton S. Hershey Medical Center, 2013
RESIDENCY: Neurology, Penn State Milton S. Hershey Medical Center, 2009-Present
LOCATION: Penn State Hershey Neuroscience Institute, Hershey, PA
Marcus Keep, M.D. Marcus Keep, M.D., Neurosurgeon
RESIDENCY: Neurosurgery, McGill University, Faculty of Medicine, 1994
LOCATION: Penn State Hershey Medical Group at St. Joseph Medical Center, Reading, PA
Elias Rizk, M.D. Elias Rizk, M.D., M.Sc., Pediatric Neurosurgeon
FELLOWSHIP: Neurological Surgery, Pediatrics, Birmingham Children’s Hospital, 2013
RESIDENCY: Neurology, Penn State Milton S. Hershey Medical Center, 2009-Present
SPECIALTY: Pediatric neurosurgery and peripheral nerve surgery
LOCATION: Penn State Hershey Neuroscience Institute, Hershey, PA
Simon Scott, M.D. Scott Simon, M.D., Neurosurgeon
FELLOWSHIP: Endovascular Neurosurgery, Vanderbilt University Medical Center, 2010
RESIDENCY: Neurosurgery, Vanderbilt University Medical Center, 2010
RESIDENCY: General Surgery, Vanderbilt University Medical Center, 2004
SPECIALTY: Neurovascular disease
LOCATION: Penn State Hershey Neuroscience Institute, Hershey, PA
Rychi Wanchoo, M.D. Ruchi Wanchoo, M.D., Neurologist
RESIDENCY: Neurology, University of Texas at Houston, 2010
RESIDENCY: Family Practice, University of Texas at Houston, 2007
SPECIALTY: General neurology and multiple sclerosis
LOCATION: Penn State Hershey Neuroscience Institute, Hershey, PA

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