Stroke Care

Premier Health provides stroke care that has earned national recognition. Miami Valley Hospital is the first hospital in the Dayton region to achieve certification as a Comprehensive Stroke Center by The Joint CommissionOff Site Icon and American Heart/American Stroke Association. Stroke services at all Premier Health hospitals and emergency centers are designed to foster better outcomes for stroke care. Atrium Medical Center is certified as an Advanced Primary Stroke Center by The Joint Commission and American Heart/American Stroke Association. Upper Valley Medical Center is certified as an Acute Stroke Ready Hospital by The Joint Commission and American Heart/American Stroke Association.

Our neurosciences team of specialists include board-certified and experienced neurosurgeons, neurologists, interventional neurologists, and neurocritical care neurologists who collaborate to provide care and treatment options with the goal of improving quality of life. We combine a patient-centered approach with advanced technology, research and unparalleled expertise to deliver the best possible outcomes.  . Premier Health provides convenient access to the region’s top neurologists at multiple locations throughout Southwest Ohio.

Stroke Symptoms and Warning Signs

Premier Health and the American Stroke AssociationOff Site Icon remind you that stroke is a medical emergency. Know these stroke symptoms and warning signs and teach them to others. Every second counts:

An easy way to remember what to look for is to think and act FAST.

  • F – Face: Ask the person to smile. Does one side of the face droop?
  • A – Arms: Ask the person to raise both arms. Does one arm drift downward?
  • S – Speech: Ask the person to say something. Is the speech slurred or garbled?
  • T – Time: If you notice any of these symptoms, call 9-1-1 immediately. Time is critical!

Do not drive yourself or someone else who is having stroke-like symptoms. If you experience one or more of these signs, don't delay! Immediately call 9-1-1. Learn more about stroke warning signs.

Faster Diagnosis with TeleStroke Network

During a stroke, time is brain. At Premier Health our specialized team of stroke specialists is available 24 hours a day, seven days a week to immediately diagnose stroke using our TeleStroke Network. Linking Premier Health and regional emergency departments, the network treats patients who are exhibiting signs of a stroke.

Without losing critical time, a stroke patient arriving at these emergency departments can be examined via a computer linked to a Premier Health on-call stroke specialist any time of the day or night. The specialist can “see” the patient, ask questions and view CT scans - all in real-time - to help assess the patient’s condition and help the ED physician determine if the patient is a candidate for acute stroke therapy.

When the assessment is complete, treatment begins immediately at a Premier Health hospital. Patients who need the highest level of stroke care, such as endovascular stroke rescue are transferred via CareFlight Air and Mobile Services to Miami Valley Hospital. As the first hospital in the Greater Dayton area to be certified as a Comprehensive Stroke Center by The Joint Commission, Miami Valley Hospital is recognized as an industry leader in complex stroke care. TeleStroke technology dramatically reduces the critical window for stroke assessment and action.  Neurologists have only a short time after stroke signs begin to assess and treat a stroke patient in order for clot-dissolving medication to be effective. Neurologists must identify and treat a stroke patient within three to four-and-a half hours of the beginning signs of a stroke for clot dissolving medication to be effective. Getting treatment within this timeframe quickly is also important to minimize damage to the brain.

Offered through: Miami Valley Hospital, Atrium Medical Center, Upper Valley Medical Center

Diagnostic Procedures

Determining the type of stroke is the first step in providing specialized treatment. Physicians on the Premier Health stroke team identify whether the stroke is caused by a blood clot or by bleeding in the brain. Before starting treatment, our physicians may use the following to thoroughly evaluate your condition:

Further tests may be done to determine the location of the clot or bleeding and to assess the amount of brain damage.

Offered through: Miami Valley HospitalAtrium Medical CenterUpper Valley Medical Center

Treatments for Stroke

Treatment for stroke varies based on the type of stroke (ischemic or hemorrhagic) that occurs. Treatments include:

Interventional Drug Therapy
Tissue Plasminogen Activator (tPA) is best known as a clot buster. It is used for patients who have suffered from the most common type of stroke, called ischemic stroke, in which a blood clot blocks blood flow to a portion of the brain, cutting off oxygen. tPA can prevent cell damage in the brain by dissolving the clot and restoring the flow of oxygen. To achieve the best possible outcome, the drug must be given to patients as soon as possible after the symptoms begin.

Offered through: Miami Valley HospitalAtrium Medical Center, Upper Valley Medical Center

Clot Removal
Ischemic strokes can occur in different areas of the brain. When strokes occur in “large vessels” – internal carotid artery, middle carotid artery, or vertebral/basilar artery – patient outcomes have traditionally been poor. Recent clinical trials have found, however, that some patients with these large vessel ischemic strokes can benefit greatly from endovascular stroke rescue – or clot removal – with or without intravenous tPA, when performed within a six-hour timeframe from symptom onset.

Our stroke experts enlist a variety of procedures to remove clots that can cause strokes, whether it is a stent retrieval procedure or a micro-tool to aspirate or vacuum the clot out.

Offered through: Miami Valley Hospital

Treatment to Stop Bleeding in the Brain
Hemorrhagic strokes occur when an artery in the brain leaks blood or ruptures. The treatment of bleeding in the brain requires specialized training and technology. Our neurointerventional specialists offer several unique procedures to control bleeding within the brain, including coil embolization, aneurysm clipping and a pipeline embolization device, as techniques to treat hemorrhagic stroke.

Offered through: Miami Valley Hospital

Rehabilitation to Restore Function

If the stroke or brain bleeding caused damage to the brain, our rehabilitation experts in physical therapy, occupational therapy and speech therapy can help patients get back to their normal lives. Our therapists can help to restore speech, gain strength and relearn skills of daily living. Premier Health’s home health agency, Fidelity Health Care, also has special experience in helping stroke patients recover at home.

Offered through: Miami Valley Hospital, Atrium Medical Center, Upper Valley Medical Center 

Ekso Bionics® (EKSO) for Stroke Care

Miami Valley Hospital’s Inpatient Rehabilitation Program was the first hospital in the Dayton area to offer a technology called Ekso Bionics® (EKSO). The robotic exoskeleton is a wearable, battery operated bionic exoskeleton that uses external motors to power the hip and knee joints, to assist patients in performing a full, weight bearing, reciprocal gait pattern providing gait training for neuro-rehabilitation patients.  The exoskeleton works by assisting with 0-100% of the work to advance the patient’s lower extremities. This assists in gait training by allowing patients to re-learn proper stepping patterns and weight shifts to improve function.  The Ekso therapy can be used on patients with spinal cord injuries, stroke, traumatic brain injuries, multiple sclerosis, and generalized lower extremity weakness. 

Offered through: Miami Valley Hospital

Clinical Trials for Stroke

Premier Health’s stroke team participates in clinical trials that offer new treatments and technologies for stroke patients before they’re available elsewhere.

Offered through: Miami Valley Hospital 

Our Commitment to Advanced Care

Premier Health’s stroke team is committed to bringing our patients new advances in stroke care. Our physicians follow and contribute to local, national and international research efforts and integrate new approaches and technologies into the care they provide. For example, several recent clinical trials demonstrate the effectiveness of endovascular clot removal to open a blocked blood vessel in the brain.

Premier Health’s stroke team is experienced in using the newest endovascular devices to open blocked arteries and can rapidly assess and triage stroke patients who might benefit from this treatment. In addition, members of Premier Health’s stroke team participate in and present at the annual International Stroke ConferenceOff Site Icon.

Our Stroke Team

Premier Health’s stroke team offers advanced evaluation and treatment when minutes matter. Our emergency medicine physicians, neurologists, neurosurgeons, neurointerventional specialists, neurocritical care specialists, neuroradiologists, hospitalists, rehabilitation specialists and specially trained nurses work together to care for the individual needs of stroke patients.

Offered through: Miami Valley Hospital, Atrium Medical Center, Upper Valley Medical Center

Physician Expertise

Premier Health is proud to have over 2,300 physicians credentialed at our facilities.  Search Find a Doctor to find a physician credentialed in Neurology.

Content Updated: October 4, 2018

These Premier Health locations offer Neurosciences Services.
Each location may offer different or additional services, so contact a location below to learn more about the specific services they offer.
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