The goal of the Cerebrovascular Disease and Stroke Program is to provide the highest level of care for patients and families dealing with stroke, transient ischemic attack, and other cerebrovascular conditions, including brain aneurysms and vascular malformations.
Inpatient care is provided at the Neuroscience Unit at Dartmouth-Hitchcock Medical Center (DHMC) in Lebanon, NH, which includes an eight-bed Neuro Special Care Unit. Our diagnostic capabilities include MRI and MRA, MR perfusion, conventional (digital subtraction) angiography, among other diagnostic tests. Our clinical and research activities include the closure of patent foramen ovale in cryptogenic stroke and carotid artery stenting.
We also provide educational materials for hospitalized patients and their families and develop a curriculum for medical students and house staff.
Please refer to the following information for health care professionals:
- Cerebrovascular case conference: A weekly interdisciplinary conference that is led by the interventional neuroradiology fellow.
- Guidelines, order sets and stroke protocols: A list of guidelines, order sets and protocols for stroke conditions.
- Stroke alert training: Information about our simulation lab mock stroke alert training for neurology residents and emergency department providers.
See how we use a real-life simulation approach to training our staff to improve outcomes for stroke patients and their families:
Cerebrovascular case conference
This interdisciplinary conference takes place weekly and is led by the interventional neuroradiology fellow.
At this meeting, we discuss the treatment planning for complex patients and review cases for quality improvement purposes. It is also an excellent learning opportunity for residents, advanced practice nurses, and fellows.
Recent cases reviewed include complex intracranial aneurysms, dural arteriovenous fistulae, arteriovenous malformations, and thrombolysis.
To submit a case for this conference, please contact one of the program physicians.
Guidelines, order sets and stroke protocols
The following documents provide guidelines, references, order set and protocols that you can use for various types of stroke conditions:
Clinical practice guidelines
- DHMC Interhospital "Drip and Ship" Ischemic Stroke Algorithm (PDF)
- DHMC Telestroke Algorithm (PDF)
- Guideline for the Management of Adult Patients with Acute Ischemic Stroke and Transient Ischemic Attack (PDF)
- Guideline for the Management of Adult Patients with Spontaneous Acute Intracerebral Hemorrhage (PDF)
- Guideline for the Use of Intravenous ALTEPLASE (t-PA) in Adult Patients with Acute Ischemic Stroke (Updated 2005) (PDF)
- Protocol for Activating a Stroke Alert and Paging the Acute Stroke Response Team (PDF)
Flowsheets and charts
- Intravenous Nicardipine Quick Reference Cardene® (PDF)
- Thrombolytic Information Sheet for Patients and Families (PDF)
Stroke Alert Training
The Cerebrovascular Disease and Stroke Program offers simulation lab mock stroke alert training for neurology residents and emergency department providers.
The goals of this exercise are to improve:
- The selection of patients for intravenous thrombolysis
- The detection of stroke mimics, basic CT scan interpretation, and acute blood pressure management
View a sample video clip of a recent training session.
For more information about this training, please contact Timothy Lukovits, MD.