Comprehensive Stroke Specialists at Medical City Plano

Preventing Stroke

The good news about stroke is that it is largely preventable.

You can't control all of your risk factors for stroke, such as age, gender and family history, but you can determine what your manageable personal risk factors are and take steps to control, treat and improve them today.

Do you know your personal stroke risk factors?

Take our stroke risk assessment to identify your stroke risk factors and how to improve them.

Take the Assessment

The accomplished team of neurologists, neurosurgeons and specialized stroke care nurses at Medical City Plano’s Brain & Spine Hospital are on-call 24 hours a day, seven days a week for triage and immediate treatment of stroke patients. The Brain & Spine Hospital has successfully helped thousands of stroke patients since its inception in 2006, with superior patient outcomes.

At Medical City Plano, you have a greater chance of being treated with intravenous (IV) tPA (tissue Plasminogen Activator), a potent blood thinner that dissolves clots fast — thus minimizing brain damage. Nationally, less than 3 percent of ischemic stroke patients receive IV tPA, which must be administered between three to four-and-a-half hours from the onset of symptoms. But the Brain & Spine Hospital administers this clot-buster to between 12 percent and 16 percent of patients suffering from ischemic stroke. This is due to the solid processes in place in our Emergency Department, which allows for fast screening of patients, as well as our strong relationship with local Emergency Medical Services (EMS) agencies.

Innovative Stroke Therapies Widen Treatment Window

If a patient is not eligible for IV tPA, the Brain & Spine Hospital uses intra-arterial tPA and/or advanced clot retrieval devices to extract the blood clot and prevent further brain damage. This minimally invasive, catheter-based procedure for stroke (also known as "brain attack") is performed by an interventional neurologist, similar to how minimally invasive, catheter-based procedures for heart attacks are performed by an interventional cardiologist.

Thanks to this leading-edge technology, the Brain & Spine Hospital can successfully treat ischemic stroke patients up to 12 hours after the onset of symptoms, compared to the standard three to four-and-a-half hours. This extended timeframe gives patients a much better chance of survival and minimized or reversed brain damage.

Lifesaving Stroke Education

The registered nurse stroke educators at Medical City Plano are dedicated to informing the public about the signs and symptoms of stoke. The ability for a family member, friend or other bystander to recognize a stroke and then call 911 can be lifesaving and also help preserve and protect brain function. Here’s how Shawn Pullum learned to recognize that his wife, Catrina, was having a stroke just four days before it happened.

Minimally Invasive Procedures Help Hemorrhagic Stroke Patients

For patients suffering from hemorrhagic stroke — brain bleeds due to ruptured aneurysms — Medical City Plano stroke specialists perform sophisticated endovascular coiling and clipping procedures.

Medical City Plano is the first and only hospital in Collin County (and one of just a few in the Dallas-Fort Worth Metroplex) to offer aneurysm coiling — a minimally invasive, catheter-based procedure in which thin metal spring-like coils are placed inside the aneurysm to prevent it from rupturing.

Aneurysm clipping is a surgical procedure in which a neurosurgeon places a clip on the outside of the aneurysm to physically disconnect it from the artery.

For patients whose hemorrhagic stroke is due to the rupture of arteriovenous malformations (AVMs) — an abnormal tangle of blood vessels — neurosurgeons perform sophisticated AVM surgical resection (in which the AVM is surgically removed), as well as endovascular AVM embolization.

Medical City Plano is the first and only hospital in Collin County (and one of just a few in the Dallas-Fort Worth Metroplex) to offer endovascular brain and spine AVM embolization. This is a minimally invasive, catheter-based procedure in which liquid embolic agents (such as a specialized "super glue" or polymer) are injected into the AVM to shut it down and prevent it from rupturing.

Aneurysm coiling and AVM embolization are performed by an interventional neurologist, similar to how minimally invasive, catheter-based procedures for heart attacks are performed by an interventional cardiologist.

Regional Hub for Comprehensive Stroke Care

Medical City Plano is the flagship stroke center in Collin County for the Texas Stroke Institute, a regional stroke network of 11 hospitals in the Dallas-Fort Worth area.

Partnership with EMS Agencies

We work closely with EMS agencies to ensure patients receive high-quality stroke care from the time they dial 911 until they leave our facility. In stroke patients, time lost is brain lost. That's why we train EMS agencies to identify stroke symptoms early on so patients can be transported to our hospital with minimal delays.

Ongoing Stroke Research

Medical City Plano actively participates in research studies, including national clinical trials for stroke, to help us assess and improve our care.