Stroke and Cerebrovascular Center
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Boston Medical Center’s Comprehensive Stroke and Cerebrovascular Center offers a full spectrum of clinical and academic services to provide contemporary treatment for patients with brain, carotid and spinal vascular diseases. We are a multidisciplinary group comprised of stroke neurologists, interventional neuro-radiologists and cerebrovascular neurosurgeons with 24/7 coverage, committed to excellence in patient care, research and education. We achieved Comprehensive Stroke Center (CSC) certification from the Joint Commission in 2018. We are located in Boston Medical Center’s beautiful Shapiro Center in Boston’s historic South End.
FAST is an easy way to identify a possible stroke
Our areas of expertise include:
7th Floor, Suite 7B
Shapiro Center 617.638.8456 [email protected]
The Neurology Department offers a full spectrum of neurological care, including examination, diagnostic evaluation, consultation, treatment, comprehensive follow-up, and rehabilitation recommendations for disorders of the nervous system.
Conditions We Treat
Arteriovenous malformations (AVMS) are tangles of dilated, thin-walled blood vessels that occur anywhere within the brain or on the dura mater (the covering of the brain).
Our goal is to provide a complete range of services for the diagnosis, treatment and rehabilitation of patients with brain aneurysm, whether they have ruptured or not. We inform each patient and their families about the aneurysm, the natural course of a brain aneurysm over a person's lifetime, and what the possibilities are for treatment (medical management, endovascular repair, endovascular flow diversion, surgical repair). We strive to achieve the safest clinical outcomes for every patient.
Carotid artery disease happens when fat and cholesterol deposits (plaque) clog the carotid arteries on each side of the neck that deliver blood to the brain and head.
When a blood vessel just outside the brain bursts, the space surrounding the brain (the subarachnoid space) fills with blood. This condition is called subarachnoid hemorrhage, and is usually due to an aneurysm.
Dural arteriovenous fistulas (DAVF) are abnormal connections between arteries and veins near the brain.
Pulsatile tinnitus can be described as a "swishing sound" that usually beats with the heart. The sound may be aggravated with exercise, as the heart rate increases, for example. Sometimes the sound is so intense that it may be disruptive to a person's sleep or daily life.
Sigmoid sinus diverticulum is a rare vascular finding due to an opening in the bone at the area of the sigmoid sinus creating a pouch, or diverticulum.
Treatments & Services
This is a treatment protocol and guideline for aneurysm coiling and aneurysm flow diversion treatment used by our center.
CyberKnife to Treat AVM Tumors
Physicians at Boston Medical Center (BMC) are now offering patients an alternative to surgery for hard to reach brain arteriovenous malformations (AVM) and tumors. The CyberKnife Robotic Radiosurgery system is a non-invasive treatment for benign or cancerous tumors located nearly anywhere in the body.
The Section of Spinal Neurosurgery at Boston Medical Center encompasses the most advanced techniques to correct surgical disorders of the spine and spinal cord.
Stroke Prevention and Treatment
The BMC Stroke Prevention and Treatment Center is dedicated to providing the most advanced techniques and technologies to foster better outcomes for stroke care. The Stroke Center emphasizes acute intervention and is engaged in clinical trials with the goal of optimizing outcomes for stroke patients.
Vertebroplasty (Kyphoplasty) is used for Spinal Compression Fractures. Osteoporosis is an important problem for 44 million Americans and causes over 750,000 vertebral compression fractures (VCF's) in the spine annually. Trauma can also cause VCF. These fractures result in both acute and chronic back pain, but are also associated with patient immobility and its associated morbidity (deep venous thrombosis), impaired respiratory function with advanced disease, and narcotic medication dependence.
Stroke, Neurology, Vascular Neurology, Cerebrovascular Disease, Cerebrovascular Accident
Critical care and stroke
Stroke, Cerebral Aneurysms, Arteriovenous Malformations, Arteriovenous Fistula, Vertebroplasty, Pulsatile Tinnitus
Stroke, Internal carotid artery stenosis, Brain aneurysm
Subarachnoid Hemorrhage, Stroke, Status Epilepticus, Traumatic Brain Injury, Neuromuscular Failure
Stroke, Vascular Neurology, Intracerebral Hemorrhage, Neurology
Associate Professor of Neurosurgery and Pediatrics, Boston University School of Medicine, Boston MA
Brain Tumors, Pediatric Neurosurgery, Brain Trauma, Cerebral Aneurysm, Trigeminal Neurlagia
Department of Neurology
Vascular Neurology, Neuroimmunology, Neurosarcoidosis, General Neurology, Comprehensive Neurology
Professor of Radiology, Neurosurgery and Radiology, Boston University School of Medicine
Acute stroke intervention, Cerebral aneurysms and AVMs, Carotid stenting, Dural AV fistulas, Embolization of nose bleeds and head and neck tumors, Neurocritical care, Pulsatile Tinnitus, Vasospasm, Vertebroplasty
Critical Neurologic Conditions, including Acute Stroke, Intraparenchymal Hemorrhage, Subarachnoid Hemorrhage, Status Epilepticus, Traumatic Brain Injury
Neurology; Vascular neurology
Stroke, Intracranial Hemorrhage, Carotid Artery Stenosis, Brain Aneurysm, Neurology
Stroke, Brain Trauma, Brain Aneurysms, Status Epilepticus, Seizures
To schedule an appointment with a health care provider in the Stroke and cerebrovascular Center at the Boston Medical Center campus, please call the provider or department directly. Remember, if you have an emergency, please dial 911.
BMC Cerebrovascular and Stroke Center offers a wide variety of tests to diagnose your condition. View this section for a list of test instructions prior to your appointment. You will be able to download and print these instructions from your computer.
In 2015, five landmark trials demonstrated the benefit of opening large vessel occlusion strokes in select patients suffering a stroke within an 8 hour time window.
Boston Medical Center is a private, not-for-profit, academic medical center. Our staff is dedicated to making your experience here as pleasant and informative as possible.
Stroke is an event that changes life for a person, his/her family and society. Stroke is the leading cause of disability and the third cause of death in the United States. Approximately 780,000 new and recurrent strokes occur annually.
The Stroke and Cerebrovascular Center at Boston Medical Center is pleased to serve as the tertiary affiliate for the following hospitals and provide emergency patient care, quality assurance, education and transfers services as needed, to support the neuroscience programs at these facilities.
The Trial of Endovascular Aneurysm Management (TEAM) study is the first and currently only large multicentre prospective randomized controlled trial (RCT) of endovascular management of unruptured aneurysm as compared to indefinite deferral of treatment in the world.
Residency and Fellowship Information
Stroke and Cerebrovascular Education
The Department of Neurology at Boston Medical Center is affiliated with Boston University School of Medicine (BUSM) and has a long and distinguished history in both the academic and clinical arenas. Learn about our Vascular Neurology fellowship program.
Stroke and Cerebrovascular Education
To learn about our Neurology residency program, please visit the Neurology section of the BUSM website.
Vascular Neurology Fellowship
The Vascular Neurology Fellowship has existed at the Boston Medical Center for more than 20 years, and it has trained stroke fellows continuously for more than 10 years. It is ACGME accredited for one year, and fellows are encouraged to stay for a second research year. Up to two fellows are accepted for clinical training each year. Twenty-three fellows have graduated from the program since 1996, with seven completing two-year fellowships. Ten of the graduates have pursued academic careers.
The strengths of the Vascular Neurology Fellowship include extensive involvement in the diagnosis and treatment of a wide variety of stroke and other cerebrovascular disorders, with exposure to patients in the emergency room, inpatient stroke ward and intensive care unit, and outpatient follow-up clinic. The patient population is very diverse, allowing exposure to uncommon conditions. The program is also integrated with interventional neuroradiological and neurosurgical treatment of these patients.
The education of the stroke fellows also includes intensive exposure to neuroradiology and neurosonology, as well as involvement in multicenter clinical trials. Trainees are strongly encouraged to formulate research projects both at the Boston Medical Center and at the Framingham Heart Study under the direction of the stroke faculty. They frequently present their work at national and international meetings and publish their findings in peer-reviewed medical journals. Bedside teaching and weekly didactic lectures supplement their training.
Applications for 2021 should be submitted through the Electronic Residency Application Service (ERAS) of the National Resident Matching Program (NRMP). A link to the ERAS system can be found on the NRMP website.
Julie G. Shulman, M.D.
Program Director, Vascular Neurology Fellowship
Department of Neurology
Boston University School of Medicine
72 East Concord Street, C-3
Boston, MA 02118-2394
Above: Dr. Masoud, Dr. Johnsen, Dr. Catanese and Ms. Clark receive the BMC Quality Improvement award for Acute Stroke Management through Simulation Training.