Neurology

Cerebrovascular/Critical Care Specialists at Mayo Clinic

The specialists in Cerebrovascular Diseases and Neurological Critical Care at Mayo Clinic provide both inpatient and outpatient care for people with cerebrovascular disorders and participate in a variety of activities relating to cerebrovascular education and research.

Approximately 1,500 inpatients are treated annually, constituting one of the largest stroke practices nationally. Outpatients with stroke and all other types of cerebrovascular diseases are seen primarily at the Cerebrovascular Clinic within the Department of Neurology. Approximately 2,000 such patients are seen annually.

Taken together, the inpatient and outpatient cerebrovascular activities constitute the largest practice of cerebrovascular diseases in the United States.

Conditions & Symptoms

• Amyloid angiopathy of the brain
• Aneurysm in the brain (ruptured or unruptured)
  
  • Saccular
  • Fusiform
  • Mycotic
• Antiphospholipid antibody syndromes with neurologic symptoms
• Arteriovenous malformation of brain or spinal cord
• Arteritis (vasculitis) of brain or neck arteries
  
  • Central nervous system arteritis
  • Takayasu's arteritis
  • Other brain arteritis/vasculitis syndromes
• CADASIL
• Carotid angioplasty/stent consideration
• Carotid artery stenosis or occlusion (extracranial or intracranial)
• Carotid bruit
• Carotid dissection
• Carotid endarterectomy consideration
• Cavernous malformation of brain or spinal cord
• Cerebral infarction (ischemic stroke), any type or cause
  
  • Cardiac source of stroke
  • Large artery stenosis or occlusion: including atherosclerosis, dissection, inflammatory disorders
  • Small artery stenosis or occlusion, lacunar stroke: including atherosclerosis, inflammatory disorders
  • Other causes: hematologic disorders such as antiphospholipid antibody syndromes
  • Unknown cause
• Cerebral microbleeds by MRI
• Dural arteriovenous malformation (fistulae) of brain or spinal cord
• Genetic disorders of stroke and other cerebrovascular diseases
• Intracerebral hemorrhage of any cause
• Moyamoya disease
• Small vessel white matter disease
• Spinal cord vascular disorders
  
  • arteriovenous malformation
  • cavernous malformation
  • dural arteriovenous fistulae
  • infarction
• Stroke prevention: primary, or secondary
• Subarachnoid hemorrhage of any cause
• Subdural hemorrhage
• Transient ischemic attack (any type or cause)
  
  • Transient ischemic attack, brain
  • Transient monocular blindness: amaurosis fugax
• Vasculitis of central nervous system
• Venous (dural) sinus thrombosis
• Vertebral or basilar artery stenosis or occlusion

Physician Staff

Minnesota

• Robert D. Brown, Jr., M.D., MPH
• Bruce A. Evans, M.D.
• Kelly Flemming, M.D.
• Jimmy R. Fulgham, M.D.
• Irene Meissner, M.D.
• George W. Petty, M.D.
• David O. Wiebers, M.D.
• Eelco F.M. Wijdicks, M.D.

Florida

• Thomas G. Brott, M.D.
• James F. Meschia, M.D.

Arizona

• Bart M. Demaerschalk, M.D.
• David W. Dodick, M.D.
• Timothy J. Ingall, M.D., Ph.D

Research

A major goal of the cerebrovascular and critical care specialists is to continue a long tradition of research into afflictions of the cerebrovascular system. Clinical epidemiological research is emphasized in division research activities, including clinical treatment trials and medical records research. These types of research are a natural extension of Mayo's extensive experience with patient care, a unique records system and a unique local population base.

It is very important to the future quality of medical care at Mayo and elsewhere to undertake these types of research. By reviewing groups of medical histories, and/or participating in treatment trials, physicians and scientists can learn how diseases progress and how to stop them. Doctors can also see which treatments and surgeries work the best for most patients.

Education

Stroke and Cerebrovascular Diseases Fellowship