Two female health care providers pointing at brain images on a wall.

Neurocritical Care

Neurocritical care is devoted to treating patients with stroke, brain hemorrhage, trauma, tumors and more. For emergencies, please call 911 immediately.

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Sometimes serious head, neck and spine issues need immediate attention, intervention and management. Count on our skilled and professional expertise in neuroendovascular medicine and intensive care for treating complex and life-threatening disorders.

Neurointensive & Endovascular Medicine

The Avera neurointensive care unit (neuro ICU) is comprised of fellowship-trained specialists and neurointensivists. When necessary, physicians will refer you or your loved one to neuro ICU in Sioux Falls, SD.

Neuroendovascular experts support patients experiencing some of the most critical medical emergencies in all of medicine. When you need endovascular care — like surgery for blood vessel conditions — our team works together with other specialists in neurology and neurosurgery to bring patients of all ages the best treatments available.

Critical Conditions 

Neurocritical care patients experience complex brain and spine conditions such as:

  • Brain cancer
  • Brain hemorrhage
  • Brain trauma
  • Cerebral aneurysm: bulging due to weakening area in blood vessel wall in the brain
  • Cerebrovascular malformations: brain blood vessel abnormalities
  • Encephalopathy: describes any disease or disorder affecting function or structure of the brain
  • Guillain-Barré syndrome (GBS): rare autoimmune condition where your immune system attacks your nerves, causing weakness and sometimes paralysis
  • Intracranial hemorrhage: type of stroke due to bleeding within the skull
  • Rupture or dissection of vessels of the brain due to trauma
  • Severe seizures
  • Some forms of hemorrhagic stroke
  • Some types of head or neck tumors
  • Strokes including acute ischemic stroke (due to large vessel blockage)
  • Subarachnoid hemorrhage: type of stroke due to bleeding between brain and thin membrane covering it

Treatment Methods

Depending on your diagnosis, neuroendovascular surgeons and neurointensivists use state-of-the-art technology and treatment methods, including:

  • Arterial line placement
  • Diagnostic and therapeutic bronchoscopy: lung and airway scan
  • Endotracheal intubation (tube inserted into windpipe to aid breathing) and advanced airway management
  • External ventricular drain placement: temporary medical procedure to drain excess fluid to relieve pressure via inserting a thin tube
  • Intensive care ultrasonography showing structures inside body via images
  • Intracranial monitoring systems via device placed inside head to check for any pressure
  • Intravascular temperature management system to manage temperature in critical care patients
  • Lumbar fusion (spinal fusion)
  • Paracentesis to remove fluid buildup inside abdomen
  • Percutaneous tracheostomy: minimally invasive procedure to create an airway
  • Thoracentesis: procedure that drains extra fluid from around the lungs with a needle
  • Transcranial doppler ultrasonography: non-invasive ultrasound for checking brain blood flow
  • Ventilator management techniques
  • Ultrasound-guided access by catheter placement into central vein, like those in neck and chest

Surgical Recovery & Follow-Up

An entire team of experts is here to support you every step of the way after surgery. After an interventional procedure with minimally invasive methods, your care plan involves follow-up visits and guidance during recovery.

Strokes & Aneurysms: Emergency & Ongoing Care

A stroke can happen to anyone at any age at any time. If you notice any warning signs, get help fast through your local emergency department.

  • Avera experts provide 24/7 immediate assessment, intervention and management of acute stroke, including blood flow restoration to blocked or ruptured blood vessels.
  • You can access emergency stroke treatment for up to 24 hours after symptoms begin.
  • We also provide expert care for brain aneurysms with a focus on improving outcomes.
  • After a stroke or an aneurysm event, we’ll guide you through recovery and rehabilitation.

Warning Signs

BE FAST1 is an easy way to remember and recognize these sudden signs of stroke:

  • Balance loss
  • Eyesight loss
  • Face drooping
  • Arm weakness
  • Speech difficulty
  • Time to call 911

Neurocritical Care FAQ

Your provider is your most reliable source for answers. Explore frequently asked questions to learn more.

What is the difference between a stroke and an aneurysm?

Some symptoms, like slurred speech, are the same for a stroke and an aneurysm. However, a stroke happens when a blood clot or bleeding inside the skull impacts your brain. A cerebral aneurysm indicates a weak area of a blood vessel that could eventually bulge and rupture, causing life-threatening issues.

Are strokes hereditary?

Studies show children or grandchildren of people who have had a stroke have a higher risk of having a stroke at a younger age. However, you can still be proactive in lowering your unique risk through lifestyle changes. Ask your doctor about risk factors you can control even if stroke runs in your family.

What is a brain hemorrhage?

Also known as a hemorrhagic stroke, a brain hemorrhage occurs when a blood vessel in or around the brain ruptures and bleeds, potentially causing damage to brain cells. Neurocritical care includes specialized services for treating brain hemorrhages and other severe neurological issues.

What is a transient ischemic attack?

A transient ischemic attack (TIA) is different from an ischemic stroke, even though the cause is similar. The most common type of stroke, an ischemic stroke, happens when a blood clot blocks blood supply to part of your brain.

With a TIA, you experience symptoms similar to stroke. However, the blockage is temporary and is fully resolved without causing lasting, permanent damage. It is still important to seek care for stroke-like symptoms, even if they go away, because a TIA can be a warning sign for a future stroke.

Caring for Your Brain, Spine & Nervous System

Neurocritical care is part of the complete care Avera can provide for brain and spine health needs. Ask your doctor if a referral is right for you.

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Certified Comprehensive Stroke Center

Avera McKennan Hospital & University Health Center is a certified stroke center as designated by the DNV Comprehensive Stroke Center Certification. The national recognition demonstrates the highest level of expertise to diagnose, treat and support emergencies for our patients.

Our Stroke Center is nationally recognized for excellence, including as an Advanced Primary Stroke Center as certified by the Joint Commission.

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DNV comprehensive stroke center certification seal.

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