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Comprehensive Stroke Center

Queen’s Neuroscience Institute is Hawaii’s first Comprehensive Stroke Center designated by The Joint Commission. Our team and facility are prepared 24/7 to deliver advanced stroke treatments for the most complex stroke cases. In addition, our expert stroke care includes the state’s only Neuroscience Intensive Care Unit (ICU). This means that stroke patients in Hawaii receive stroke care comparable to the most advanced centers on the mainland.


What is a Stroke?

During a stroke, or “brain attack,” a blood vessel to the brain is blocked by a blood clot (ischemic stroke) or bursts (hemorrhagic stroke). Approximately 1.9 million brain cells can die each minute, so immediate treatment is essential. Queen’s Comprehensive Stroke Center, the first and only one in Hawai‘i, is prepared to give advanced treatments for the most complex stroke cases 24/7.

A Comprehensive Stroke Center is able to treat every type of stroke, including cases requiring advanced technologies, a highly trained staff of experts, and on-site neurosurgeons specializing in minimally invasive neurointerventional surgery and advanced neurovascular surgery.


Comprehensive Stroke Center Benefits

Hospitals with Comprehensive Stroke Center designation have achieved the highest level of certification available with regard to stroke care. While both Primary Stroke Centers and Comprehensive Stroke Centers are considered "stroke ready" and have the infrastructure to administer "clot buster" medication, the benefits of coming to a Comprehensive Stroke Center include the:

  • Ability to care for all types of stroke: ischemic and hemorrhagic, including complex cases requiring advanced technology and treatment
  • Skill to perform mechanical "clot retrieval" procedure
  • Participation in patient-centered research

Only a Comprehensive Stroke Center offers 24/7 access to:

In many stroke cases, these advanced treatments are needed to give the patient the best chance of recovery.


Neuro-Cardiology Program

Queen’s Neuro-Cardiology Program is a joint Neurology and Cardiology program, to provide comprehensive and multidisciplinary care for stroke/TIA patients with underlying structural heart disease such as patent foramen ovale (PFO) and atrial septal defect (ASD). The mission of the program is to provide highest quality of patient-centered care through joint decision-making process involving patients, Neurology and Cardiology to ensure that appropriate patients are selected for the procedure.

To learn more about our services, or to make an appointment, call 808-691-8866.

Meet our Neuro-Cardiology Team


Obstetric Neurovascular Service

Queen’s Obstetric Neurovascular Service is the first of its kind in the country, providing comprehensive care for pregnant women with complex neurovascular conditions. From pregnancy through postpartum care, our multidisciplinary neurovascular team coordinates with all clinicians to offer individualized care to ensure the well-being of both mother and baby. In addition, we provide 24/7 access to the specialized Neuroscience Intensive Care Unit and minimally invasive endovascular neurosurgical expertise.

Our obstetrical management includes conditions with increased risk of stroke during pregnancy, such as:

  • Cerebral aneurysm
  • Arteriovenous malformation (AVM)
  • Dural arteriovenous fistula
  • Intracranial/extracranial arterial dissection
  • Moyamoya disease
  • Hypercoagulable disorder
  • Cerebral venous sinus thrombosis
  • History of stroke during prior pregnancy

To learn more about our services, or to make an appointment, call Queen’s Obstetric Neurovascular Service at 808-691-8866.

Meet our Obstetric Neurovascular Team


Outpatient Stroke Clinic

Queen’s Outpatient Stroke Clinic is dedicated to ensuring continuity of high-level care for stroke patients throughout their recovery process. Once discharged from the hospital, stroke patients face multiple barriers in receiving optimal care as they transition back into the community. The mission of the Outpatient Stroke Clinic is to provide our stroke patients with premier and holistic stroke specific care in an effort to maximize both rehabilitation and secondary stroke prevention.

Our clinic is able to meet the complex needs of stroke patients through:

  • Offering stroke specific chronic disease management while patients connect with primary care services and in collaboration with an established primary care provider
  • Regular access to our high-level and multidisciplinary team of neurovascular, neurosurgical, and nurse practitioner providers
  • Providing health and wellness education tailored to specific patient and family needs
  • Accepting referrals from community providers for consultation and treatment
  • Coordinated care with in-house case management services
  • Offering in-house Botox referrals for stroke related spasticity
  • Offering stroke patient and caregiver support groups

Meet our Outpatient Stroke Clinic Team


Queen's Telestroke Program

Through telemedicine, our stroke neurologists can rapidly examine and treat stroke patients who live in remote regions that may lack neurological expertise.

Our doctors are currently providing emergency stroke consultation to hospitals across the state, providing the best stroke care beyond Queen's Punchbowl campus.


Quality and Performance Measures

Our stroke quality measures, called Stroke Core Measures, and revascularization performance demonstrate superior quality stroke care compared to the national average.

View Report


Learn More About Stroke Care

To learn more about our services or to schedule an appointment with the Comprehensive Stroke Center, please call the Queen’s Neuroscience Institute Outpatient Center at 808-691-8866.

Meet our Stroke Team