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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?

A stroke, or "brain attack", occurs when a blood vessel bringing oxygen and nutrients to the brain is blocked by a blood clot (ischemic stroke) or bursts (hemorrhagic stroke).

Brain cells are very sensitive to a lack of oxygen and can die within a few minutes of stroke onset. Approximately 1.9 million brain cells are damaged every minute during a stroke.

Early recognition of stroke symptoms and immediate treatment to restore the blood flow could save your brain and your life.


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.


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

  • Kazuma Nakagawa, MD, Neurovascular and Neurocritical Care
  • Scott A. Harvey, MD, Obstetric Critical Care
  • Sung Bae Lee, MD, Neurointerventional Surgery

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

  • Cherylee Chang, MD
  • Matthew Koenig, MD
  • Sung Bae Lee, MD
  • Kazuma Nakagawa, MD
  • Rony Salem, MD
  • Ashley Chadwick, APRN
  • Tiffany Hoke, APRN
  • Jennifer Moran, APRN
  • Elizabeth O'Neil, APRN
  • Jason Pureza, APRN
  • Sanders Sandoval, APRN
  • Michelle Sato, APRN
  • Kristen Shaw, APRN
  • Malia Woolsey, APRN