Neurointensive Care at Winthrop-University Hospital
Specialized care in an advanced neuroscience intensive care unit setting.
First of its kind on Long Island, Winthrop’s Neuroscience Intensive Care Unit is reserved for patients recovering from complex neurosurgical procedures or those with acute neurological problems. These include subarachnoid hemorrhage, ischemic stroke, status epilepticus, traumatic brain injury, serious neuromuscular disorders that can cause life-threatening paralysis and tumors or infections of the brain or spinal cord.
The neurointensive care unit includes 14 acute-care beds and an expert team of neurosurgeons, neuro-intensivists, neurologists, nurse practitioners, physician assistants and nurses with extensive training in neuro-critical care and the use of advanced monitoring technology. They work as a team to orchestrate the complex range of testing, constant monitoring and immediate interventions required to minimize immediate or delayed brain damage and maximize the chances for a full recovery. Their ability to make a differential diagnosis and exercise timely intervention distinguishes the NeuroICU from the standard medical surgical intensive care unit.
Promoting Healing with the Most Advanced Technology
With state-of-the-art technology to monitor intracranial pressure, cerebral perfusion pressure, brain oxygenation levels and core body temperature, the NeuroICU staff can manage the delicate balance of sophisticated techniques that promote healing of brain injuries. To assess situations such as brain aneurysms, cerebral hemorrhages and strokes, they use:
- Continuous EEG Monitoring
- Intracranial Pressure Monitoring
- Licox (Brain Oxygenation) Monitoring
- Single Photon Emission Computed Tomography (SPECT)
- Invasive Hemodynamic Monitoring
Even when a patient is unresponsive and cannot communicate, advanced brain monitoring technology can detect brain functioning and problems can be addressed. The specialized procedures used for NeuroICU problems include: Ventricular Drainage Thrombolysis Plasmapharesis Hemicraniectomy Hypothermia Specific Pharmacotherapies Interventional Neurovascular Procedures Additionally, an array of sophisticated neuroradiology and interventional neuroradiology diagnostic tools are located in close proximity to the NeuroICU, allowing for quick access to testing that enables physicians to gain further insight into a patient’s condition. They include:
- Computed Tomography Angiography (CTA)
- Positive Emission Tomography (PET)
- Magnetic Resonance Angiograpy (MRA)
- 64-slice Computed Tomograghy Scanner (CT)
- Biplane Digital Angiography system
- CT Perfusion
Our Neurointensive Care Team
Michael Brisman, MD
Chief, Division of Neurosurgery, Co-Director, Neuroscience Intensive Care Unit (NeuroICU)
Elzbieta Wirkowski, MD
Neurointensivist, Co-Director, Neuroscience Intensive Care Unit (NeuroICU)