Medina Neurological Program

Acute neurovascular Care

Methods :
Acute neurovascular Care, including, Neurovascular Interventional services ( Mechanical and chemical revascularization, AVM and Aneurysm occlusion, Extracranial / Intracranial vessels angioplasty/stenting , tumors devascularization, etc.) and tele-neurovascular program with support of Medina Vascular Group Units.
Primary and Secondary cerebrovascular events prevention (Vascular multidisciplinary clinic).
Translational and Clinical Research through (MCNRC).
4-Training programs (residency, fellowship, and Vascular Group License Program).
Mission :
1. To provide high quality Neurovascular care through a multidisciplinary approach via specialized programs: acute neurovascular program, vascular malformation comprehensive program, tele-neurovascular program, headache program..
2. Primary and secondary neurovascular protection through medical/surgical/interventional treatment and education.
3. Translational and clinical neurovascular researches to capitalize in and to add to current neurovascular knowledge.
4. To educate staff, trainees, guests and eventually the community about cerebrovascular disorders identification and prevention.

http://mnp-med.com/…/P…/6cef1303-d31e-40ff-ad0d-afc468c20fe2

Acute neurovascular Care

As specialized tertiary care center in Medina Provence, we are going to provide our services to > 1,777,933 habitants. In this unprecedented neurovascular unit encompassing three major neurosciences disciplines under one integrated team of neurologists, neuroradiologists and neurosurgeons, all with clinical and interventional competencies. In this unit we will diagnose and treat head and neck vascular pathologies (including neurovascular disorders) clinically and endovascularly, this include for example, ischemic and hemorrhagic strokes , intracranial and extracranial aneurisms , intracranial and extracranial AVM and AVF, and intracranial and extracranial vascular stenosis and occlusion, as well as intracranial and extracranial tumor devascularisation and endovascular epistaxis treatment; in adults and pediatrics. Through this unit and its allies MVGUs, we should identify prevalence, incidence and risk factors of neurovascular disorders in our community (NESM and other epidemiological studies), to understand their cause and recommend treatment or prevention strategies in a cost-effective manner. For example, if the stroke (hemorrhagic /ischemic) in our community is prevalent, we should assess its’ effect on the patient, the community and the health care system. We should understand the cause of stroke in our catchment area (Medina provence) and direct long term cost-effective preventative recommendations, as well as short term patient-directed treatment.

http://mnp-med.com/en-US/Home/PageContaint/6cef1303-d31e-40ff-ad0d-afc468c20fe2

Saudis have ominously high rate of vascular risk factors. Coronary artery disease in Saudi Subjects study showed that 24% of Saudis are diabetic, 30% are hypertensive, 37% are overweight, 40% have metabolic syndrome, 6% have coronary artery disease and as high as 30% are smokers(1,8,9,10,11). Ischemic Stroke prevalence is also high (180 cases/100,000), with estimated incidence of 43.8 per 100 000 population per year (2). Within an approximately population of 30 million, an indirect estimate from the existing literature (published in 1993) indicates that at least 13,140 new strokes, 2,628 deaths and 5,256 disabilities occur each year across the country. Hemorrhagic stroke in KSA is prevalent. The most common cause of non-traumatic intracranial hemorrhage in young adults in KSA is ICAVM with hospital-based prevalence of 2.8 per 100,000 admissions (3). No study, up to my knowledge, examined the incidence and/or prevalence of intracranial aneurismal subarachnoid hemorrhage in KSA, but the international data show prevalence range from 2.3 to 32 per 100,000. Both incidence and prevalence of stroke are expected to increase dramatically in the near future as the very young population ages (currently 80% are