Clinical Activities

Neurovascular Emergencies

A full 24/7 coverage for neurovascular emergencies (acute neurological deficit, ischemic stroke, hemorrhagic stroke, etc) is offered at CHUM.

In the greater region of Montreal, an EMS redirection system allows patients with a suspicion of severe stroke to be brought directly to CHUM, in order to minimize treatment delays. When medically stabilized, patients are repatriated the most appropriate acute care hospital, based on their clinical characteristics and geographical origin.

Coverage of neurovascular emergencies in 18 other centers in south-western region of the province is also assured by our team in all time by teleconsultation.

In-patient Stroke Unit

The Louise-Hélène Lebrun stroke unit at CHUM receives more than 850 admitted patients with ischemic or hemorrhagic stroke yearly.

Across the hospitalisation wards in vascular neurology, interventional neuroradiology and vascular neurosurgery, approximately 300 additional patients are admitted yearly due to subarachnoid hemorrhage and/or emergent or elective interventional treatment of neurovascular lesions (arterial stenosis, arterioveinous malformation, dural arterioveinous fistula, cavernoma, etc).

Our innovative multidisciplinary project, Parcours Locomotive, was developed to stimulate patient recovery during their hospital stay through a series of planned exercises, stations and external stimuli intended to motivate patients in their post-stroke journey

Neurovascular Outpatient Clinic

All our physicians participate in the assessment and follow-up of patients necessitating neurovascular care on an outpatient basis.

Our team offers specialized expertise across the entire spectrum of neurovascular disorders: ischemic or hemorrhagic strokes, arterial dissection, vasculitis with CNS involvement, cerebral veinous thrombosis, intracranial or extracranial arterial stenosis, etc.

Consultation request or additional information:

TIA (Transient Ischemic Attack) Clinic

This rapid assessment clinic allows urgent investigation of transient focal neurological disorders suggestive of ischemic stroke or transient ischemic attack (TIA).

  • in-hospital or external referrals (patients living in the Montreal area)

  • streamlined wait times according to urgency of consult (appointments usually within 24-48 hours of referral)

  • access corridor for same-day neurovascular investigations (Brain MRI, CT-angiography, Echocardiography, Holter, Blood tests)

  • Full consultation and investigation results sent the same day to the referring physician

Important note

  • If symptoms are persisting or if they occurred within the last 48h, urgent referral to nearest emergency department is recommended

For consultation request or other information:

iCRANIUM (CHUM Reference Center for Rare Neurovascular Disorders)

iCRANIUM Mission:

  • interdisciplinarity: neurology, neurosurgery, neuroradiology, radiation therapy,

  • integrated visit: same-day consultation with multiple medical specialists and diagnostic workup, possibility of follow-up by teleconsultation

  • intervention: invasive and/or non-invasive treatments

  • interaction: weekly neurovascular board involving all medical specialties

  • innovation: inclusion in ongoing clinical trials, research promotion

iCRANIUM Patients:

  • Adult patients, pediatric patients transitioning to adult care

  • Patients coming from all regions across Quebec

  • Patients at risk of stroke, or with previous history of stroke, (ischemic or hemorrhagic), headaches, epilepsy, of progressive neurological deficit

  • Main pathologies treated: arteriovenous malformations, dural arteriovenous fistula, cavernous angioma (cavernoma), familial aneurysms, moyamoya disease and other genetic neurovascular conditions