The Maryland Comprehensive Stroke Center is a regional center of excellence in stroke care and research. It is the first center in Maryland dedicated to comprehensive care of the complex stroke patient. The Brain Attack Team is a 24 hour/7 day a week multispecialty team developed to rapidly evaluate and treat patients with vascular causes of neurological disorders. The team is modeled after the concept of the "golden hour" pioneered at the University of Maryland's STC. It operates under the guidelines that treatment is most effective at reducing disability and mortality if delivered emergently within a therapeutic time window.

Mission: To prevent stroke, preserve brain function during acute stroke, and improve recovery from stroke through patient care, research, and education.

The aims of the CSC are to:

  • Provide rapid expert stroke care to patients 24 hours per day 7 days per week
  • Provide professional consultation to any provider 24 hours per day 7 days per week
  • Perform research to discover new treatments for patient

Think you are having a stroke? Call 9-1-1 immediately!

F.A.S.T. is an easy way to remember the sudden signs of stroke. When you can spot the signs, you'll know that you need to call 9-1-1 for help right away. F.A.S.T. is:

  • Face Drooping: Does one side of the face droop or is it numb? Ask the person to smile. Is the person's smile uneven?
  • Arm Weakness: Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?
  • Speech Difficulty: Is speech slurred? Is the person unable to speak or hard to understand? Ask the person to repeat a simple sentence, like "The sky is blue." Is the sentence repeated correctly?
  • Time to call 9-1-1: If someone shows any of these symptoms, even if the symptoms go away, call 9-1-1 and get the person to the hospital immediately. Check the time so you'll know when the first symptoms appeared.

Beyond F.A.S.T. – Other Stroke Symptoms You Should Know

  • Sudden numbness or weakness of the leg, arm or face
  • Sudden confusion or trouble understanding
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, loss of balance or coordination
  • Sudden severe headache with no known cause

Patient Conditions

  • Brain attack and ischemic stroke

  • Transient ischemic attacks

  • Vasculitis

  • Carotid and vertebral dissection

  • Cerebral venous thrombosis

  • Subarachnoid hemorrhages, including aneurysms

  • Intracerebral hemorrhage

  • Primary prevention of stroke in high risk patients, (asymptomatic carotid stenosis and sickle cell disease)

Comprehensive Evaluations

  • CT and CT angiography

  • MRI, including perfusion and diffusion sequences, and MRI angiography

  • Neuroangiography

  • Carotid duplex sonography

  • Transcranial Doppler ultrasonography

  • Xenon-CT


Specialized Treatments

  • Acute thrombolytic therapy with TPA

  • Gamma Knife

  • Interventional neuroradiology

  • Surgical treatment of carotid stenosis, aneurysms, and arteriovenous malformations

  • Dedicated intensive and intermediate care units

  • Comprehensive rehabilitation evaluation

Research Activities

  • Telemedicine for Brain Attack Consultation

  • Technologies for rapid evaluation, diagnosis and treatment of Brain Attack

  • Identification of new genetic and environmental risk factors for stroke

  • Studies of stroke in young adults

  • Mobile telemedicine for accelerated prehospital evaluation

  • Clinical trials of investigational drugs for acute stroke, and of strategies to prevent recurrent stroke and to improve recovery from stroke

  • Studies of outcome after stroke, including predictors of return to work after stroke

  • Studies of the role of exercise in recovery after stroke, including exercise-induced brain neuroplasticity

Services to Physicians

  • Brain Attack Team Consultation with acute stroke specialist 24 hours/day, 7 days per week, at Maryland ExpressCare, 410-328-1234

  • Specialty consultation for patients with complicated cerebrovascular disease

  • Multidisciplinary patient care conferences with medical, surgical and interventional radiology specialists

  • Coordinated stroke care from prevention through acute presentation rehabilitation and long term recover


To contact the Stroke Center or the Brain Attack Center, call 410-328-4323.