Neurocritical Care

Our Program

The Neurocritical Care Program at Keck Medical Center of USC in Los Angeles treats patients who have had acute brain or spinal cord diseases such as stroke, aneurysms, hemorrhages or are recovering from surgery of the central nervous system or spine, or of the ear, nose and throat. Our team is composed of subspecialists in neurocritical care who are experts in managing the unique level of care required by patients with life-threatening neurologic illnesses.

Our Approach

The Neurocritical Care team, utilizing a dedicated neurointensive care unit, is led by neurointensivists who are trained in intensive care practices for patients with nervous system disorders or injuries. The team closely coordinates its efforts, working with neurologists, neurosurgeons, neuroradiologists and intensive care specialists who are working concurrently to manage neurological injury and speed up the patient’s recovery.

 

Conditions

Patients in the neurocritical care program at Keck Medical Center of USC in Los Angeles are often referred to the program from other physicians who determined the need for more advanced care. Many patients in the program are recovering from stroke, but the program team also treats other disorders requiring intensive care. Keck Medical Center of USC offers a highly specialized level of care and treatment for stroke and other cerebrovascular disorders, such as:

  • Aneurysm
  • Brain Tumors
  • Infections of the brain and spinal cord
  • Intracerebral hemorrhage
  • Ischemic stroke
  • Neuromuscular disorders
  • Spinal cord trauma
  • Subarachnoid hemorrhage
  • Symptomatic carotid occlusions
  • Symptomatic vasospasm
  • Traumatic brain injury

Treatments and Services

The multi-disciplinary team making up the Neurocritical Care Program at Keck Medical Center of USC can meet the needs of patients with acute stroke and other serious neurological and neurosurgical conditions by providing immediate, advanced treatment and neurocritical care.
Frequently, community hospitals will offer immediate, brain-saving treatment in their emergency departments and then transfer the patient to Keck Medical Center of USC for a higher level of care. Neurointensivists provide medical management for patients, while working alongside neurosurgeons and neurologist. Our patients have access to advanced treatments provided in other critical care locations at Keck Medical Center, if necessary, including:

  • Endovascular procedures with or without intravenous tissue plasminogen (tPA) – can reopen blocked arteries
  • Endovascular treatment of cerebral venous occlusion – can reopen blocked veins
  • Endovascular angioplasty and stenting – may be inserted to maintain blood flow
  • Surgical decompression for large cerebellar infarcts – can reduce swelling in the area of a blocked vessel, easing pressure on brain tissue
  • Surgical decompression for large hemispheric strokes – an operation that can reduce swelling caused by large-scale strokes
  • Extracranial-intracranial bypass surgery for symptomatic carotid occlusions – a surgical method that moves blood to an area affected by carotid artery blockage, by bypassing blood supply from outside to inside the cranium
  • Treatment for subarachnoid hemorrhage / aneurysm – treats bleeding and swollen blood vessels in the brain
  • Endovascular coiling of cerebral aneurysms – insertion of a catheter containing coils to the vessels of the brain and into the aneurysm. These coils are packed into the aneurysm, preventing blood flow from entering the aneurysm
  • Surgical clipping of cerebral aneurysms – an operation in which the surgeon clips off the base of an aneurysm, preventing blood from entering the aneurysm
  • Medical and endovascular treatment for symptomatic vasospasm
  • Treatment for intracerebral hemorrhage
  • Minimally invasive surgical hematoma evacuation – a number of techniques can drain bleeding on the brain’s surface, reducing pressure on brain tissue with minimal disruption of healthy tissue
  • Carotid endarterectomy – surgical removal of plaque from the inner walls of the carotid (and other) arteries, reducing the risk of ischemic stroke

Patient Information

Patients admitted to the Neurocritical Care Program at Keck Medical Center of USC in Los Angeles will be treated by a coordinated team of neurologists, neuroradiologists, medical intensive care specialists and surgeons.
Patients who have recently suffered a stroke or are in need of critical care can be transferred to Keck Hospital of USC by our Rapid Transport Program. Upon arrival at our hospital, the patient is rapidly admitted to our neurocritical care unit dedicated to patients with severe brain or spine injuries where they can receive cutting edge multi-disciplinary care and have access to specialized procedures and surgeries as needed.

Clinical Trials

Patients have the option of taking part in clinical trials being conducted at Keck Medical Center of USC. Participation in clinical trials helps provide invaluable information for future treatments and possibly a cure in the future. Learn about neurocritical care clinical trials at Keck Medical Center of USC in Los Angeles here:

Evaluating Accelerated Resolution of Intraventricular Hemorrhage Phase III (CLEAR III)

Our Team

Specialties
Neurology

Arun Paul Amar, MD

Accepting new patients
Associate Professor
Specialties
Neurosurgery, Endovascular Neurosurgery, Intracranial Pressure

Lilyana Amezcua, MD

Accepting new patients
Assistant Professor of Neurology
Specialties
Neurology, Neurology , Multiple Sclerosis
Specialties
Neurology

Frank Attenello, MD

Accepting new patients
Specialties
Neurosurgery, Brain and Tumor Neurosurgery, Brain Tumor

Susan Maria Axtell, PsyD

Accepting new patients
Clinical Associate Professor of Neurology (Clinician Educato ...
Specialties
Clinical Psychology, Psychology , Headache Neurology  View more

Christina J. Azevedo, MD

Accepting new patients
Assistant Professor of Clinical Neurology
Specialties
Neurology, Multiple Sclerosis

Kara Lynn Barton, LCSW

Accepting new patients
Specialties
Licensed Social Worker, Social Worker , Neurology
Specialties
Physical Medicine and Rehabilitation, Brain Injury and Stroke Rehabilitation, Spinal Cord Injury Medicine  View more
Specialties
Epilepsy Neurology, Neurology

Said R. Beydoun, MD

Accepting new patients
Professor of Clinical Neurology
Specialties
Neurology, Clinical Neurophysiology, Neuromuscular Medicine  View more

Sebina Bulic, MD

Accepting new patients
Specialties
Neurology, Vascular Neurology, Neurocritical Care  View more
Assistant Professor of Neurology
Specialties
Neurology, Multiple Sclerosis
Clinical Associate Professor of Neurology (Clinician Educato ...
Specialties
Neurology, Headache Neurology

Thomas C. Chen, MD, PhD

Accepting new patients
Professor of Neurological Surgery
Specialties
Neurosurgery, Spine Surgery, Brain Tumor  View more
Specialties
Neurology, Memory and Cognitive Disorders Neurology
Specialties
Otolaryngology, Neurotology, Otology
Specialties
Neurology, Brain Tumor

Helena Chang Chui, MD

Accepting new patients
Professor of Neurology
Specialties
Neurology, Brain Tumor
Specialties
Physician Assistant, Otology, Neurotology
Specialties
Clinical Psychology, Neuropsychology, Psychology  View more

Leila Darki, MD

Accepting new patients
Specialties
Neurology, Clinical Neurophysiology, Neuromuscular Medicine

Joni K. Doherty, MD

Accepting new patients
Associate Professor of Clinical Otolaryngology-Head and Neck ...
Specialties
Neurotology, Otolaryngology, Intracranial Pressure  View more
Specialties
Neurology

Benjamin Emanuel, DO

Accepting new patients
Clinical Associate Professor of Neurology (Clinician Educato ...
Specialties
Neurology, Brain Injury Medicine, Vascular Neurology  View more
Specialties
Neurology, Movement Disorders Neurology

Danielle Feigenbaum, MD

Accepting new patients
Specialties
Movement Disorders Neurology, Neurology

Steven L. Giannotta, MD

Accepting new patients
Chair, Neurological Surgery Professor of Neurological Surger ...
Specialties
Neurosurgery, Brain and Tumor Neurosurgery
Instructor Of Clinical Neurology
Specialties
Neurology, Headache Neurology

Jeffrey Alan Gluckstein, MD

Accepting new patients
Assistant Professor of Clinical Ophthalmology
Specialties
Neuro-Ophthalmology, Intracranial Pressure, Eye Thyroid Disease  View more

Kimberly K. Gokoffski, MD

Accepting new patients
Assistant Professor of Clinical Ophthalmology
Specialties
Neuro-Ophthalmology, Strabismus, Intracranial Pressure  View more

Hui (tory) Gong, MD

Accepting new patients
Assistant Professor of Clinical Neurology
Specialties
Neurology
Specialties
Neurology
Specialties
Neurology, Neurology
Clinical Associate Professor of Neurology (Clinician Educato ...
Specialties
Neurology, Headache Neurology
Specialties
Neurology, Epilepsy Neurology

John Peter Gruen, MD

Accepting new patients
Associate Professor
Specialties
Neurosurgery
Assistant Professor Of Clinical Otolaryngology-Head and Neck ...
Specialties
Head and Neck Surgery, Otolaryngology

Ronna Harris, LCSW

Accepting new patients
Specialties
Licensed Clinical Social Worker, Licensed Social Worker, Neurology

Christianne N. Heck, MD

Accepting new patients
Professor of Clinical Neurology
Specialties
Neurology, Epilepsy Neurology

Patrick C. Hsieh, MD

Accepting new patients
Professor of Clinical Neurological Surgery
Specialties
Neurosurgery, Spine Surgery

Jennifer S. Hui, MD

Accepting new patients
Assistant Professor of Neurology
Specialties
Neurology, Movement Disorders Neurology
Specialties
Nurse Practitioner, Neurology
Specialties
Neurology

Laura A. Kalayjian, MD

Accepting new patients
Assistant Professor of Neurology
Specialties
Clinical Neurophysiology, Neurology, Epilepsy Neurology
Specialties
Neurology
Specialties
Neurology, Neurosurgery
Specialties
Pediatrics, Neurology

May A. Kim-Tenser, MD

Accepting new patients
Associate Professor of Clinical Neurology
Specialties
Vascular Neurology, Neurocritical Care, Telestroke  View more

Niels C. Kokot, MD

Accepting new patients
Professor, Clinical Otolaryngology-Head and Neck Surgery
Specialties
Otolaryngology, Head and Neck Surgery

Mark Krieger, MD

Accepting new patients
Professor of Clinical Neurological Surgery Chief of Staff of ...
Specialties
Neurosurgery
Specialties
Neurology, Epilepsy Neurology
Specialties
Neurology, Vascular Neurology, Neurocritical Care

Daniel I. Kwon, MD

Accepting new patients
Associate Professor of Clinical Otolaryngology-Head and Neck ...
Specialties
Otolaryngology, Head and Neck Surgery
Specialties
Neurology

Brian Lee, MD

Accepting new patients
Director of Stereotactic and Functional Neurosurgery
Specialties
Neurosurgery, Movement Disorders Neurology, Functional Neurosurgery  View more
Assistant Professor of Clinical Radiology
Specialties
Neuroradiology, Diagnostic Radiology, Headache Neurology  View more
Professor of Neurology
Specialties
Neurology, Movement Disorders Neurology

Mark Andrew Liker, MD

Accepting new patients
Assistant Clinical Professor
Specialties
Neurosurgery
Specialties
Neurology, Neurology

Charles Yu Liu, MD, PhD

Accepting new patients
Professor of Neurological Surgery and Neurology
Specialties
Neurosurgery

John C. Liu, MD

Accepting new patients
Professor of Neurosurgery
Specialties
Neurosurgery, Spine Surgery
Specialties
Neurology
Specialties
Neurology
Specialties
Neurology

William J. Mack, MD

Accepting new patients
Professor of Neurosurgery
Specialties
Neurosurgery, Interventional Radiology, Endovascular Neurosurgery  View more
Specialties
Neurology
Instructor Of Clinical Neurology
Specialties
Headache Neurology, Neurology

Arousiak V. Maraian, MD

Accepting new patients
Assistant Professor of Clinical Neurology
Specialties
Neurology, Behavioral Medicine
Specialties
Neurology, Movement Disorders Neurology, Performance Arts Medicine
Assistant Professor of Clinical Neurology
Specialties
Neuropsychology, Neurology

J. Gordon Mccomb, MD

Accepting new patients
Professor of Neurological Surgery
Specialties
Neurosurgery
Specialties
Neurology, Epilepsy Neurology

Gail A. Murdock, PhD

Accepting new patients
Specialties
Clinical Psychology, Psychology, Psychology  View more
Specialties
Neurology
Specialties
Neurocritical Care, Neurology, Telestroke  View more

John S. Oghalai, MD

Accepting new patients
Chair and Professor of Otolaryngology - Head and Neck Surger ...
Specialties
Neurotology, Otolaryngology, Otology
Specialties
Neurology

Andrew J. Petkus, PhD

Accepting new patients
Specialties
Clinical Psychology, Psychology , Neurology

Giselle Maria Petzinger, MD

Accepting new patients
Assistant Professor of Neurology
Specialties
Neurology, Movement Disorders Neurology
Instructor of Clinical Neurology
Specialties
Multiple Sclerosis, Headache Neurology, Neurology
Specialties
Neurocritical Care, Neurology
Specialties
Neurology
Clinical Assistant Professor of Neurology (Clinician Educato ...
Specialties
Headache Neurology, Intracranial Pressure, Neurology

John M. Ringman, MD

Accepting new patients
Professor of Clinical Neurology
Specialties
Neurology, Memory and Cognitive Disorders Neurology
Specialties
Neurology, Neuromuscular Medicine

Emily Rose Rorden, NP-C

Accepting new patients
Specialties
Neurology

Jonathan J. Russin, MD

Accepting new patients
Assistant Professor of Clinical Neurological Surgery
Specialties
Neurosurgery, Endovascular Neurosurgery

Michael Safaee, MD

Accepting new patients
Assistant Professor Of Clinical Neurological Surgery
Specialties
Neurosurgery, Spine Surgery
Clinical Professor of Neurology
Specialties
Neurology, Neuromuscular Medicine, Headache Neurology  View more

Nerses Sanossian, MD

Accepting new patients
Associate Professor of Neurology
Specialties
Vascular Neurology, Neurocritical Care, Neuroimaging  View more
Specialties
Neurology
Specialties
Neurology, Memory and Cognitive Disorders Neurology
Specialties
Otolaryngology, Neurotology, Otology

Uttam K. Sinha, MD

Accepting new patients
Professor of Otolaryngology-Head and Neck Surgery
Specialties
Otolaryngology, Head and Neck Surgery
Clinical Assistant Professor of Neurology (Clinician Educato ...
Specialties
Neurology, Headache Neurology
Specialties
Otolaryngology, Head and Neck Surgery

Mark S. Swanson, MD

Accepting new patients
Associate Professor of Clinical Otolaryngology-Head and Neck ...
Specialties
Otolaryngology, Head and Neck Surgery
Specialties
Neurology, Movement Disorders Neurology
Specialties
Speech-Language Pathology, Head and Neck Surgery, Otolaryngology
Assistant Professor Of Clinical Otolaryngology-Head and Neck ...
Specialties
Head and Neck Surgery
Specialties
Neurology, Multiple Sclerosis
Specialties
Neurology, Vascular Neurology

Matthew Tenser, MD

Accepting new patients
Specialties
Neurology, Vascular Neurology, Endovascular Neurosurgery  View more
Specialties
Physical Medicine and Rehabilitation, Neurology
Clinical Associate Professor of Otolaryngology-Head and Neck ...
Specialties
Speech-Language Pathology, Head and Neck Surgery
Associate Professor of Clinical Neurological Surgery
Specialties
Neurosurgery, Endovascular Neurosurgery, Vascular Neurosurgery
Specialties
Neuropsychology, Neurology
Specialties
Neurology, Movement Disorders Neurology
Specialties
Neurology
Specialties
Physical Medicine and Rehabilitation, Neurology

Gabriel Zada, MD

Accepting new patients
Director, USC Brain Tumor Center
Specialties
Neurosurgery, Brain and Tumor Neurosurgery, Brain Tumor

Frank Attenello, MD

Accepting new patients
Specialties
Neurosurgery, Brain and Tumor Neurosurgery, Brain Tumor

Thomas C. Chen, MD, PhD

Accepting new patients
Professor of Neurological Surgery
Specialties
Neurosurgery, Spine Surgery, Brain Tumor  View more

Steven L. Giannotta, MD

Accepting new patients
Chair, Neurological Surgery Professor of Neurological Surger ...
Specialties
Neurosurgery, Brain and Tumor Neurosurgery

Gabriel Zada, MD

Accepting new patients
Director, USC Brain Tumor Center
Specialties
Neurosurgery, Brain and Tumor Neurosurgery, Brain Tumor

Arun Paul Amar, MD

Accepting new patients
Associate Professor
Specialties
Neurosurgery, Endovascular Neurosurgery, Intracranial Pressure

William J. Mack, MD

Accepting new patients
Professor of Neurosurgery
Specialties
Neurosurgery, Interventional Radiology, Endovascular Neurosurgery  View more

Jonathan J. Russin, MD

Accepting new patients
Assistant Professor of Clinical Neurological Surgery
Specialties
Neurosurgery, Endovascular Neurosurgery

Matthew Tenser, MD

Accepting new patients
Specialties
Neurology, Vascular Neurology, Endovascular Neurosurgery  View more
Associate Professor of Clinical Neurological Surgery
Specialties
Neurosurgery, Endovascular Neurosurgery, Vascular Neurosurgery
Specialties
Epilepsy Neurology, Neurology

Christianne N. Heck, MD

Accepting new patients
Professor of Clinical Neurology
Specialties
Neurology, Epilepsy Neurology

Laura A. Kalayjian, MD

Accepting new patients
Assistant Professor of Neurology
Specialties
Clinical Neurophysiology, Neurology, Epilepsy Neurology
Specialties
Neurology, Epilepsy Neurology
Specialties
Neurology, Epilepsy Neurology
Specialties
Neurology, Epilepsy Neurology
Assistant Professor Of Clinical Otolaryngology-Head and Neck ...
Specialties
Head and Neck Surgery, Otolaryngology

Niels C. Kokot, MD

Accepting new patients
Professor, Clinical Otolaryngology-Head and Neck Surgery
Specialties
Otolaryngology, Head and Neck Surgery

Daniel I. Kwon, MD

Accepting new patients
Associate Professor of Clinical Otolaryngology-Head and Neck ...
Specialties
Otolaryngology, Head and Neck Surgery

Uttam K. Sinha, MD

Accepting new patients
Professor of Otolaryngology-Head and Neck Surgery
Specialties
Otolaryngology, Head and Neck Surgery

Mark S. Swanson, MD

Accepting new patients
Associate Professor of Clinical Otolaryngology-Head and Neck ...
Specialties
Otolaryngology, Head and Neck Surgery
Assistant Professor Of Clinical Otolaryngology-Head and Neck ...
Specialties
Head and Neck Surgery
Specialties
Otolaryngology, Head and Neck Surgery
Specialties
Speech-Language Pathology, Head and Neck Surgery, Otolaryngology
Clinical Associate Professor of Otolaryngology-Head and Neck ...
Specialties
Speech-Language Pathology, Head and Neck Surgery

Susan Maria Axtell, PsyD

Accepting new patients
Clinical Associate Professor of Neurology (Clinician Educato ...
Specialties
Clinical Psychology, Psychology , Headache Neurology  View more
Clinical Associate Professor of Neurology (Clinician Educato ...
Specialties
Neurology, Headache Neurology
Clinical Associate Professor of Neurology (Clinician Educato ...
Specialties
Neurology, Headache Neurology
Assistant Professor of Clinical Radiology
Specialties
Neuroradiology, Diagnostic Radiology, Headache Neurology  View more
Clinical Assistant Professor of Neurology (Clinician Educato ...
Specialties
Headache Neurology, Intracranial Pressure, Neurology
Clinical Professor of Neurology
Specialties
Neurology, Neuromuscular Medicine, Headache Neurology  View more
Clinical Assistant Professor of Neurology (Clinician Educato ...
Specialties
Neurology, Headache Neurology
Instructor Of Clinical Neurology
Specialties
Neurology, Headache Neurology
Instructor Of Clinical Neurology
Specialties
Headache Neurology, Neurology
Instructor of Clinical Neurology
Specialties
Multiple Sclerosis, Headache Neurology, Neurology

Jeffrey Alan Gluckstein, MD

Accepting new patients
Assistant Professor of Clinical Ophthalmology
Specialties
Neuro-Ophthalmology, Intracranial Pressure, Eye Thyroid Disease  View more

Kimberly K. Gokoffski, MD

Accepting new patients
Assistant Professor of Clinical Ophthalmology
Specialties
Neuro-Ophthalmology, Strabismus, Intracranial Pressure  View more
Specialties
Neurology

Lilyana Amezcua, MD

Accepting new patients
Assistant Professor of Neurology
Specialties
Neurology, Neurology , Multiple Sclerosis
Specialties
Neurology

Susan Maria Axtell, PsyD

Accepting new patients
Clinical Associate Professor of Neurology (Clinician Educato ...
Specialties
Clinical Psychology, Psychology , Headache Neurology  View more

Christina J. Azevedo, MD

Accepting new patients
Assistant Professor of Clinical Neurology
Specialties
Neurology, Multiple Sclerosis
Specialties
Physical Medicine and Rehabilitation, Brain Injury and Stroke Rehabilitation, Spinal Cord Injury Medicine  View more
Specialties
Epilepsy Neurology, Neurology

Said R. Beydoun, MD

Accepting new patients
Professor of Clinical Neurology
Specialties
Neurology, Clinical Neurophysiology, Neuromuscular Medicine  View more

Sebina Bulic, MD

Accepting new patients
Specialties
Neurology, Vascular Neurology, Neurocritical Care  View more
Assistant Professor of Neurology
Specialties
Neurology, Multiple Sclerosis
Clinical Associate Professor of Neurology (Clinician Educato ...
Specialties
Neurology, Headache Neurology
Specialties
Neurology, Brain Tumor

Helena Chang Chui, MD

Accepting new patients
Professor of Neurology
Specialties
Neurology, Brain Tumor
Specialties
Clinical Psychology, Neuropsychology, Psychology  View more

Leila Darki, MD

Accepting new patients
Specialties
Neurology, Clinical Neurophysiology, Neuromuscular Medicine

Benjamin Emanuel, DO

Accepting new patients
Clinical Associate Professor of Neurology (Clinician Educato ...
Specialties
Neurology, Brain Injury Medicine, Vascular Neurology  View more

Danielle Feigenbaum, MD

Accepting new patients
Specialties
Movement Disorders Neurology, Neurology

Hui (tory) Gong, MD

Accepting new patients
Assistant Professor of Clinical Neurology
Specialties
Neurology
Specialties
Neurology
Specialties
Neurology, Neurology
Clinical Associate Professor of Neurology (Clinician Educato ...
Specialties
Neurology, Headache Neurology

Christianne N. Heck, MD

Accepting new patients
Professor of Clinical Neurology
Specialties
Neurology, Epilepsy Neurology

Jennifer S. Hui, MD

Accepting new patients
Assistant Professor of Neurology
Specialties
Neurology, Movement Disorders Neurology
Specialties
Neurology

Laura A. Kalayjian, MD

Accepting new patients
Assistant Professor of Neurology
Specialties
Clinical Neurophysiology, Neurology, Epilepsy Neurology
Specialties
Neurology, Neurosurgery
Specialties
Pediatrics, Neurology

May A. Kim-Tenser, MD

Accepting new patients
Associate Professor of Clinical Neurology
Specialties
Vascular Neurology, Neurocritical Care, Telestroke  View more
Specialties
Neurology, Epilepsy Neurology
Specialties
Neurology, Vascular Neurology, Neurocritical Care

Brian Lee, MD

Accepting new patients
Director of Stereotactic and Functional Neurosurgery
Specialties
Neurosurgery, Movement Disorders Neurology, Functional Neurosurgery  View more
Assistant Professor of Clinical Radiology
Specialties
Neuroradiology, Diagnostic Radiology, Headache Neurology  View more
Professor of Neurology
Specialties
Neurology, Movement Disorders Neurology
Specialties
Neurology, Neurology
Specialties
Neurology
Specialties
Neurology

Arousiak V. Maraian, MD

Accepting new patients
Assistant Professor of Clinical Neurology
Specialties
Neurology, Behavioral Medicine