TriStar Skyline is Tennessee’s first comprehensive stroke center and is considered a national leader in neuroscience. From telehealth technology, to advanced treatments for epilepsy and stroke, we make top-notch neurological care easily accessible to patients in Middle Tennessee.
The TriStar Skyline interdisciplinary neuroscience team is made up of:
- Emergency medical providers
- Emergency medicine physicians
- Diagnostic and interventional radiologists
- Intensivists and hospitalists
For a free physician referral, call TriStar MedLine® at (615)342-1919 .
Neurological conditions we treat
- Stroke and aneurysms
- Vascular malformations
- Spine injuries
- Nervous system infections, like meningitis, encephalitis, Guillain-Barre
- Brain and spinal cord tumors
- Ocular and vestibular disturbances
- Movement disorders
- Degenerative disorders
- Headache and chronic pain
- Sleep disorders
One of the primary stroke treatments we offer is intravenous alteplase, which is a drug that breaks up and dissolves blood clots. Alteplase is used to treat ischemic strokes and needs to be given within a specified time frame to decrease the disabilities that can be a result of stroke.
The American Heart Association has put an emphasis on decreasing the “door to treatment” times for patients receiving intravenous alteplase, resulting in improved treatment times across the country. TriStar Skyline has established a team approach to ensure timely treatment of stroke.
TriStar Skyline uses cerebral arteriograms, also called cerebral angiograms, to see inside the arteries in the neck and head. This test is used to check for blocked or damaged arteries. TriStar Skyline not only treats stroke, but works to prevent stroke through technology like the cerebral arteriogram.Getting enough B vitamins may help prevent stroke.
The experienced team at TriStar Skyline specializes in the diagnosis and treatment of movement disorders, including:
- Parkinson’s disease
- Essential tremor
- Multiple system atrophy
- Corticobasal degeneration
- Progressive supranuclear palsy
- Tourette syndrome
- Huntington disease
- Wilson disease
- Restless leg syndrome>
Deep brain stimulation
Deep brain stimulation (DBS) is a minimally-invasive, non-destructive and reversible technique to help patients with movement disorders, psychiatric disorders, seizures and certain types of chronic pain.
Intrathecal baclofen therapy
Intrathecal baclofen therapy (ITB) is an approved treatment by the U.S. Food and Drug Administration for severe spasticity. ITB therapy delivers a medication called Lioresal® directly to the space where fluid flows around the spinal cord using a baclofen pump. The delivery of Lioresal® directly to the spinal fluid allows for spasticity to be decreased, while simultaneously decreasing the possible side effects of oral medications.
Our multidisciplinary team works collaboratively to exceed national benchmarks for stroke care and treatment, resulting in better outcomes for our patients:
- Alteplase Treatment Time (130): Median Door-to-Needle is 32 minutes. The Target: Stroke Goal is to achieve a door-to-needle time within 60 minutes from ischemic stroke patient arrival. strokeassociation.org
- Carotid Stents (28): 4% post-procedure complications
- Diagnostic Cerebral Angiograms (137): 0% post-procedure complications
- Mechanical Thrombectomy (94): 79% achieved a recanalization of TICI score 2b or greater. In the HERMÉS meta-analysis of recent thrombectomy trials (JAMA. [https://www.ncbi.nlm.nih.gov/pubmed/27673305] 2016 Sep 27;316(12):1279-88. doi: 10.1001/jama.2016.13647) there were a total of 634 attempted thrombectomies, with 390 achieving "substantial reperfusion." That's 62%, so our performance compares favorably.