Shervin R. Dashti, M.D., Ph.D., was able to remove a clot from the patient’s left middle cerebral artery, which was the cause of the patient’s stroke symptoms.

Published: April 14, 2021 | Updated: February 10, 2025

Shervin R. Dashti, M.D., Ph.D., was able to remove a clot from the patient’s left middle cerebral artery, which was the cause of the patient’s stroke symptoms.

Presenting complaint

Patient presented to the emergency department at T.J. Samson Community Hospital in Cave City, Kentucky, with a sudden onset of right-sided weakness and aphasia.

Emergency medical services report

Air Methods KY 3 (of Somerset, Kentucky) was dispatched to T.J. Samson Community Hospital for rapid transport of a patient who was receiving alteplase and needed a higher level of care. The flight crew monitored the alteplase infusion during the 43-minute flight; closely monitored the patient’s vitals and neurological status. Upon landing safely at Norton Brownsboro Hospital, the crew handed off care of the patient to operating room staff.

Outcome

This patient underwent a successful emergency mechanical thrombectomy. Neurosurgeon Shervin R. Dashti M.D., Ph.D., was able to remove a clot from the patient’s left middle cerebral artery; which was the cause of the patient’s stroke symptoms. The cause of the patient’s stroke was cryptogenic. She made a complete recovery and was discharged home four days after her surgery.

• CT perfusion: Core infarction in the left middle cerebral artery (L MCA) territory

• Pre-MER angio: Reveals an occlusion on the L MCA M2 branch

• Clot removed from the L MCA

• Post-MER angio: Reveals revascularization of the L MCA

• Post-MER MRI: Reveals a small infarct within the left hemisphere

Norton Healthcare has the largest network of accredited stroke centers in the area and one of the leading organizations of the Norton Healthcare /UK Healthcare Stroke Care Network that has affiliate hospital members across the region.

• Norton Brownsboro Hospital’s designation as a Comprehensive Stroke Center by The Joint Commission and American Stroke Association represents the highest level of care.
• The Joint Commission also certified Norton Audubon Hospital and Norton Hospital as Primary Stroke Centers and Norton Women’s & Children’s Hospital as an Acute Stroke Ready Hospital.