Comprehensive Stroke Center

Queen’s Neuroscience Institute is pleased to be Hawaii’s first Comprehensive Stroke Center designated by The Joint Commission. Our team and facility are prepared 24/7 to deliver advanced stroke treatments for the most complex stroke cases, and provide access to the state’s only Neuroscience Intensive Care Unit (ICU). This means that stroke patients in Hawaii do not have to travel to the mainland for advanced stroke care.

Hospitals with the Primary Stroke Center or Comprehensive Stroke Center designation are considered "stroke ready" and have the infrastructure to administer "clot buster" medication. Only a Comprehensive Stroke Center can offer 24/7 access to:

In many stroke cases, these advanced treatments are needed to give the patient the best chance of recovery.

Type of Care



Patient Care

Cares for all types of stroke: ischemic and hemorrhagic, including complex cases requiring advanced technology and treatment

Treats most cases of ischemic stroke

Diagnostic Testing

24/7 availability of advanced imaging

Advanced imaging not required


24/7 on-site access to neurosurgical providers

Access within 2 hours to neurosurgical services

Treatment Capabilities

"Clot buster" medication;
neurointerventional and neurovascular surgery;
mechanical "clot retrieval" procedure

"Clot buster" medication

Neurocritical Care

Dedicated Neuroscience ICU available 24/7

Designated beds for stroke patients

Patient Transfers

Receives patients from Primary Stroke Centers after stabilization

Sends patients with complex stroke cases to a Comprehensive Stroke Center


Participates in patient-centered research

Not required

A stroke, or "brain attack", occurs when a blood vessel bringing oxygen and nutrients to the brain is clogged by a blood clot (ischemic stroke) or bursts (hemorrhagic stroke).

Brain cells are very sensitive to a lack of oxygen and can die within a few minutes of stroke onset. Approximately 1.9 million brain cells are damaged every minute during the stroke.

Early recognition of stroke symptoms and immediate treatment to restore the blood flow could save your brain and your life.

Spot A Stroke

Queen’s Obstetric Neurovascular Service is the first of its kind in the country, providing comprehensive care for pregnant women with complex neurovascular conditions. From pregnancy through postpartum care, our multidisciplinary neurovascular team coordinates with all clinicians to offer individualized care to ensure the well-being of both mother and baby, as well as 24/7 access to the specialized Neuroscience Intensive Care Unit and minimally invasive endovascular neurosurgical expertise.

Our obstetrical management includes conditions with increased risk of stroke during pregnancy such as:

  • Cerebral aneurysm
  • Arteriovenous malformation (AVM)
  • Dural arteriovenous fistula
  • Intracranial/extracranial arterial dissection
  • Moyamoya disease
  • Hypercoagulable disorder
  • Cerebral venous sinus thrombosis
  • History of stroke during prior pregnancy

To learn more about our services, or to make an appointment, call Queen’s Obstetric Neurovascular Service at 808-691-8866.

Located at Queen’s Neuroscience Institute Outpatient Center in Physicians Office Building 3 (POB3)

Our Team
Kazuma Nakagawa, MD, Neurovascular and Neurocritical Care
Scott A. Harvey, MD, Obstetric Critical Care
Sung Bae Lee, MD, Neurointerventional Surgery

Through telemedicine, our stroke neurologists can rapidly examine and treat stroke patients who live in remote regions that may lack neurological expertise.

Our doctors are currently providing emergency stroke consultation at hospitals across the state to provide the best stroke care beyond Queen's Punchbowl campus.

Our stroke quality measures (Stroke Core Measures) and our performance compared to the national average on demonstrates superior quality of stroke care.

To learn more about our services, or to schedule an appointment with the Comprehensive Stroke Center, please call Queen’s Neuroscience Institute Outpatient Center at 808-691-8866.

Located at the Queen’s Neuroscience Institute Outpatient Center in Physicians Office Building 3 (POB3)

Our Stroke Team
Cherylee Chang, MD
Matthew Koenig, MD
Sung Bae Lee, MD
Kazuma Nakagawa, MD
Rony Salem, MD
Ashley Chadwick, APRN
Tiffany Hoke, APRN
Jennifer Moran, APRN
Elizabeth O'Neil, APRN
Jason Pureza, APRN
Sanders Sandoval, APRN
Michelle Sato, APRN
Kristen Shaw, APRN
Malia Woolsey, APRN