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Overview Stroke at a young age: You are not alone Most people do not realize that stroke can strike at any age: when we are at the top of our careers, when we are beginning to raise a family, when we are still in school, when we are children, or even at the moment we are born or still in the womb. Most strokes do not result in our deaths. Most of us will recover. However, many of us will be left with some disability or persistent symptoms: difficulty speaking, difficulty walking, difficulty seeing in part of our vision, stiffness or pain in our limbs, lightheadedness and dizziness, headache, fatigue, depression and anxiety. This can slow us down, stop us in our tracks and keep us from fulfilling our dreams. With the help of experts in specialties across Tufts Medical Center, Vascular Neurologist Lester Y. Leung, MD has built a comprehensive, longitudinal care program to help young adult and pediatric stroke survivors navigate their lives after stroke. The Stroke and Young Adults (SAYA) Program is built to help identify causes of your stroke, optimize prevention of future strokes, estimate your risk for recurrent stroke and late complications of stroke, and provide counseling on stroke survivorship. Learn more about the causes and symptoms of stroke. Typical current models for treating and guiding individuals after their strokes often do not account for long-term survival: many stroke survivors live with the specter of stroke for the rest of their lives. However, you do not have to live in fear. You do not have to downscale your ambitions and dreams. Together, we will aim to help you live a full life: happy, strong, and more than just a victim of stroke. You are a stroke survivor, and you are not alone. The SAYA Program at Tufts Medical Center in Boston, MA is constantly growing and seeking to help more stroke survivors. Please contact us at 617-636-5848 if you are a stroke survivor or know one who might benefit from our program. Understanding your risk Young adult stroke survivors are often susceptible to medical complications including: More strokes (ischemic strokes or hemorrhages) Cardiovascular diseases Cancer Depression Anxiety Neurologic complications including seizures (epilepsy), cognitive impairment, and more. However, these risks are not the same for each individual, and these risks can change with time, treatment, and lifestyle changes. We want to help you understand and estimate your health risks, develop and implement strategies for minimizing those risks, and not be afraid to live your life well. Post-Stroke Care Long-term, comprehensive care after stroke Many young adults with stroke are diagnosed with cryptogenic stroke, a stroke resulting from an unknown cause that deprives part of the brain of oxygen and nutrients, resulting in permanent damage. The Stroke and Young Adults Program aims to identify this cause with advanced testing tailored to individual patients: your symptoms, your story, your health. If the cause of your stroke can be identified, we are committed to finding it. While many people who have had a stroke are left with persistent symptoms or neurologic deficits, young adults with stroke have to manage these issues over decades of life. At the SAYA Program, we are committed to helping you navigate your life after stroke for as long as we can help. We will work with you to: Minimize your risk of future strokes (resulting from the same cause as the first stroke or other causes that might develop over time) Manage persistent symptoms (language problems, weakness, spasticity, neuropathic pain, headache, lethargy, etc.) Provide surveillance and treatment for late complications (epilepsy, depression, cognitive impairment, adverse effects to treatments, etc.) We will work closely with your primary care physician and other specialists to coordinate your care in a holistic manner. Survivorship Tufts Medical Center specializes in providing survivorship services to adults who have suffered stroke earlier in life. Our survivorship program recognizes that there is no “one-size-fits-all” approach to recovery. As best as we can, we will help you try to return to your old life, or we will help you adapt and find enjoyment in your new life. Young adult stroke survivors are often susceptible to medical complications including: More strokes (ischemic strokes or hemorrhages) Cardiovascular diseases Cancer Depression Anxiety Neurologic complications including seizures (epilepsy), cognitive impairment, and more. Young adults are also susceptible to non-medical complications including: Difficulty returning to work Strain on relationships Problems with intimacy and sexual relations Difficulty with returning to driving Social isolation However, these risks are not the same for each individual, and these risks can change with time, treatment, and lifestyle changes. We want to help you understand and estimate your health risks, develop and implement strategies for minimizing those risks, and not be afraid to live your life well. Besides guiding you in the clinic, we also have periodic events hosted by the SAYA Social Support Group, a group of young adult stroke survivors in our program. The events are generally social and/or educational events that help you: Break the tendency to isolate oneself after stroke Learn from the experiences of other stroke survivors Form friendships with other stroke survivors Learn about lifestyle changes you can make to improve your health from our stroke specialists and therapists And have some fun! On prior occasions we have organized events including: Painting classes Candlepin bowling Mini-golf Gathering for coffee and pastries at a bakery Doctors + Care Team Request Appointment David E. Thaler, MD, PhD, FAHA Title(s): Neurologist-in-Chief; Chairman and Professor, Department of Neurology, Tufts University School of Medicine Department(s): Neurology Appt. Phone: 617-636-4948 Fax #: 617-636-8199 Stroke View Full Profile Request Appointment Zachary W. Bohart, MD Title(s): Adult Physiatrist; Assistant Professor, Tufts University School of Medicine Department(s): Physical Medicine and Rehabilitation Appt. Phone: 617-636-5631 Fax #: 617-636-2551 Spasticity and tone management including stroke, multiple sclerosis, spinal cord injury, traumatic brain injury View Full Profile Request Appointment Cara Clifford, MA, CCC-SLP Title(s): Speech Language Pathologist Department(s): Speech Language Pathology and Audiology Appt. Phone: 617-636-5220 Fax #: 617-636-0583 Cognitive, speech and language intervention including diagnostic, rehabilitation and therapeutic services for individuals with developmental and acquired neurological impairments View Full Profile Request Appointment Bryan K. Ho, MD Title(s): Director, Movement Disorders Program; Director, Medical Student Education; Neurologist; Assistant Professor, Tufts University School of Medicine Department(s): Neurology Appt. Phone: 617-636-4948 Fax #: 617-636-8199 Movement disorders View Full Profile Thomas Laudate, PhD Title(s): Clinical Neuropsychologist; Assistant Professor, Tufts University School of Medicine Department(s): Neurology, Neuropsychology Appt. Phone: 617-636-5423 Fax #: 617-636-8199 Cognitive assessment of memory problems, dementia (major neurocognitive disorder), mild cognitive impairment, epilepsy, brain tumor, neurobehavioral disorders, traumatic brain injury, developmental syndromes (e.g., attention-deficit/hyperactivity disorder), and other acute, acquired, and degenerative conditions View Full Profile Request Appointment Lester Y. Leung, MD, MSc Title(s): Director, Comprehensive Stroke Center; Director, Stroke and Young Adults (SAYA) Program; Assistant Professor, Tufts University School of Medicine Department(s): Neurology Appt. Phone: 617-636-4948 Fax #: 617-636-8199 Vascular neurology including stroke in young adults, ischemic stroke, intracerebral hemorrhage, cerebral venous sinus thrombosis, dissection, reversible cerebral vasoconstriction syndrome, vascular malformations, silent strokes and survivorship View Full Profile Request Appointment Emiliya Melkumova, MD Title(s): Director, Stroke Consult Services; Associate Director of Neurology Residency; Assistant Professor of Neurology, Tufts University School of Medicine Department(s): Neurology Appt. Phone: 617-636-5848 Fax #: 617-636-8199 Stroke View Full Profile Katelyn Skeels, MSN, FNP-C Title(s): Stroke Advanced Practice Nurse Department(s): Neurology, Comprehensive Stroke Center Appt. Phone: 617-636-5848 Fax #: stroke View Full Profile
Request Appointment David E. Thaler, MD, PhD, FAHA Title(s): Neurologist-in-Chief; Chairman and Professor, Department of Neurology, Tufts University School of Medicine Department(s): Neurology Appt. Phone: 617-636-4948 Fax #: 617-636-8199 Stroke View Full Profile Request Appointment Zachary W. Bohart, MD Title(s): Adult Physiatrist; Assistant Professor, Tufts University School of Medicine Department(s): Physical Medicine and Rehabilitation Appt. Phone: 617-636-5631 Fax #: 617-636-2551 Spasticity and tone management including stroke, multiple sclerosis, spinal cord injury, traumatic brain injury View Full Profile Request Appointment Cara Clifford, MA, CCC-SLP Title(s): Speech Language Pathologist Department(s): Speech Language Pathology and Audiology Appt. Phone: 617-636-5220 Fax #: 617-636-0583 Cognitive, speech and language intervention including diagnostic, rehabilitation and therapeutic services for individuals with developmental and acquired neurological impairments View Full Profile Request Appointment Bryan K. Ho, MD Title(s): Director, Movement Disorders Program; Director, Medical Student Education; Neurologist; Assistant Professor, Tufts University School of Medicine Department(s): Neurology Appt. Phone: 617-636-4948 Fax #: 617-636-8199 Movement disorders View Full Profile Thomas Laudate, PhD Title(s): Clinical Neuropsychologist; Assistant Professor, Tufts University School of Medicine Department(s): Neurology, Neuropsychology Appt. Phone: 617-636-5423 Fax #: 617-636-8199 Cognitive assessment of memory problems, dementia (major neurocognitive disorder), mild cognitive impairment, epilepsy, brain tumor, neurobehavioral disorders, traumatic brain injury, developmental syndromes (e.g., attention-deficit/hyperactivity disorder), and other acute, acquired, and degenerative conditions View Full Profile Request Appointment Lester Y. Leung, MD, MSc Title(s): Director, Comprehensive Stroke Center; Director, Stroke and Young Adults (SAYA) Program; Assistant Professor, Tufts University School of Medicine Department(s): Neurology Appt. Phone: 617-636-4948 Fax #: 617-636-8199 Vascular neurology including stroke in young adults, ischemic stroke, intracerebral hemorrhage, cerebral venous sinus thrombosis, dissection, reversible cerebral vasoconstriction syndrome, vascular malformations, silent strokes and survivorship View Full Profile Request Appointment Emiliya Melkumova, MD Title(s): Director, Stroke Consult Services; Associate Director of Neurology Residency; Assistant Professor of Neurology, Tufts University School of Medicine Department(s): Neurology Appt. Phone: 617-636-5848 Fax #: 617-636-8199 Stroke View Full Profile Katelyn Skeels, MSN, FNP-C Title(s): Stroke Advanced Practice Nurse Department(s): Neurology, Comprehensive Stroke Center Appt. Phone: 617-636-5848 Fax #: stroke View Full Profile
Mayra’s story: Surviving stroke, managing motherhood Read about Mayra's stroke and OB care at Tufts MC Paul’s Story: Recovering from stroke, one step at a time Learn more about Paul's journey back to health Lester Y. Leung, MD named Director of the Comprehensive Stroke Center at Tufts MC. Meet Dr. Leung What are the common stroke symptoms in young adults? Lester Leung, MD addresses this question and more in an interview with YourHealthRadio.org. Listen to the interview When Stroke Strikes Early In Life Learn about the SAYA program Time is brain: Recognize the signs of a stroke and take action quickly - every minute counts. Know the signs Working Together: New Program a Stroke of Genius for Young Adults Read about Dr. Leung Boston Magazine: Stroke - Not Just for 55+: How Dr. Lester Y. Leung says we can help young adults move forward. Boston Magazine shares information about stroke in young adults prev next
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Neurosciences at Tufts Medical Center Learn about the amazing care and research that are happening in the neurology and neurosurgery departments of Tufts Medical Center. Watch our video
