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Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS

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Specializes in: Neurology (Brain & Spinal Cord Disease)

Professional interests include: stroke, traumatic brain injury, hydrocephalus, and more.

1505 SW Archer Road
Gainesville, FL 32608

(352) 294-5000

Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS is a neurologist in Gainesville, FL specializing in neurology (brain & spinal cord disease). Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS is affiliated with UF Health and FLORIDA CLINICAL PRACTICE ASSOCIATION INC.

Office Locations

UF Health

1505 SW Archer Road
Gainesville, FL 32608

(352) 294-5000

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1520 W Harrison Street Joan and Paul Rubschlager Building
Chicago, IL 60607

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Some issues Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS can help you with:

Hydrocephalus

Normally, the brain is bathed in a liquid called cerebrospinal fluid. This fluid cushions and nurtures the brain cells as it flows around and through the brain. Sometimes, cerebrospinal fluid does not get reabsorbed into the body properly, or a blockage in the brain can stop it from flowing. This causes a buildup of pressure called hydrocephalus. This condition affects a wide range of people, but it is much more prevalent among infants and older adults. Left untreated, hydrocephalus can cause uncomfortable symptoms, such as headaches and blurred vision, and eventually may cause brain damage.

Hydrocephalus is most often treated with an implanted device called a shunt. A shunt is a long, thin tube that is used to drain excess fluid. One end is placed within the brain. The tube runs under the skin, along the neck behind the ear, and to another part of the body where the fluid can be reabsorbed. Most often this is the abdomen, but the chest or other areas can also be used. Shunts have a valve that allows doctors to monitor and control the pressure within the brain. Insertion of a shunt is a surgical procedure that takes one to two hours. Incisions are made in the head and the abdomen, and the shunt is threaded into place before the openings are stitched closed.

In cases where hydrocephalus is caused by a blockage, a procedure called endoscopic third ventriculostomy, or ETV, may be performed. During this procedure, a surgeon makes a dime-sized hole in the skull and uses a thin tube with a camera on the end (called an endoscope) to see inside the brain. The surgeon punctures a hole in the floor of the third ventricle, a fluid-filled space within the brain. The hole provides an opening for cerebrospinal fluid to flow around the blockage, normalizing pressure. The entire procedure usually takes less than an hour and patients can often go home the following day. ETV can provide a permanent and safe alternative to a shunt, but it is only useful for patients whose hydrocephalus is caused by a blockage.

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Medicare Procedure and Patient Information

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS.

**Gender**
Male	55
Female	67

**Ethnicity**
Non-Hispanic White	41
Black	57
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	43
From 75 to 84	41
85 and over	14
Less than 65	24

Conditions of Medicare patients treated by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS in 2020

The most common conditions of Medicare patients that Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS treated during 2020 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	75
High Cholesterol	72
Stroke	53
Ischemic Heart Disease	69
Depression	37
Chronic Kidney Disease	67
Asthma	16
Osteoperosis	14
Atrial Fibrilation	20
Heart Failure	50
Chronic Obstructive Pulmonary Disease	28
Diabetes	55
Dementia	42
Cancer	20

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS treated as a neurologist in Gainesville, FL during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS for Medicare patients.

hospital care	130
inpatient care	130

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS.

**Gender**
Male	51
Female	52

**Ethnicity**
Non-Hispanic White	53
Black	31
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	33
From 75 to 84	35
85 and over	12
Less than 65	23

Conditions of Medicare patients treated by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS in 2021

The most common conditions of Medicare patients that Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS treated during 2021 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	74
Stroke	56
Ischemic Heart Disease	62
Depression	43
Chronic Kidney Disease	65
Asthma	14
Osteoperosis	12
Atrial Fibrilation	30
Heart Failure	51
Chronic Obstructive Pulmonary Disease	28
Diabetes	54
Dementia	38
Cancer	16

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS treated as a neurologist in Gainesville, FL during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS for Medicare patients.

hospital care	154
inpatient care	154

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS.

**Gender**
Male	64
Female	59

**Ethnicity**
Non-Hispanic White	65
Black	38
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	46
From 75 to 84	37
85 and over	14
Less than 65	26

Conditions of Medicare patients treated by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS in 2022

The most common conditions of Medicare patients that Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS treated during 2022 were high cholesterol, hypertension, stroke and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	74
Ischemic Heart Disease	50
Depression	44
Chronic Kidney Disease	46
Asthma	15
Osteoperosis	24
Atrial Fibrilation	33
Heart Failure	37
Chronic Obstructive Pulmonary Disease	24
Diabetes	47
Dementia	27
Cancer	16

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS treated as a neurologist in Gainesville, FL during 2023 were hospital care and inpatient care.

Volume of procedures performed by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS for Medicare patients.

hospital care	96
inpatient care	96

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS.

**Gender**
Male	54
Female	48

**Ethnicity**
Non-Hispanic White	76
Black	15
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	34
From 75 to 84	44
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS in 2023

The most common conditions of Medicare patients that Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS treated during 2023 were high cholesterol, hypertension, stroke and diabetes.

Hypertension	75
High Cholesterol	75
Stroke	65
Ischemic Heart Disease	38
Depression	42
Chronic Kidney Disease	38
Asthma	15
Osteoperosis	14
Atrial Fibrilation	39
Heart Failure	33
Chronic Obstructive Pulmonary Disease	26
Diabetes	46
Dementia	25
Cancer	26

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2020 - 2023

Volume of procedures performed by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS for Medicare patients.

The highest averages for the top procedures that Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS treated as a neurologist in Gainesville, FL were hospital care and inpatient care.

hospital care	126
inpatient care	126

Average Medicare Patient Data From 2020 - 2023

Information about Medicare patients treated by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS.

**Gender**
Male	56
Female	56

**Ethnicity**
Black / African American	35
Asian / Pacific Islander	0
Non-Hispanic White	58
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	39
85 and over	10
Less than 65	18
65 to 74	39

Average of Total of Conditions of Medicare patients treated by Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS From 2020 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS treated were hypertension, high cholesterol, stroke and chronic kidney disease.

Hypertension	75
High Cholesterol	74
Stroke	62
Ischemic Heart Disease	54
Depression	41
Chronic Kidney Disease	54
Asthma	15
Osteoporosis	16
Heart Failure	42
Chronic Obstructive Pulmonary Disease	26
Diabetes	50
Atrial Fibrillation	30
Dementia	33
Cancer	19

Education & Training

He has a state license in Illinois.

Licensed In: Illinois

Affiliations & Hospitals

Dr. Ivan Rocha Ferreira Da Silva, MD, PhD, FNCS is associated with these hospitals and organizations:

UF Health

FLORIDA CLINICAL PRACTICE ASSOCIATION INC

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Biography

Dr. Ivan Da Silva's specialty is neurology (brain & spinal cord disease). In addition to English, he speaks Portuguese. Clinical interests for Dr. Da Silva include brain aneurysm, empyema, and traumatic brain injury. He is affiliated with UF Health. He has received the distinction of Brazilian Academy of Medicine. According to Doctor.com, Dr. Da Silva is currently accepting new patients at his office in Gainesville, FL.