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Elizabeth Anne Bistrong, PhD is a psychologist in New York, NY specializing in psychology and pediatric neuropsychology. Elizabeth Anne Bistrong, PhD is affiliated with NYU Langone Health.
301 East 17th Street 5th Floor
New York, NY 10003
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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:
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.
She has a state license in New York.
Licensed In: New York
Elizabeth Anne Bistrong, PhD is associated with these hospitals and organizations:
Elizabeth Anne Bistrong, PhD appears to accept the following insurance providers: HIP EPO, HIP Access II, HIP Access I, MagnaCare PPO, Humana Medicare Advantage, Private Healthcare Systems (PHCS), BlueCross BlueShield of Florida, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare Indemnity, United Healthcare HMO, United Healthcare EPO, United Healthcare Choice, Aetna Open Access HMO, Vytra HMO, Healthfirst Medicaid, TRICARE, Anthem, Aetna PPO, Aetna HMO, Healthfirst Medicare, Blue Cross Blue Shield Medicare HMO, Aetna Open Access EPO, AARP, WellCare Medicare, WellCare, United Healthcare Medicare, Medicare Part B, Medicare Advantage, United Healthcare, Medicaid, Humana, Cigna, 1199SEIU, Guardian, Fidelis Care, HIP PPO, HIP POS, HIP HMO, Aetna, Aetna Medicare, HIP Child Health Plus, MultiPlan PPO, MultiPlan, GHI Medicare Supplement, United Healthcare Navigate, Aetna POS, First Health PPO, Great-West Healthcare HMO, Aetna Indemnity, Great-West Healthcare, Golden Rule, Community Care Network (CCN), MetroPlus Child Health Plus, Trustmark , MetroPlus Medicare, MetroPlus Medicaid, MetroPlus Health, Beech Street PPO, Kaiser Permanente, GHI HMO, CIGNA PPO, Group Health Incorporated (GHI), EmblemHealth, CIGNA HMO, CIGNA Indemnity, Healthfirst Child Health Plus, Elderplan, Medicaid Managed Care, TriWest, Blue Cross Blue Shield HMO, Blue Cross Blue Shield POS, Blue Cross Blue Shield EPO, Local 1199 PPO, Blue Cross Blue Shield Indemnity, US Family Health Plan, UnitedHealthcare, Blue Cross Blue Shield PPO, Railroad Medicare, GEHA, BCBS PPO - Empire PPO (Sunset Park/Family Health Center Employees), BCBS Healthplus Special Needs, BCBS PPO/EPO Small Group, Teamsters Allied Benefits, Healthfirst Green Leaf Exchange, Apwu Health Plan, Christian Brothers Services, Qualcare Inc, BCBS EPO - Empire EPO (Sunset Park/Family Health Center Employees), HIP Prime Silver Exchange, Healthfirst Essential Plan 1 & 2, Insurance Design Administrators, Health Net of California, Global Excel, Centers Plan For Healthy Living, Healthfirst Silver Leaf Exchange, BCBS Healthplus Essential Plan 4, BCBS Healthplus Essential Plan 3, BCBS Healthplus Essential Plan 2, BCBS Healthplus Essential Plan 1, American Plan Administrators, HIP Prime Platinum Exchange, BCBS Local 32BJ Employees, Healthfirst Platinum Leaf Exchange, HIP Prime Gold Exchange, Healthfirst Gold Total, Pro, Plus EPO, AXA Assistance USA, Fiserv Health, Mutual of Omaha, UMR, VillageCare, BCBS Mediblue Medicare PPO, BCBS Healthplus Gatekeeper exchange, BCBS EPO (LICH Employees), Screen Actors Guild, HIP Prime Silver, HIP Prime Bronze Exchange, Meritain Health, CenterLight Healthcare DIRECT, HIP VIP Medicare Bold, Administrative Concepts, HIP Bridge, Healthfirst Silver Total, Pro, Plus EPO, Connecticare Bridge, BCBS PPO (LICH Employees), BCBS Healthplus NY Child Health Plus NY, BCBS EPO - Empire NYU Care (NYU Langone Employees), River Spring Medicare HMP SNP, HIP Prime Bronze, Healthfirst Personal Wellness Plan, BCBS Blue Access EPO Small Group, BCBS Healthplus Mediblue Advantage, Connecticare Commercial, HIP Prime Gold, Healthfirst Platinum Total, Pro, Plus EPO, Health Republic of New Jersey, Nippon Life Ins Co, Healthfirst Essential Plan 3 & 4, HIP VIP Medicare Prime, New York Hotel Trades, HIP Prime Basic Exchange, Global Health, Healthfirst Bronze Leaf Exchange, HIP Prime Platinum, NYS Health Insurance Plan - The Empire Plan, Excelsior Plan, NY Student Employee Health Plan, US Life Insurance Company, BCBS Blue Access PPO Large Group, BCBS EPO - Empire EPO (NYU Langone Employees), Oxford Health Plans Liberty, Wlny-TV Inc., CenterLight Healthcare PACE, BCBS EPO - Empire NYU Care (Sunset Park/Family Health Center Employees), Hamaspik Choice Medicare DSNP, Medicare Part A and B, Healthfirst Gold Leaf Exchange, BCBS PPO (BlackRock Employees), Healthfirst Bronze Total, Pro, Plus EPO, BCBS Mediblue Select HMO/Extra HMO, IUOE Local 14-14B, Chesterfield Resources Inc, HIP Medicare Supplement, Diversified Administration Corporation, VNS NY Choice Select Health, WellNet, Bind Benefits inc, BCBS EPO (BlackRock Employees), Health And Recovery Plan (Harp), Centerlight Pace Medicare HMO, HIP Prime Catastrophic Exchange, Allied, Empire Mediblue Healthplus Dual, Qualcare Direct, Oxford Health Plans Freedom, Professional Benefit Admin, BCBS Blue Access GEPO Small Group, Wellfleet-NYU Student, Starmark, BCBS Blue Access EPO Large Group, Longevity Health Plan Medicare, CenterLight Healthcare Select and BCBS Federal Program.
According to our sources, Elizabeth Anne Bistrong, PhD accepts the following insurance providers:
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Dr. Elizabeth Bistrong's specialties are psychology and pediatric neuropsychology. Dr. Bistrong's clinical interests include cleft lip and palate, acute disseminated encephalomyelitis (ADEM), and angelman syndrome. She seems to honor Trustmark, Anthem, and Blue California, as well as other insurance carriers. She is professionally affiliated with NYU Langone Health.
