Sanihah Abdul Halim
Department of Internal Medicine (Neurology), School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Mohamad Masykurin Mafauzy
Department of Emergency Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Nur Asma Sapiai
Department of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Nasibah Mohamad
Department of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Muhammad Ihfaz Ismail
Department of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Mohd Hafizuddin Husin
Department of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Bazli Md Yusoff
Department of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Muhammad Hafiz Hanafi
Rehabilitation Medicine Unit, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Muhammad Syahir Mohamad Fauzi
Department of Internal Medicine (Neurology), School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Wan Syahmi Wan Mohamad
Department of Emergency Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Song Yee Ang
Department of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysi
Diana Noma Fitzrol
Department of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Zaitun Zakaria
Department of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Al Hafiz Ibrahim
Rehabilitation Medicine Unit, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Wan Mohd Aiman Wan Ab Rahman
Rehabilitation Medicine Unit, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Nur Adilah Bokti
Department of Internal Medicine (Neurology), School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Laila Ab Mukmin
Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Mohamad Hasyizan Hassan
Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
W Mohd Nazaruddin W Hassan
Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Izzat Ismail
Universiti Sains Malaysia Specialist Hospital, Kubang Kerian, Kelantan, Malaysia
Rose Izura Abdul Hamid
Neurology Unit, Department of Medicine, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia
Saidatul Manera Mohd Daud
Neurology Unit, Department of Medicine, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia
Zulzamri Ismail
Universiti Sains Malaysia Specialist Hospital, Kubang Kerian, Kelantan, Malaysia
Salmi Zura Mohd Salleh
Universiti Sains Malaysia Specialist Hospital, Kubang Kerian, Kelantan, Malaysia
Rosni Mane
Universiti Sains Malaysia Specialist Hospital, Kubang Kerian, Kelantan, Malaysia
Kamarul Aryffin Baharuddin
Department of Emergency Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Mohd Shafie Abdullah
Department of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Ab Rahman Izaini Ghani
Department of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Zamzuri Idris
Department of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Jafri Malin Abdullah
Department of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Abstract
Stroke remains a significant global health burden and is the third leading cause of mortality in Malaysia. Despite advances in the management of acute ischaemic stroke through reperfusion therapies, such as intravenous thrombolysis and endovascular thrombectomy, access to these treatments remains limited in many parts of Malaysia due to high costs and infrastructural constraints. Universiti Sains Malaysia (USM) Specialist Hospital, located in Kelantan state, has transitioned into a comprehensive stroke centre, particularly addressing the needs of suburban and rural populations. USM Specialist Hospital has implemented a multidisciplinary, protocol-driven stroke service that encompasses a rapid triage system, 24-h neuroimaging, reperfusion therapies, a dedicated acute stroke unit, neurocritical care services, cerebrovascular neurosurgery services, and a comprehensive rehabilitation programme. This coordinated stroke management model has improved clinical outcomes, patient survival, and functional recovery rates. The USM Specialist Hospital experience highlights the importance of structured, multidisciplinary stroke care pathways in enhancing treatment access and optimising outcomes, particularly in resource-limited healthcare settings.
