James S. Castle, M.D.

James S. Castle, M.D.

James S. Castle, M.D.

Log into NorthShoreConnect

Profile

Personal Bio

Treatment Philosophy

In an age of typing on computers, I pride myself on trying to listen to the patient while they are speaking. I try my best to address their concerns.

Personal Interests

Freshwater fishing and ballgames with my family.

Conditions & Procedures

Conditions

Alzheimer's Disease, Carotid Stenosis, Cerebral Embolism, Cerebral Hemorrhage, Cerebral Thrombosis, Cerebral Vasculitis, Cerebrovascular Accident (CVA), Intracerebral Hemorrhage (ICH), Mild Cognitive Impairment (MCI), Stroke, Subarachnoid Hemorrhage (SAH), Subdural Hematoma (SDH), Temporal Arteritis, Transient Ischemic Attack (TIA), Vascular Dementia, Vasculitis

General Information

Gender

Male

Affiliation

NorthShore Medical Group

Expertise

Neurology, Stroke

Academic Rank

Clinical Assistant Professor

Languages

English

Board Certified

Neurology, Vascular Neurology

Clinical Service

Neurology

Education, Training & Fellowships

Medical School

Yale University School of Medicine, 2002

Internship

Georgetown University Hospital, 2003

Residency

Johns Hopkins Hospital, 2006

Fellowship

Stanford University School of Medicine, 2007

Locations

A

NorthShore Medical Group

757 Park Ave. West
Suite 2850
Highland Park, IL 60035
847.570.2570 847.926.5353 fax This location is wheelchair accessible.

Insurance

Every effort has been made to ensure the accuracy of the information in this directory. However, some changes may occur between updates. Please check with your provider to ensure that he or she participates in your health plan.

Aetna HMO/PPO/POS
BCBS HMOI
BCBS PPO *except Blue Choice IL
Beechstreet PPO
CCN PPO
CIGNA Choice Fund
CIGNA Choice Fund PPO
CIGNA EPO
CIGNA Network
CIGNA Network Open Access
CIGNA POS
CIGNA POS Open Access
CIGNA PPO
CIGNA:Open Access Plus
First Health PPO
Galaxy PPO
Great West POS
Great West PPO
Healthcares Finest Network PPO
Humana Choice Care PPO
Humana IPA--HMO
Humana POS
Humana PPO
Land of Lincoln
Medicare
Multiplan Admar PPO
Multiplan Formost PPO
Multiplan Health Network PPO
Multiplan Wellmark PPO
NorthShore Employee Network I (EPO Option)
NorthShore Employee Network II (EPO Plus & CDHP)
PHCS PPO
Preferred Plan PPO
Railroad Medicare - Cook County
UHC *except Core & Navigate
Unicare PPO

Publications

  • Agreement regarding diagnosis of transient ischemic attack fairly low among stroke-trained neurologists.

    Stroke; a journal of cerebral circulation 2010 Jul

    Authors: Castle J,
    Abstract
    Agreement between physicians to define the likelihood of a transient ischemic attack (TIA) remains poor. Several studies have compared neurologists with nonneurologists, and neurologists among themselves, but not between fellowship-trained stroke neurologists. We investigated the diagnostic agreement in 55 patients with suspected TIA.
    The history and physical examination findings of 55 patients referred to the Stanford TIA clinic from the Stanford emergency room were blindly reviewed by 3 fellowship-trained stroke neurologists who had no knowledge of any test results or patient outcomes. Each patient's presentation was rated as to the likelihood that the presentation was consistent with TIA. We used 3 different scales (2-, 3-, and 4-point scales) to define TIA likelihood. We assessed global agreement between the raters and evaluated the biases related to individual raters and scale type.
    The agreement between fellowship-trained stroke neurologists remained poor regardless of the rating system used and the statistical test used to measure it. Difference in rating bias among all raters was significant for each scale: P=0.001, 0.012, and <0.001. In addition, for each reviewer, the rate of labeling an event an "unlikely TIA" progressively decreased with the number of points that composed the scale.
    TIA remains a highly subjective diagnosis, even among stroke subspecialists. The use of confirmatory testing beyond clinical judgment is needed to help solidify the diagnosis. Caution should be used when diagnosing an event as a possible TIA.
    PMID: 20508192 [PubMed - as supplied by publisher]

In the News

Oct 2013

Social Media

× Alternate Text