Success for thousands of patients with complex conditions and disorders of the brain and spine
Each year, neurosurgeons perform more than 500 computer-assisted, image-guided brain surgery for the advanced treatment of brain tumors, epilepsy and other conditions.
Spinal injuries and diseases are among the most complex and difficult of ailments. Millions suffer from the broad range of disease processes that can affect the spine, which include degenerative conditions such as lumbar and cervical disk diseases, rheumatoid arthritis, spinal cord and vertebral tumors, spinal cord malformations, trauma and infections.
A laminectomy is surgery that removes a small amount of bone from the spine to take pressure off nerves in the lower back. The surgery almost always reduces pain and numbness, allowing leg strength to improve.
The goal of a spinal fusion is to allow two or more vertebrae to grow together or fuse into one solid bone. If you suffer from pain in the moving parts of the spine (mechanical pain), the fusion can stop the excess motion between the vertebrae and reduce your pain.
Intrathecal pumps deliver small doses of medication directly to the spinal fluid. The device consists of a small battery-powered, programmable pump that is implanted under the subcutaneous tissue of the abdomen and connected to a small catheter tunneled to the site of spinal entry. Sophisticated drug dose regimens can be instituted. Implanted pumps need to be refilled every one to three months.
Safer Brain Cancer and Spine Surgery with Stealth Navigation
Stealth navigation is a computerized surgical guidance system that allows a neurosurgeon to safely move through the brain or spine during surgery. Pictures of the brain or spine are loaded into a computer system before surgery. During surgery, the neurosurgeon uses the computer images as a guide, similar to the way GPS technology works. Stealth navigation makes brain and spinal surgery much safer because the surgeon can see where critical structures are in relation to his or her location and adjust the plan accordingly.
Stealth navigation helps neurosurgeons:
- Enhance tumor boundary recognition
- Determine the best placement and size of the craniotomy
- Account for brain shift during the procedure
- Plan the least invasive surgical path
Endovascular neurosurgery is a specialized field of neurosurgery that uses minimally invasive techniques to treat various disorders of the brain, including stroke, cerebral aneurysm, and arteriovenous malformation (AVM). The term endovascular refers to the technique of treating the problem from inside the blood vessel.
Cerebral aneurysm is the dilation, bulging, or ballooning-out of part of the wall of an artery in the brain. There are four main types of aneurysm, but most occur where an artery branches. Aneurysms can rupture and cause bleeding into the brain.
The endovascular treatment option to prevent rupture is called coiling. During the procedure, the tip of a catheter is inserted into an artery in the groin and advanced through the blood stream to the site of the aneurysm. There it is used to insert platinum coils that induce clot formation within the aneurysm.
The main goal is prevention of rupture in unruptured aneurysms, and prevention of rebleeding in ruptured aneurysms. In ruptured aneurysms, coiling is performed quickly after rupture because of the high risk of rebleeding within the first few weeks after initial rupture.
Epilepsy Treatment: Vagus Nerve Stimulation
Vagus nerve stimulation (VNS) is a technique used to treat epilepsy. It involves implanting a pacemaker-like device that generates pulses of electricity to stimulate the vagus nerve.
VNS is an add-on therapy, which means it is used in addition to another type of treatment. Patients who undergo VNS continue to take their seizure medications. In some cases, however, it may be possible to reduce the dosage of medication.