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Anatomy of the Brain

  • Anatomy of the Brain

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    The brain is the control center of the human body. The brain regulates movement, preserves memory, and drives the body's involuntary functions. It is divided into two sides called hemispheres each divided in to lobes.

Conditions Treated

  • Subdural Hematoma (acute)

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    This condition is a buildup of clotted blood between the brain's outer layer and the membrane that covers the brain (called the dura). It usually results from a traumatic impact to the head, such as from a fall or car accident.

  • Brain Tumors

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    The goal of our practice is to determine whether surgery will be necessary to treat the tumor. We work closely with neurologists, oncologists, and radiation oncologists to provide comprehensive care as oftentimes further treatments such as chemotherapy and radiation therapy are necessary as follow-up treatments to surgery.

    We also perform radiosurgery by working closely with the radiation oncology team. Radiosurgery can treat tumors deep in the brain that would otherwise be inaccessible. Radiosurgery is focused beam radiation that is used to treat small tumors (often less than 3 cm in diameter).

    Done as an outpatient procedure, radiosurgery allows for precise targeting of tumor. Patients are fitted for a head frame and the radiation is then delivered in a quiet and relaxing setting. Once finished the frame is removed and patients goes home.

  • Meningiomas

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    These primary brain tumors grow in the meninges, thin layers of protective tissue that cover the brain and spinal cord. They are usually slow growing and do not often spread to other parts of the body. They usually do not grow into the brain, but instead push on the brain as they get larger.

  • Pituitary Tumor

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    Most commonly found in adults, these tumors originate within the pituitary gland. This small gland makes hormones that influence all of the other glands in the body. A tumor on the pituitary gland can disrupt this process, affecting body growth and functions of other glands.

  • Trigeminal Neuralgia

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    This chronic condition is caused by a misfiring of the trigeminal nerve. An attack causes brief episodes of extreme, shooting pain. TN most commonly affects older people.

  • Chiari Malformation

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    This rare condition is a malformation of the base of the skull and brain that results in the lower portion of the brain protruding through the foramen magnum - the opening at the base of the skull. The protruding brain can block the normal flow of the fluid that protects the brain and spinal cord, leading to elevated pressure in the brain and a wide range of problems.

Surgical Procedures

  • Burr Hole Drainage

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    This procedure creates one or more holes in the skull to release excess fluid pressure in the brain caused by a chronic subdural hematoma (blood clot on the brain). It can be performed under local anesthesia.

  • Craniotomy for Subdural Hematoma

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    This procedure, performed under general anesthesia, creates an opening through the skull for removal of a blood clot on the surface of the brain. Subdural hematomas commonly result from trauma to the head, and can place harmful pressure on the brain.

  • Craniotomy for Tumor

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    This procedure, performed under general anesthesia, creates an opening through the skull for brain tumor removal. Shaving the head is often not required. The surgery usually requires between two to five hours to complete, depending on the type and size of the tumor.

  • Ventriculo peritoneal Shunt for Hydrocephalus

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    The treatment for normal pressure hydrocephalus is insertion of a shunt. A shunt is essentially a tube that drains the fluid away from the CSF containing cavities of the brain (ventricles) into the abdominal or chest wall cavity where the CSF is easily absorbed.

    The most recent advancement in shunt technology includes valves that have the ability to drain CSF under different pressure settings. The valve pressures can be changed easily via a hand held magnetic controlling device that is placed just under the scalp. Once in place this method does not require further surgery. The surgeon can adjust the valve pressures to help control instances where there is over drainage or under drainage of CSF.