Many techniques apply to both the surgical treatment of cerebrovascular disorders and the surgical treatment of difficult tumors along the base of the skull.
Surgery of Intracranial Aneurysms
Having one of the most experienced teams of physicians and medical professionals in this field, this program has earned a world-class reputation. In addition to a 24-bed neurosurgical intensive care unit, it includes a multidisciplinary aneurysm support group to address the social and psychological needs of patients and their families.
Our team of neurological surgeons has contributed extensively to international medical literature on cerebral and spinal arteriovenous malformations and fistulae. These surgeons share a strong collaboration with University of Miami Miller School of Medicine interventional neuroradiologists in the treatment of these complex lesions that frequently require both embolization and surgical excision. Additionally, Gamma Knife® treatment is available for small cerebral arteriovenous malformations that are located in areas of the brain where surgical removal would be too risky.
Medical experts in this program collaborate closely with the JMH stroke services team in the care of patients with ischemic cerebrovascular disease. Many of these patients can benefit greatly from carotid endarterectomies, which are performed under continuous intraoperative EEG monitoring by a neurologist specializing in this area.
Cerebral Revascularization and Bypass Surgery
Our neurological surgeons have extensive experience in performing bypass brain surgery using the patient’s own scalp arteries and leg veins for those who have suffered a stroke or have warning signs of a stroke, or those with complex aneurysms that are not correctable with traditional surgery. Patients undergoing these demanding operations benefit from our high-tech equipment, such as SPECT scanning, intraoperative angiography and direct bloodflow microrecordings.
Skull Base Tumors
Members of this program routinely collaborate with the neuro-otologists, head and neck surgeons, plastic surgeons and ophthalmologists for the treatment of tumors involving the base of the skull. An active skull base laboratory has been developed and a well attended international course on skull base surgery is conducted twice a year.
Surgery of pituitary tumors via the transsphenoidal route is a subset of skull base surgery. Physicians in this program collaborate with neuroendocrinologists in the care and management of these patients. Through Gamma Knife® surgery, some of these tumors can be treated effectively in cases where traditional surgery is either inappropriate or will not adequately control the disease.
The surgery of acoustic tumors is a very specialized subset of skull base surgery in which there is much collaboration with the neuro-otology team. Specialized monitoring techniques developed and supervised by our neuro-otologists have saved patients’ hearing and facial function. Additionally, Gamma Knife® radiosurgical treatment is available for patients with acoustic tumors for whom traditional surgery is considered inappropriate.