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You Searched For:
  • Department=Neurological Surgery
11 Matches Found (displaying 1 to 11)

NEUROLOGICAL SURGERY

Peter W. Carmel, MD, DMedSci, Chairman

The Department of Neurological Surgery provides the most comprehensive array of services and technology in New Jersey. Supported by a fellowship-trained faculty, the department offers the complete range of conventional neurosurgical procedures along with numerous sub-specialty programs not available elsewhere in the state. Centers of excellence focus on the most complex conditions, offering the latest-generation technology to support the least invasive surgical approach and greatest level of recovery.

The Department is an integral component of the New Jersey Trauma Center, the Level I trauma center for northern New Jersey and the busiest in the state. It is a major element of the federally designated Northern New Jersey Spinal Cord Injury System, providing integrated, multidisciplinary care for patients who have suffered catastrophic spinal cord injury.

The depth and breadth of the Department's offerings are supported by the only dedicated Neurosurgical Intensive Care Unit in the state as well as its role as the source of the only neurosurgical residency in New Jersey.

Appointments: (973) 972-2323

Neurological Surgery - Brain Tumors

Michael Schulder, MD
Peter W. Carmel, MD, DMedSci

The Brain Tumor Program offers a comprehensive, multi-specialty, neurosurgical center providing the most advanced care for brain tumors available in New Jersey. The state-of-the-art modalities routinely employed at the Brain Tumor Program provide minimal invasion and maximum precision in the treatment of brain tumors for adults and children.

The Program continually pioneers new techniques and technologies for the treatment of brain tumors in children, and successfully treated many craniopharyngiomas - brain tumors located near the pituitary gland that usually affects infants and children. Advanced, computer-assisted, minimally invasive surgery, radiosurgery, and single-dose and fractionated radiation therapy for the treatment of brain tumors are utilized in the most effective combination for each patient. The program utilizes state-of-the-art 3T MRI imaging in the detection of brain tumors and intraoperative MRI makes treatment of tumors more effective.

The Program pioneered the use of intra-operative MRI scans and University Hospital was the first hospital in the U.S. to utilize a compact OR-based MRI system to obtain 'real-time' images of the brain before, during and after surgery. The hospital has installed the second generation of this technology. The precise nature of these images ensures surgical navigation that minimizes risk of harming healthy and/or eloquent areas of the brain while providing maximum lesion removal.

Appointments: (973) 972-2907

The Brain Tumor Program
'Brain Tumors: Making Progress with Technology and Techniques'


Neurological Surgery - Epilepsy Surgery

Peter W. Carmel, MD, DMedSci
Jeffrey Catrambone, MD
Allen Maniker, MD

The Section offers extensive experience in the surgical treatment of medically intractable epilepsy. Precise localization of the epileptic focus is provided by the use of continuous EEG monitoring, Wada test, functional MRI studies, and the use of intraoperative MRI images to visualize the brain before, during and after surgery. Temporal and extratemporal cortical resections for adults and children, corpus callosotomy (usually performed only on children), and hemispherectomy (reserved for children with severe, uncontrollable seizures) are offered. Additionally, the Section provides Vagal Nerve Stimulation, which is usually indicated for patients with partial seizures.

Appointments: (973) 972-2905

The University Comprehensive Epilepsy Center at NINJ
'Epilepsy: Gaining Control With Medications and Surgery'


Neurological Surgery - Image-Guided Neurosurgery

Michael Schulder, MD

The Center specializes in advanced, computer-assisted, minimally invasive surgery, radiosurgery, and single-dose and fractionated radiation therapy for the treatment of brain tumors and arterial malformations.

The Center pioneered the use of intraoperative MRI scans and University Hospital was the first hospital in the U.S. to utilize a compact OR-based MRI system to obtain 'real-time' images of the brain before, during and after surgery. The hospital has installed the second generation of this technology. The precise nature of these images ensures surgical navigation that minimizes risk of harming healthy and/or eloquent areas of the brain while providing maximum lesion removal.

The Center offers the full range of stereotactic techniques. For frameless stereotactic procedures, the Center uses the Stealth surgical navigation system, which features a series of infrared transmitters that provide interactive, intraoperative guidance. Functional Image-Guided Surgery (FIGS) is employed for further precision in surgical navigation. An experienced, multidisciplinary team cooperatively plans and executes treatment approaches for stereotactic radiosurgery and radiation therapy.

Indications of neuroendoscopy are being explored at the Center. An array of fixed and malleable scopes are used for a variety of indications, including endoscopic third ventriculotomy to avoid placement of an internal shunt, cyst fenestration, and as an adjunct to tumor removal and aneurysm clipping.

Appointments: (973) 972-2907

The Brain Tumor Program at the NINJ


Neurological Surgery - Movement Disorders

Michael Schulder, MD

The Program provides treatment options for patients with Parkinson's Disease and other movement disorders, including Multiple Sclerosis (MS), who are not responsive to medical management . Extensive training and experience is available in the application of Deep Brain Stimulation.

Appointments: (973) 972-2907

'Controlling Tremors with a Pacemaker for the Brain'
'Treating the Tremor: New Hope for Uncontrollable Tremors'


Neurological Surgery - Neuro Trauma Program

Allen Maniker, MD

The Neuro Trauma Program provides evaluation and treatment for the most complicated head injuries, while working to emphasize prevention of these devastating injuries. Scalp repair, aerated sinus exenteration, dural patch repair, open depressed skull fracture elevation, and debridement gunshot wound lobectomy are offered. Working in conjunction with the New Jersey Trauma Center, the Neuro Trauma Program is involved in several major head injury clinical drug trials and retrospective studies. In addition, cerebral and spine tissue oxygenation studies are coordinated in conjunction with the laboratories at the New Jersey Medical School.

Appointments: (973) 972-2908

'Giving a Heads Up On Mild Traumatic Brain Injuries'


Neurological Surgery - Neurovascular Disease

Charles J. Prestigiacomo, MD, Director
Michael Schulder, MD

The Center for Neurovascular Disease, working in close collaboration with the disciplines of neuroradiology, interventional neuroradiology, vascular neurology, and vascular surgery, provides evaluation and treatment for patients with diseases of the vessels supplying the brain and spinal cord, and their support structures.

The Center's areas of expertise include the evaluation and management of ruptured and unruptured intracranial aneurysms, arteriovenous malformations of the brain and spinal cord, and hemorrhagic and ischemic strokes. Both intracranial and extracranial revascularization procedures are performed. Minimally invasive evaluations by advanced imaging techniques are routinely employed, including 3-D CT evaluations of the vascular system and Xenon-based quantitative cerebral blood flow evaluations. Functional MRI and neuropsychological evaluations to assess the risks of interventions are available, as well as the standard CT and MRI evaluations. Image-guided surgery can also help to minimize the risks associated with open surgical interventions in selected cases.

Interventional neuroradiologic procedures are performed in a state-of-the-art biplane angiography suite by a fellowship-trained interventional neuroradiologist. They include balloon angioplasty and stenting of occlusive cerebrovascular diseases, and glueing, ballooning, and coiling of arteriovenous malformations, fistulas, and aneurysms. They may be performed as the sole treatment or as adjunctive treatments in a larger plan. Stereotactic radiosurgery for selected vascular lesions is also available. All major vascular interventions are evaluated cooperatively to arrive at the safest, most efficient treatment plan for each individual patient.

The Center is supported by the state's only dedicated neurosurgical intensive care unit, whose staff is particularly proficient in the management of patients with subarachnoid hemorrhage.

Appointments: (973) 972-2906

'Saavy Seniors: Be Your Own Best Healthcare Advocate'
'Opening the Window for Stroke Patients'


Neurological Surgery - Pediatric Neurosurgery

Peter W. Carmel, MD, DMedSci, Chief
Jeffrey Catrambone, MD

The Division of Pediatric Neurosurgery offers the most experienced, technologically advanced, and comprehensive program in New Jersey. It is dedicated to helping pediatricians manage the spectrum of pediatric neurosurgical cases, including tumors, seizures, AVMs, and trauma. The Division manages a high number of pediatric brain tumors and offers the most advanced procedures in computer-guided and minimally invasive surgical techniques.

The Division is the only source in New Jersey for the placement of programmable shunts for hydrocephalus. With this device, changes of shunt valve pressure can be accomplished in the office without the need for an invasive procedure. Particular expertise is also available in craniofacial surgery. Working in full cooperation with Plastic Surgery, Oral-Maxillofacial Surgery, Otolaryngology, and Neurology, the program applies craniofacial techniques to tumors involving the base of the skull.

Appointments: (973) 972-2905

Neurological Surgery - Peripheral Nerve Center

Allen Maniker, MD

The Center provides advanced treatment for all types of pathology involving peripheral nerves, including traumatic nerve injury, primary peripheral nerve neoplasms and secondary tumors that may encroach on the peripheral nerves.

Supported by MRI neurography as well as the lastest generation electrodiagnostic studies and intraoperative monitoring, the Center provides a unique level of expertise in entrapment syndromes, brachial plexopathy and plexus injury, neuropathic pain, and birth palsies.

Appointments: (973) 972-2908

The Peripheral Nerve Center at the NINJ
'The Nerve of It All: Treating Peripheral Nerve Damage'


Neurological Surgery - Skull Base Surgery

Peter W. Carmel, MD, DMedSci
Michael Schulder, MD

Routine and complex skull base approaches are utilized to treat a wide variety of lesions. Superior collaborative relationships with Otolayngology, including subspecialists in neuro-otology, Plastic Surgery, and Craniofacial Surgery assure the optimal approach for each individual patient.

Anterior skull base approaches are used to treat a wide range of lesions, including traumatic, infectious, and neoplastic conditions. Precise imaging techniques, including intraoperative MRI, are employed, and advances in the endoscopic treatment of pituitary tumors are being explored.

Posterior approaches are employed with the assistance of neuro-otologists to treat patients with acoustic neuromas and other tumors of the cerebellopontine angle, tumors of the juglar foramen, as well as traumatic injuries to the facial nerve.

Appointments: (973) 972-2326

'Team Players Tackle Skull-base Tumors'


Neurological Surgery - Spine Center

Robert Heary, MD, Director
Ira Goldstein, MD

The Spine Center offers experienced care in all types of disorders of the spine including: trauma, with or without an associated spinal cord injury; tumors (both metastatic and primary spine and spinal cord tumors); degenerative disorders, such as spinal stenosis, herniated disks, spondylolisthesis, and 'failed back'; deformity surgery; infections; inflammatory disorders, such as rheumatoid arthritis and ankylosing spondylitis; and reoperation for previously unsuccessful spine surgeries.

The faculty is fellowship trained in both neurological and orthopaedic surgery and works in coordination with a wide variety of specialists and sub-specialists. Particular expertise is available in the application of image-guided, minimally invasive surgical techniques, including microendoscopic discectomy.

Along with the department of physical medicine and rehabilitation, the program is involved in a ground-breaking spinal cord injury study of the effectiveness within 14 days of injury of treated autologous white blood cells in restoring function. The Phase II clinical trial of ProCord, sponsored by Proneuron Biotechnologies, Inc., is a randomized-controlled study involving patients with acute complete spinal cord injury who meet study criteria.

Appointments: (973) 972-2334
24 hour access to ProCord spinal cord injury trial: 973-641-0600

Scoliosis Services
'Experimental Treatment Offers New Hope for Acute Spinal Cord Patients'
'Early Treatment of Spinal Cord Injuries'
'Goodbye Back Pain: When Your Back Gets on Your Nerves'
'Scoliosis: Getting Back In Shape'


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