Endoscopic Colloid Cyst Removal
Indications • Symptomatic cysts • Symptoms may range from visual obscurations and loss of consciousness to positional headache, sensory disturbance, and short-term memory decline. • Symptoms of hydrocephalus, such as…
Cranioplasty (Autogenous, Cadaveric, and Alloplastic)
Indications • We prefer to use autologous calvarial bone grafts as the primary material for cranioplasty and skull reconstruction. Autogenous graft has a lower incidence of infection, grows with the…
Occipital and Supraorbital Nerve Stimulator Placement
Indications • Peripheral nerve stimulation (PNS) is indicated for patients with chronic, medically refractory, severe neuropathic pain that involves distribution of the nerve to be stimulated. • Occipital nerve stimulation…
Deep Brain Stimulation
Indications • Medically refractory, dopamine-responsive Parkinson disease • Medically refractory essential tremors • Medically refractory dystonia • Rare, off-label uses include treatment of chronic pain and of epilepsy Contraindications •…
Motor Cortex Stimulator Placement
Indications • Motor cortex stimulation (MCS) may be considered for patients with medically refractory deafferentation or neuropathic pain, including central pain syndromes related to stroke or, rarely, trauma or multiple…
Thalamotomy and Pallidotomy
Indications • Pallidotomy • Parkinson disease : Complications of advancing disease and medical therapy including tremor, wearing off, motor fluctuations, and dyskinesia, in patients with a good response to levodopa…
Seizure Focus Monitor Placement
This procedure describes subdural and depth electrode implantation for long-term invasive recording of electroencephalography (EEG). Indications • Invasive monitoring of EEG in patients with medically refractory, focal-onset epilepsy can provide…
Anteromedial Temporal Lobe Resection
Indications • Medial temporal lobe epilepsy associated with mesial temporal sclerosis pathology consisting of neuronal cell loss, gliosis, and synaptic reorganization • Presumed mesial temporal sclerosis can be determined preoperatively…
Corpus Callosotomy (Anterior and Complete)
Indications • Medically intractable, generalized atonic seizures • Secondarily generalized seizures without identifiable focus • Medically intractable, Lennox-Gastaut syndrome with multiple seizure types • Severe myoclonic absence seizures Contraindications •…
Image-Guided Catheter Evacuation and Thrombolysis for Intracerebral Hematoma
Indications • Spontaneous intracerebral hemorrhage (ICH) • Deep-seated and lobar hematomas with suspected underlying hypertension or cerebral amyloid angiopathy • Moderate-sized and large hematomas (>20 mL) • Normal coagulation parameters…
