Arachnoid Cyst Fenestration
Indications • Fenestration of arachnoid cysts is indicated in cysts that show significant increase in size or associated clinical symptoms. The size of an arachnoid cyst typically remains stable or…
Endoscopic Transsphenoidal Approach
Indications • Indications for the transsphenoidal approach have significantly increased with the addition of the endoscope. Using a team approach with a skilled endoscopic rhinologist has rendered the endoscopic transsphenoidal…
Encephalocele Repair
Indications • The presence of an encephalocele is an indication for surgical repair. Encephaloceles are typically diagnosed at birth, although many are now identified in utero by ultrasound. • Indications…
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…
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…
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 •…
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…
