Minimally Invasive Spine Surgery

• Lateral Lumbar Interbody Fusion (XLIF)
• Axial Lumbar Interbody Fusion (AxiaLIF Procedure)
  
• Transforaminal Lumbar Interbody Fusion
  
• Anterior Cervical Disectomy & Fusion
  
• Microdiscectomy

Gamma Knife Surgery®

The gold standard for treating brain tumors and other serious neurological disorders without an incision. The Leksell Gamma Knife is recognized worldwide as the ultimate tool for noninvasive stereotactic radiosurgery, effectively treating many serious neurological conditions with the utmost patient safety and comfort. Learn more or watch gamma knife surgery video

Endonasal Transsphenoidal Surgery

A highly skilled neurosurgical team is directed by Sandeep Kunwar, MD, specializing in transsphenoidal surgery for pituitary adenomas and parasellar lesions. The objective of the surgical team is always to optimize cure and preserve gland function. Learn more

Diagnostic Evaluation

Our practice philosophy starts with a commitment to proper diagnostic evaluation. Proper diagnosis leads to the most effective treatment options. Learn more

Non-Surgical Management

Epidural Steroid Injections, physical therapy and pain management. Learn more

Cervical Spine Procedures

• Anterior Cervical Disectomy & Fusion
• Laminectomy
• Foramenectomy
• Cervical Arthroplasty (artificial disc)

Lumbar Spine Procedures - Minimally Invasive Spine Surgery

• Lateral Lumbar Interbody Fusion (XLIF)
• Transforaminal Lumbar Interbody Fusion
• Axial Lumbar Interbody Fusion (AxiaLIF Procedure)
• Microdiscectomy
• X-STOP

Non-Surgical Management

• Physical Therapy
  
• Epidural Injection
  
• Medical Therapy

Cervical Conditions

• Neck Pain
• Arm Pain (radiculopathy)
• Spinal Cord Pressure (myelopathy)

Treatment:

• Anterior Cervical Disectomy & Fusion
• Laminectomy
• Foramenectomy
• Cervical Arthroplasty (artificial disc)

Lumbar Conditions

• Back Pain
• Leg Pain
• Neurologic Lavdication

Treatment:

• Lateral Lumbar Interbody Fusion (XLIF)
• Transforaminal Lumbar Interbody Fusion
• Axial Lumbar Interbody Fusion (AxiaLIF Procedure)
• Microdiscectomy
• X-STOP

Pituitary Tumors

Pituitary tumors are abnormal growths that develop in your pituitary gland. Pituitary tumors can also cause progressive vision loss and alter the production of hormones that regulate important functions of your body and causing hormonal abnormalities.

Treatment:

• Gamma Knife Surgery®
  
• Endonasal Transsphenoidal Surgery

Meningioma

Meningioma is a tumor that arises from the meninges — the membranes that surround your brain and spinal cord. The majority of meningioma cases are noncancerous (benign), though rarely a meningioma can be cancerous (malignant).

Treatment:

• Gamma Knife Surgery®
  
• Endonasal Transsphenoidal Surgery
  
• Keyhole Craniotomy

Craniopharyngioma

Treatment:

• Gamma Knife Surgery®
  
• Endonasal Transsphenoidal Surgery
  
• Keyhole Craniotomy

D. Rathke’s Cyst

Rathke’s cleft cyst is a benign cystic lesion can affect the pituitary gland. Symptomatic Rathke’s cleft cyst (RCC), however, is relatively uncommon. When these cysts are large enough to be clinically apparent, they may cause headache, visual disturbances, nausea, decreased energy, vomiting, seizure, pituitary dysfunction, and diabetes insipidus, all due to mass effect.

Treatment:

• Endonasal Transsphenoidal Surgery

Glioblastoma

Glioblastoma is a type of a primary brain tumor. Primary brain tumors are those that arise from the brain itself rather than traveling or metastasizing from another location in the body. Approximately 17,000 new cases of primary brain tumors are treated each year in the United States. Glioblastomas are fast growing astrocytomas that contain areas of dead (necrotic) tumor cells. Glioblastomas are aggressive tumors that require specialized care, radiation and chemotherapy.

Treatment:

• Gamma Knife Surgery®
  
• Craniotomy with Mapping

Metastic Brain Tumor

Metastatic brain tumors result from cancer that started elsewhere in the body and spread (metastasized) to the brain. For example, if lung cancer has spread to the brain, the cells in the tumor would look like lung cells rather than brain cells. Metastases to the brain are the most common intracranial tumors in adults, 10 times more common than primary brain tumors. These tumors can be treated with surgery, whole brain radiation therapy or focus Gamma Knife Radiosurgery.

Treatment:

• Gamma Knife Surgery®
  
• Keyhole Craniotomy
• Whole Brain Radiotherapy vs. Gamma Knife Radiosurgery

Chiari Malformation

Chiari malformation is a condition in which brain tissue protrudes into your spinal canal. It occurs when a portion of your skull is abnormally small or misshapen, pressing on your brain and forcing it downward. Although Chiari malformation is uncommon, it's now diagnosed more frequently, largely due to improved imaging tests and can cause headaches or weakness of the arms or legs.

Treatment:

• Posterior Fossa Decompression

Hydrocephalus

Hydrocephalus is the build up of fluid in the ventricles (cavities within the brain). This can happen from obstruction of the normal pathways that carry the fluid (obstructive hydrocephalus) or by decreased absorption of the fluid (communicating hydrocephalus)

Treatment:

• Endoscopic Third Ventriculostomy (ETV)
• Ventriculoperitoneal Shunt (VPS)

Trigeminal Neuralgia

Trigeminal Neuralgia (or tic douloureux) is a severe, stabbing or electrical pain on one side of the face. It occurs when one of the branches of the trigeminal nerve is irritated by a blood vessel near the brainstem. The pain is first management with medications, but sometimes the medicine may not provide complete relief or the side effects of the medications prevent its use.

Treatment:

• Gamma Knife Surgery
• Microvascular Decompression (keyhole craniotomy)