Welcome

Specialties

microsurgery of the brain, spine, and nerves All major neurosurgical procedures are done with a State of the art Zeiss operating microsope, which allows me to see my work magnified and well lit, and facilitates delicate. accurate surgery.

image-guided stereotaxic craniotomy for tumor This exciting new technique blends a CT or MRI scan with a computer in the operating room and the surgical microscope. The surgeon can view the scan and plan the tumor removal operation in three dimensions on the computer. Instruments are linked to the computer to tell the surgeon graphically where he is working inside the brain. This technique facilitates precise tumor removal with protection of surrounding normal brain tissue, and allows accurate biopsy of even small tumors.

normal pressure hydrocephalus Normal pressure hydrocephalus means that a patient has an accumulation of spinal fluid in the hollow spaces of the brain that enlarges them and causes a deterioration in brain function. These patients may have problems with walking, thinking, and bladder control and may resemble patients with Alzheimer's Disease. Special tests are necessary for accurate diagnosis. This problem is seen with advancing age, after brain trauma, and after brain hemorrhage. A new valve for draining this fluid has improved the results of surgery for this condition. The programmable valve allows the surgeon to customize the pressure at which the valve drains after surgery by using an electro-magnetic controller in the office during followup. This valve has revolutionized the treatment of hydrocephalus.

Spine surgery Operations on the neck and back constitute about 80% of my work. The most frequent diagnosis is nerve root and/or spinal cord compression or stenosis. This may result from herniated disk,arthritis, trauma, congenital and degenerative stenosis or tumor. Patient problems range from pain to severe paralysis. All my operations are conducted using a Zeiss operating microscope.

pituitary surgery for tumors and cysts Pituitary operations are done mostly via the nose and occasionally require a craniotomy. I work closely with area endocrinologists in the management of patients with pituitary disorders.

carpal tunnel surgery Patients with carpal tunnel syndrome have annoying tingling in their hand(s)and may also have pain and even weakness in their hands. They usually give a history of awkening with numbness. Usually this is caused just by use of the hand, but may develop from repetitive movements, trauma, hypothyroidism, and rheumatoid arthritis. A simple, outpatient operation usually gives relief,

ulnar nerve surgery The ulnar nerve is the "funny bone" nerve at the elbow. Many people lean on their elbows and hurt their ulnar nerves. Others may have had major trauma to the elbow. Occasionally, the ulnar nerve is compressed at the wrist. Symptoms include numbness of the 4th and 5th fingers and weakness of the small muscles of the hand. In any case, an outpatient operation is usually effective.

Independent exams for lawyers and insurance co.s Patients who have been hurt in accidents often need an independent medical evaluation (IME). I do IMEs for lawyers and insurance companies. I am absolutely unbiased in this regard, and my opinions are truly independent regardless of who has referred the patient. I always express my opinions to the patient after the exam.

Care Philosophy

My motivation in neurosurgical practice is seeing my patients achieve our mutual goals.