Neurosurgery

Our surgical specialists are experts in minimally invasive and robotic surgery, awake brain tumor surgery, as well as endoscopic and open approaches for treating or removing tumors at any location in the skull or brain.

Our neurological and neurosurgical team uses high-resolution image guidance for brain navigation and continuous electrophysiologic monitoring of essential brain structures to ensure the preservation of eloquent areas of the brain that are important for movement and higher-order communications. At the forefront of innovation in benign and malignant tumor treatment, we were the first in the New York Metropolitan Area to use real-time computed tomography (CT) imaging during spine and brain surgery to enhance surgical navigation and precision. Together with intraoperative ultrasound imaging, this technology adds to the world-renowned brain tumor care and superior outcomes we provide. If surgery is recommended as part of your care plan, we’ll coordinate scheduling with our world-renowned surgeons at one of the many locations within our health system.

Surgical treatments for epilepsy are considered when medications fail to adequately control seizures, and the seizures significantly impact a person’s quality of life. Not everyone with epilepsy is a candidate for surgery, and the decision to pursue surgical intervention is based on a comprehensive evaluation by a team of healthcare professionals that includes neurologists, neurosurgeons, neuropsychologists and other specialists.

Before undergoing anterior surgery for epilepsy, a thorough evaluation is conducted. This first phase may include video electroencephalogram (EEG) monitoring, neuroimaging such as magnetic resonance imaging (MRI) and positron emission tomography (PET), neuropsychological testing, a Wada test (an angiographic study that determines lateralization of language and memory function) and other diagnostic tests to pinpoint the location of the seizures and assess the functional significance of the areas to be treated. These studies comprise a Phase I investigation.

All Phase I data is reviewed during a multidisciplinary epilepsy conference, where consensus recommendations are made. In some cases, the information is sufficient to proceed directly to a specific treatment. In other cases, a second phase is required, which involves an investigation to determine the location of the seizure focus.

Some of the surgical treatments we offer include:


• Stereoelectroencephalography (SEEG)
• Anterior temporal lobectomy
• Lesionectomy
• Corpus callosotomy
• Responsive neurostimulation (RNS)
• Deep brain stimulation (DBS)
• Vagus nerve stimulation (VNS)

If surgery is recommended as part of your care plan, we’ll coordinate scheduling with our world-renowned surgeons at one of the many locations within our health system.
 

Our internationally recognized specialists offer the most advanced surgical treatments, including minimally invasive and open surgeries, to treat facial and throat pain and hemifacial spasm. Our world-renowned neurosurgeons are the leading experts in treating trigeminal and glossopharyngeal neuralgia (extremely painful conditions affecting the face), as well as hemifacial spasm. They have vast experience in all the major treatment modalities, including microvascular decompression, percutaneous rhizotomy and radiosurgery.

In addition to medications and botulinum toxin (Botox®) injections, we offer various nonsurgical and surgical treatment options, including:

• Microvascular decompression
• Percutaneous rhizotomy
• Glycerol rhizotomy
• Radiofrequency rhizotomy
• Stereotactic radiosurgery
• Motor cortex stimulation
• Peripheral nerve stimulation

If surgery is recommended as part of your care plan, we’ll coordinate scheduling with our world-renowned surgeons at one of the many locations within our health system.

We are at the forefront of delivering the most advanced and innovative care for patients with all types of movement disorders. Our world-renowned, interdisciplinary specialists are the leading authorities on deep brain stimulation surgery and have among the most diverse expertise in a spectrum of related disorders, including Parkinson’s disease and related conditions, essential tremor, dystonia, tardive dystonia or dyskinesia, Tourette syndrome, spasticity and other movement disorders.

We use advanced technologies, including precise, minimally invasive surgical placement of electrodes into brain areas uniquely involved in mediating specific movement disorders, along with subsequent programming and refinement of stimulation parameters to optimally treat individual conditions.

If surgery is recommended as part of your care plan, we’ll coordinate scheduling with our world-renowned surgeons at one of the many locations within our health system.

Montefiore Einstein is one of the leading destinations worldwide for the management of vascular diseases of the brain and spine, including ischemic and hemorrhagic strokes, venous occlusive disease, vascular malformations, subarachnoid hemorrhages, traumatic injuries and congenital conditions.

We use the latest and most advanced imaging tools and procedures to treat patients of all ages suffering from complex, life-threatening neurovascular conditions. Our Neurovascular Program offers a complete array of state-of-the-art solutions for the full spectrum of neurovascular diseases, including endovascular, open, minimally invasive and hybrid surgeries for patients who suffer from aneurysms, arteriovenous malformations, Moyamoya disease and other rare or difficult-to-treat neurovascular conditions.

If surgery is recommended as part of your care plan, we’ll coordinate scheduling with our world-renowned surgeons at one of the many locations within our health system.

We diagnose and treat children using a multidisciplinary team approach that includes the latest and most advanced diagnostic and treatment techniques and technologies to facilitate precision care plans.

Our specialists use state-of-the-art imaging technology and have been involved in developing computer-based technologies that are now commonly used worldwide to guide surgery for children with nervous system disorders. As leaders in the management of craniofacial abnormalities, our team uses three-dimensional (3D) modeling and intraoperative CT scanning to understand a patient’s deformity and design and execute the correction plan surgically.

Our team of experts uses the most advanced surgical approaches available today, including open, minimally invasive, robot-assisted and endoscopic surgery, multispecialty surgery, intraoperative neurophysiological monitoring and computer-assisted surgery. Our continued work in the development of newly emerging techniques and technologies ensures that children undergoing neurosurgery have access to leading-edge surgical techniques that minimize the risk of complications and maximize function and quality of life for each patient and their family.

Some of the conditions our renowned team specializes in include:

• Hydrocephalus complications
• Craniofacial reconstruction
• Congenital disorders
• Functional disorders
• Neuro-oncology
• Vascular disorders

If surgery is recommended as part of your care plan, we’ll coordinate scheduling with our world-renowned surgeons at one of the many locations within our health system.

Our team is at the forefront of the evaluation and treatment of some of the most complex tumors and other skull base conditions, using the latest approaches and state-of-the-art technologies. We provide access to the most advanced diagnostics and treatments, including genetic testing and molecular profiling for further personalization of treatments, as well as sophisticated technologies for visualization of tumors.

Should surgery be an option, our neurological and neurosurgical team uses high-powered illumination and enhanced navigation for skull base tumors (3D ultrasound, fiber pathway tracking and endoscopic assistance), 5-aminolevulinic acid (5-ALA) fluorescence-guided surgery, real-time electrophysiologic monitoring of vital brain structures and stereotactic image guidance to help navigate the brain regions during surgery. Our Center also routinely conducts standard and advanced techniques for malignant brain tumors, such as awake craniotomies and intraoperative imaging.

We are one of only a few destinations in the nation conducting complex transorbital neuroendoscopic surgery (TONES) approaches for incisionless brain tumor resections through the eye. Our work in expanded endonasal and minimally invasive combined surgical approaches has been highlighted in two textbooks published by Cambridge University Press.

We provide a complete spectrum of the latest approaches and treatments, both inside and outside of the operating room, addressing each patient’s needs first and creating treatment plans designed to maximize care and restore optimal functioning and quality of life.

Some of the nonsurgical and surgical treatments we provide include the following:

• Proton beam and other radiotherapies
• Immunotherapy
• Stem cell and regenerative therapies
• Bioengineering
• Corticography (brain mapping)
• Combined surgeries
• Endoscopic surgery
• Minimally invasive surgery
• Open surgery
• Transnasal surgery
• Transoral surgery

If surgery is recommended as part of your care plan, we’ll coordinate scheduling with our world-renowned surgeons at one of the many locations within our health system.

We take a multidisciplinary, holistic approach to treat the full range of degenerative, traumatic, oncologic, vascular and congenital conditions of the spine. We treat the entire patient, listening to their concerns and consulting across a variety of disciplines to find the appropriate decompression surgery and/or spine reconstruction path that meets their needs.

Our comprehensive Center offers the most advanced nonsurgical techniques to benefit every patient, including advanced injection techniques for epidural steroid delivery, facet and nerve blocks, ablations, sympathetic and medial branch blocks, as well as many others. If nonsurgical treatment fails, we offer the most advanced surgical approaches, including:

• Minimally invasive decompression techniques
• Motion-sparing spine surgery
• Minimally invasive lumbar and thoracolumbar fusion
• Endoscopic spine surgery
• Advanced deformity and complex revision approaches
• Primary spine and spinal cord tumor surgery
• Complex and minimally invasive oncologic spine surgery
• Robotic spine surgery

If surgery is recommended as part of your care plan, we’ll coordinate scheduling with our world-renowned surgeons at one of the many locations within our health system.