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Neurosurgery

neurosurgery alzate

What is neurosurgery?

Neurosurgery is surgery performed on parts of the nervous system, such as the brain and spinal cord. The Neurosurgery Services Program at Cancer Treatment Centers of America® (CTCA) provides a full range of innovative treatment options for:

Experienced care team

If you have a neurologic cancer, it's important to be seen by an integrated team of physicians with expertise in performing cancer-related surgical procedures on the nervous system and its supporting structures.

Our neurosurgical team includes: a neurosurgeon, radiation oncologist, medical oncologist, pathologist, psychologist, rehabilitation therapist and other cancer experts across a variety of disciplines.

Learn about our neurosurgery programs at our hospitals in Philadelphia, Tulsa and suburban Chicago.

Individualized treatment approach

When you arrive at our hospital, the neurosurgical team will review your symptoms with you and obtain a health history. We use advanced imaging technology to evaluate the tumor(s), such as MRI, PET scans and/or CT scans.

We may also obtain tissue in the form of a biopsy or, sometimes, perform full surgical resection of the tumor. Once we determine the location, type and grade of the tumor, we can plan your individualized treatment.

Your treatment plan may include: traditional surgical approaches (e.g., resection of the tumor), radiation therapy, chemotherapy, and/or immunotherapies.

Surgery

Brain surgery and spinal surgery typically focuses on removing the tumor in its entirety. In the past, the surgeon would make large incisions to remove the tumor. Today, our neurosurgeons are often able to use more minimally invasive surgical techniques.

Where possible, endoscopy, which positions a camera next to the brain tumor, allows for smaller surgical incisions while still allowing for complete tumor resection. This may shorten recovery time, lessen pain, and help patients return to normal activities more quickly.

We also use sophisticated tools that enhance the precision and safety of brain cancer surgery. These tools allow us to remove tumors that may otherwise have been inoperable, while preserving neurologic function:

  • Intraoperative neuronavigation uses an advanced MRI system to map areas of the brain responsible for important functions. The map then allows us to precisely plan surgery to avoid damage to those important areas.
  • Intraoperative electrophysiology “brain mapping” (also called motor mapping and language mapping) is like GPS for the brain. We use small electrodes placed on the outer layer of the brain to stimulate the brain and areas around the tumor. This helps us locate regions of the brain to avoid, such as those responsible for speech or movement.

Chemotherapy

Our doctors can deliver chemotherapy locally to the brain (also known as Gliadel®, or BCNU, wafers) at the time of surgical resection. Since chemotherapy is administered as close as possible to the brain tumor edges at the resection area rather than systemically, this technique may help to reduce typical chemotherapy-related side effects.

Radiation therapy

Our doctors also use intraoperative radiation therapy (IORT), presently under investigational use, to deliver radiation directly to the area of the tumor resection. This may help avoid damage to surrounding normal structures, particularly the scalp and the skin on the scalp. It may also allow for higher doses of radiation to be delivered along the edges of the tumor while sparing areas of the brain without the tumor.

Stereotactic radiation therapy (SRT) may be used to treat metastatic brain cancer, particularly for tumors in more than one location. This may help to avoid the pain, discomfort and recovery time associated with surgery.

Preserving mobility & controlling pain

Neurologic cancers of the brain and spine, or neurologic problems caused by other cancers, can present unique challenges, including mobility and communication difficulties. Your care team will provide a variety of integrative oncology services to help address these challenges throughout your care, so you can continue treatment without complications.

Neurosurgery - Dr. St. Clair

Video: Meet Dr. St. Clair

Meet Dr. St. Clair

Neurosurgery - Dr. Clinton Baird

Video: What Is a Neurosurgeon?

Dr. Clinton Baird, Medical Director of Neurosurgery Services at Cancer Treatment Centers of America (CTCA) at Southwestern Regional Medical Center, explains what neurosurgeon is.

Neurosurgery - Dr. Juan Alzate

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