Updates

Neurosurgery

 Procedures We Offer

Congenital Malformations

  • Chiari Malformation I & II Decompression / Laminectomy
  • Encephalocele Repair
  • Myelomeningocele Closure

Craniofacial / Craniosynostosis

  • Craniosynostosis Repair
  • Minor Scalp and Skull Lesions Resections

Epilepsy 

Laser ablation surgery uses real-time MRI-guided thermal imaging and laser technology to destroy lesions in the brain that cause epilepsy and uncontrollable seizures. Texas Children's Hospital was the first hospital in the world to use this safer and less invasive surgical approach. After laser ablation surgery at our National Associations of Epilepsy Centers recognized Level 4 Epilepsy Center, 93% of patients are seizure-free one year later.

Hydrocephalus

  • Endoscopic Third Venculostomy (ETV)
  • Shunt Placements

Spasticity 

  • Deep Brain Stimulation (DBS) 

Deep Brain Stimulation (DBS) is procedure used by neurosurgeons to implant a device in the patient’s brain and a pulse generator in the chest. Electrical impulses provde stimulation to affect brain activity. It is an effective medical and surgical treatment for cerebral palsy, Parkinson’s disease, epilepsy, dystonia and Tourette syndrome.

  • Intrathecal baclofen therapy

Intrathecal baclofen (ITB) therapy is an FDA-approved treatment option for severe spasticity. A surgically placed programmable pump and catheter are inserted just beneath the skin near belly button. The pump and catheter deliver Baclofen (a medication used to treat spasticity) to the fluid around the spinal cord. Because ITB therapy requires commitment from the patient and family, numerous steps are involved in being considered for an ITB pump including clinical evaluation, education, and a screening trial, among others. 

  • Selective Dorsal Rhizotomy 

A rhizotomy is a surgery performed on nerves close to the spine. It is the most effective procedure to permanently decrease issues of spasticity in children with nerve disorders like cerebral palsy. Our team perform the selective dorsal rhizotomy (SDR) in which the neurosurgeon cuts specific nerve roots at the levels of the spine causing the spasticity, among other rhizotomy types. Selective dorsal rhizotomies including focal dorsal rhizotomy, dorsal-ventral or “palliative” rhizotomies, intrathecal baclofen pumps, deep brain stimulation, and selective peripheral neurectomy are just a few of the surgical tone management strategies utilized. 

Spine Conditions

  • Spine Fusions
  • Spine Fixation
  • Spine Laminectomy
  • Tethered Cord Release

Tumors

  • Brain, Spine and Skull Base Tumor Resections

Vascular Conditions

  • Arteriovenous Malformation Resection
  • Cavernous Malformation Resection
  • Cerebral Revascularization Procedures
  • Stereotactic Radiosurgery
  • Endovascular/Catheter-Based Treatments and Embolization
  • Vein Of Galen Embolization

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