Neurological Health

/ Neurosurgery

Neurosurgery

Spectrum Health Medical Group Neurosurgery specializes in advanced surgical treatments for patients with disorders affecting the central nervous system. We offer prompt access to a considerable range of general and subspecialized neurosurgical capabilities. We also are available to community-based neurosurgeons as a resource for clinical consultation. We offer outpatient clinics in Fremont, Grand Rapids, Greenville, and Reed City.

Referrals and consultations

Services

  • Brain tumor resection including:
    • Awake craniotomy for tumors in eloquent areas
    • Skull-base and minimally invasive/endoscopic procedures
    • Intraoperative MRI
  • Deep brain stimulation for functional disorders
    • Essential tremor
    • Parkinson’s disease
    • Dystonia
  • Vascular procedures including:
    • Aneurysms
    • Dural fistulas
    • Arteriovenous malformations
  • Pediatric neurosurgery
  • Neuromodulation for pain and headache disorders
  • Epilepsy procedures including:
    • Anterior and centromedian thalmic nuclear stimulation
      • Cerebrocortical functional mapping
      • Integrated subdural/depth electrode recording
      • Corpus callosotomy
      • Hemispherotomy
      • Laser-mediated thermocoagulation
      • Responsive stimulus-inhibition of epileptogenicity
      • Temporal and extratemporal resection
      • Vagus nerve stimulation
    • Spinal procedures including:
      • Deformity correction and reconstruction
      • Minimally invasive
      • Multilevel segmental fusion
      • Revisions
      • Tumor resection

    Advanced neurosurgical technology

    • Artis Q Biplane Systems provides state-of-the-art visualizations of vascular malformations.
    • ClearPoint® System provides stereotactic guidance for procedures performed within the MRI suite. This technology enables a range of minimally invasive procedures in the brain, including asleep deep brain stimulation (DBS), brain tissue biopsy and focal laser ablation.
    • Functional MRI (fMRI) measures blood flow in order to ”map” which part of the brain is handling critical functions such as thought, speech, movement and sensation. Surgeons use this to plan brain surgery and assess the effects of stroke, trauma or degenerative diseases on the brain.
    • Hybrid Angiographic Suite allows the undertaking of combined neuroendovascular and direct surgical treatment of a variety of vascular disorders.
    • Intraoperative MRI (iMRI) enables surgeons to achieve maximum tumor resection with minimal risk of damage to critical areas located near the tumor. Surgeons can quickly and accurately assess trajectory to deep-seated tumors, adequacy of tumor resection or laser-generated tumor destruction, and intraoperative complications before leaving the operating room.
    • NeuroPace RNS® System is an implanted brain-computer interface trained to detect discharge patterns marking the onset of seizures by strategically placed electrodes in the brain and to deliver a signal designed to abort the event. A microprocessor is placed within the cranial bone.
    • Novalis Tx™ Stereotactic Radiosurgery System delivers precisely focused, high-dose X-ray beams to a small, targeted area. This method of targeting radiation is used either alone or in conjunction with surgery to eliminate small tumors in the brain, head and spine, while preserving adjacent normal tissues. Radiosurgery is often a necessity for control of intracranial tumors that would otherwise not be accessible with open surgery.
    • O-arm® Surgical Imaging System provides real-time, intraoperative imaging in both two and three dimensions. By integrating this surgical imaging technology with StealthStation® guidance (see below), surgeons can perform less invasive procedures and confirm the precision of advanced procedures before a patient leaves the operating room.
    • OH-6 Leica operating microscope offers state-of-the-art surgical technology for tumor and vascular work using fluorescence and flow-dynamic applications.
    • ROSA™ is a robotic stereotactic assist device is used for precision placement of devices in the brain for investigational or therapeutic purposes. It can be employed with intraoperative EEG recording, Visualase technology and the iMRI to conduct a single surgical case.
    • StealthStation® Treatment Guidance System enables surgeons to navigate through the body using precise 3D images. Surgeons focus on the exact location they need to reach during surgery without compromising nearby muscle, tissue, nerves or blood vessels.
    • Storz Neuroendoscopy minimally invasive procedure to undertake a variety of procedures for the treatment of hydrocephalus and brain tumors.
    • Visualase MRI-Guided Laser Technology allows surgeons to precisely place and monitor a laser heated probe that destroys tumors, necrosis due to radiation, and seizure-producing tissue, while avoiding damage to eloquent or critical structures in the brain. Compared with other thermal techniques, such as radiofrequency ablation or cryoablation, this new, minimally invasive technology creates a sharper thermal ablation zone boundary and is significantly faster.
    • Nico Myriad/Brain Bath allows for removal of deep-seated soft tissue masses and hematomas by a minimally invasive approach.

    Referral guidelines

    The following types of cases warrant direct referral to neurosurgery:

    • Spinal conditions:
      • Compression leading to myelopathy (decreased coordination and balance)
      • Degenerative deformity, including adult scoliosis
      • Disc herniations or arthritic foraminal stenosis leading to nerve compression and intractable radicular pain
      • Fractures and trauma
      • Persistent infection
      • Symptomatic stenosis (difficulty standing or walking)
      • Tumors
    • Brain tumors
    • Cerebrovascular conditions:
      • Aneurysm
      • Arteriovenous malformation
      • Chiari malformation
      • Hydrocephalus

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