Brain Conditions Library

Treating Brain Tumors, Hydrocephalus Traumatic Injuries, and other various conditions. Our patients benefit from state-of-the-art of scientific knowledge about their specialized disease or conditions. We offer cutting-edge, minimally invasive treatment strategies that help reduce risk in brain surgery. Our advanced techniques optimize surgical outcomes while minimizing the risks to our patients. Our physicians have expertise and extensive experience in Skull, Image-Guided Brain Surgery, Stereotactic Radiosurgery, Neuro-Oncology, and Endoscopic Pituitary, and Skull Base Surgery.

 

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Decades of Specialized Neurosurgical Experience Treating Brain Conditions

Our neurosurgeons have treated more than 50,000 patients in the 35 years since our practice opened. They are among the most well regarded neurosurgical specialists and subspecialists in the Northeast. Doctors Shahid and Batson are Chiefs of Neurosurgery at Danbury and Norwalk Hospitals, respectively. Dr. Sanderson has been an established Clinical Professor of Neurosurgery at NYU Medical Center specializing in complex and minimally invasive neurosurgical procedures.

The newest addition to our team, Dr. Joshua Marcus, is an acclaimed Minimally Invasive and Endovascular Surgeon who has been recognized by Weill Cornell Medical College, where he completed his residency, and Memorial Sloan Kettering where he received advanced training in minimally invasive surgical techniques for brain and spinal cord tumors. Dr. Marcus is also an assistant clinical instructor in neurosurgery at Yale University School of Medicine.

Our Physician Assistants (PAs) are board certified through the American Association of Physician Assistants and trained through the Norwalk Hospital and Yale School of Medicine Physician Assistant Surgical Residency Program, which is considered one of the leading PA training programs in the country.

 

We specialize in treatments of the following brain conditions. 

Read more below or select an animated video.

Arachnoid Cyst

What is an Arachnoid Cyst?
An arachnoid cyst is a small fluid-filled sac that develops in the membrane that surrounds the brain and spine. In most instances, these cysts are present at birth but in rare instances can occur due to trauma to the brain or spine.

There is no defined cause of arachnoid cysts but some research has shown that a family history of these cysts increases the likelihood of these cysts in children. Many arachnoid cysts will never cause symptoms and therefore require no treatment. However, if the cyst grows it can cause pressure on the brain or spine and cause neurological symptoms.

If you have an arachnoid cyst the symptoms can include:

  • Headache
  • Nausea
  • Vomiting
  • Seizures
  • Changes in behavior
  • Delayed mental development
  • Hydrocephalus (fluid around the brain)
  • Vertigo
  • Vision or hearing problems
  • Visible protrusions on the head or spine

How is an Arachnoid Cyst Treated?
As mentioned above, many arachnoid cysts do not cause any symptoms and are only monitored over time to make sure they are not growing larger.

If the cyst does cause symptoms, your Elite Brain and Spine Surgeon will discuss with you surgical options to remove the cyst or decrease the size of the cyst.

Two of the most common surgical options include:

Craniotomy. A small hole is made in the back of the skull to allow for drainage of the cyst and increased flow of cerebrospinal fluid.

Shunt. A tube is placed into the cyst and remains there to allow the drainage of the cyst.

Arteriovenous Malformations (AVM)

What are Arteriovenous Malformations?

Arteries and veins, which are a part of the vascular system, circulate through the brain. Arteries carry oxygen and nutrient-rich blood to the brain and veins carry deoxygenated blood back the heart. Blood vessels connect arteries to veins so the blood circulates properly. Arteriovenous malformations are a tangle of abnormal blood vessels that connect arteries to veins and can be caused by birth defects and get worse with age.

If you have an Arteriovenous Malformation the common symptoms can include:

  • Headaches
  • Hemorrhages
  • Seizures
  • Strokes
  • Difficulty with memory, speech or cognition
  • Difficulty seeing or hearing
  • Muscle weakness
  • Muscle paralysis

If you are experiencing symptoms of an Arteriovenous Malformation, it is best to make an appointment with one of the Board Certified Neurosurgeons at Elite Brain and Spine as soon as possible. Delaying treatment may cause the malformation and its symptoms to become worse. At Elite Brain and Spine, our Board Certified Neurosurgeons have helped thousands of patients with Arteriovenous Malformations live active and healthy lives using the latest noninvasive, minimally invasive, and surgical procedures.

How are Arteriovenous Malformations Treated at Elite Brain and Spine?

Noninvasive and minimally invasive treatment options may be used to treat arteriovenous malformations and reduce their symptoms. These can include:

  • Embolization
  • Stereotactic Radiosurgery

In other cases, your Elite Brain and Spine specialist may recommend surgery to treat an arteriovenous malformation using a procedure known as an Arteriovenous Malformation Resection if non-surgical treatments have not provided relief. This procedure uses a small incision as well as tiny surgical instruments to repair or remove the arteriovenous malformation.

Brain Aneurysms

Symptoms

Burst Aneurysms

A burst aneurysm is a life-threatening condition that can cause brain injury or even death. It usually causes internal bleeding (a subarachnoid hemorrhage) between the skull and the brain. If you experience any of these symptoms, call 9-1-1 immediately:

  • Sudden, severe headache
  • Nausea and vomiting
  • Double vision
  • Stiff neck
  • Loss of consciousness

Patients with ruptured aneurysms also are at risk for other complications, including hydrocephalus (buildup of cerebrospinal fluid that puts pressure on the brain) and cerebral vasospasm (abnormal narrowing of brain blood vessels). Medical complications that may develop following an aneurysm rupture include pneumonia; blood infections; bladder or kidney infections; injury to the heart; or blood clots in the lungs or legs.

Unruptured Aneurysms

Most people with unruptured brain aneurysms have no symptoms. When an aneurysm presses on the brain or nerves, however, these symptoms may appear:

  • Numbness
  • Weakness or paralysis of the face, arm or leg
  • A drooping eyelid
  • An enlarged pupil
  • Decreased vision or double vision
  • Pain above and behind the eye
  • Localized headache
  • Seizure

Risk Factors

These factors may increase the risk of developing an aneurysm:

Diagnosis

Detailed visual information is needed to make an accurate diagnosis of an aneurysm. Advanced imaging tests are available. Common diagnostic tests are:

  • Computed tomographic (CT) imaging: Uses X-rays to create pictures of cross sections of the brain
  • Computed tomographic angiography (CTA): A type of CT test that adds a special dye – injected through an IV into the patient’s arm – to help physicians look at blood vessels
  • Magnetic resonance imaging (MRI): A diagnostic tool that uses a large magnet and radio waves to look at the brain
  • Magnetic resonance angiography (MRA): MR performed after an injection of dye to examine the blood vessels of the brain
  • Angiogram/arteriogram: diagnostic procedure that uses insertion of a catheter, a special dye and X-rays to see how blood flows through the brain

Treatment Options

A small brain aneurysm that has not ruptured may only need to be monitored; however, if the aneurysm is large, has high-risk features, or has burst, it may require treatment.

Treatment commonly entails either microsurgical clipping or endovascular embolization, which is less invasive than surgery. A patient’s overall health, age and features of the aneurysm help determine which treatment is used.

Microsurgical clipping: This surgery requires a neurosurgeon to remove a section of the skull and use a microscope to locate the artery feeding the aneurysm. The neurosurgeon places a small metal clip at the neck or opening of the aneurysm, which stops its blood supply and prevents it from bleeding.

Rarely, the neurosurgeon needs to clamp an entire artery leading to the aneurysm. In this case, a bypass procedure, shown below, may be needed to reroute blood to vital areas of the brain.

Endovascular embolization: Endovascular embolization is a minimally invasive procedure that is performed inside the blood vessels by specially trained interventional neuroradiologists. A small plastic tube called a catheter is placed into the artery, usually in the groin. The neuroradiologist then guides the catheter up into the arteries of the neck using X-rays to visualize the procedure. Detachable coils are threaded through the catheter and placed in the aneurysm to fill it, effectively reducing or cutting off the flow of blood into the aneurysm. Sometimes stents (metal tubes) are used.

Brain Tumors

Information on Brain Tumors:

Brain tumors are a mass of abnormal cells in the brain. Some brain tumors can be noncancerous, but others may be cancerous and grow and spread to other parts of the brain, which results in symptoms and can be life-threatening. Once cancer spreads to other parts of the brain it may be more difficult to treat.

If you have a brain tumor the common symptoms can include:

  • Headache
  • Vision, hearing, or speech difficulties
  • Memory problems
  • A general feeling of weakness
  • Loss of movement or sensation in the extremities
  • Difficulty maintaining balance
  • Confusion
  • Personality changes
  • Seizures

Symptoms may range from very mild to severe but treating brain tumors in their early stages can prevent symptoms from getting worse. At Elite Brain and Spine , our Board Certified Neurosurgeons have helped thousands of patients with brain tumors live active and healthy lives using the latest non-surgical and surgical procedures.

How are Brain Tumors Treated at Elite Brain and Spine?

There are many treatment options at Elite Brain and Spine that can decrease the likelihood of brain tumors growing and spreading to other parts of the brain as well as relieve the symptoms of brain tumors. At Elite Brain and Spine, brain tumors are treated using non-surgical treatment options and the specialists at Elite Brain and Spine create treatment plans based on your lifestyle and goals. These treatment plans may consist of any combination of the following non-surgical treatment options:

  • Chemotherapy
  • Radiation therapy
  • Radiosurgery
  • Targeted drug therapy

Surgery is recommended if brain tumors do not respond to non-surgical treatment options or brain tumors have spread to other parts of the brain. The Board Certified Neurosurgeons at Elite Brain and Spine are experts at Minimally Invasive Brain Tumor Surgery.

Cavernous Malformation

What is a Cavernous Malformation?

A cavernous malformation, which may be referred to as a cavernoma, cavernous angioma, cavernous hemangioma or intracranial vascular malformation, is a neurovascular condition that is inherited or has an unknown cause. A cavernous malformation is a cluster of abnormal blood vessels in the brain or spinal cord. Many patients who have a cavernous malformation will experience no symptoms. Other patients can have a cavernous malformation that grows and create problems in the brain or spinal cord. 

If you have a symptomatic cavernous malformation your symptoms can include:

  • Weakness
  • Numbness
  • Difficulty speaking or understanding speech
  • Changes in vision 
  • Headaches
  • Seizures

Symptoms may range from very mild to severe but treating a cavernous malformation in its early stages can cure the condition and its symptoms. At Elite Brain and Spine, our Board Certified Neurosurgeons have helped thousands of patients with cavernous malformations using the latest non-surgical and surgical procedures.

How is a Cavernous Malformation Treated at Elite Brain and Spine?

There are many treatment options at Elite Brain and Spine  that can treat cavernous malformations as well as relieve their symptoms. At Elite Brain and Spine,  cavernous malformations can be treated using non-surgical and surgical treatment options and the specialists at Elite Brain and Spine create treatment plans based on your condition and symptoms. These treatment plans may consist of any combination of the following treatment options:

  • Observation
  • Medications

Minimally invasive treatment options or surgery may be recommended in some cases. The Board Certified Neurosurgeons at Elite Brain and Spine are experts at performing Cavernous Malformation Procedures. 

Craniotomy

What is a Craniotomy?

Craniotomy is a procedure that removes part of the bone from the skull to access the brain and perform brain surgery. After the brain surgery is performed, the bone is put back on the skull using plates and screws which hold the bone in place while it heals. 

A Craniotomy may be recommended to:

  • Remove brain tumors
  • Repair a brain aneurysm
  • Drain blood or remove blood clots
  • Remove an abnormal mass 
  • Drain an abscess
  • Repair a tear in the brain lining 
  • Relieve pressure on the brain
  • Treat epilepsy, Parkinson disease, dystonia, or hydrocephalus

The Board Certified Neurosurgeons at Elite Brain and Spine have performed thousands of Craniotomies and are experts of this procedure using the latest advancements in surgical techniques for Craniotomy.

How is a Craniotomy Performed at Elite Brain and Spine?

At Elite Brain and a Craniotomy is performed as an inpatient procedure and your hospital stay is based on what you and your Elite Brain and Spine Neurosurgeon feel is best for you.

During the procedure:

  • A piece of bone from the skull is carefully cut to expose the brain. 
  • Microsurgical instruments and a surgical microscope are used to perform brain surgery. 
  • The bone is placed on the skull after surgery and fixated with a plate and screws. 

The incision is carefully closed to prevent infection and ensure proper healing. Total procedure time depends on the extent of brain surgery performed. 

Cranioplasty

What is Cranioplasty?

Cranioplasty is a procedure that repairs bone in the skull that has been damaged due to previous surgery or an injury. The goal of this procedure is to repair the damaged bone and restore the normal contour of the skull using a graft made of titanium, mesh, bone substitute, or acrylic. Once the graft is put in place, it is secured using a plate, screws, or both. 

Cranioplasty has been performed for hundreds of years, but, at Elite Brain and Spine, modern surgical techniques allow cranioplasty to be performed more efficiently than ever so patients can recover quickly and return to their normal lives. 

How is Cranioplasty Performed at Elite Brain and Spine? 

Cranioplasty is performed as an inpatient procedure by the Board Certified Neurosurgeons at Elite Brain and Spine. 

During a Cranioplasty procedure the following steps are performed:

  • Incision. A small area on the head is shaved. An incision is made and the damaged skull bone is exposed.
  • Graft preparation. Pieces of the damaged bone are smoothed.
  • Graft placement. Screws, a plate, or both attach the graft to the bone.

Incisions are carefully closed and covered with dressings.

Total procedure time is usually 1-2 hours and patients are brought to the neurosurgical care unit after their procedure. Patients are monitored for usually 2-3 days in the hospital. 

The Board Certified Neurosurgeons at Elite Brain and Spine have performed thousands of Cranioplasties and are experts in this procedure. 

Chiari Malformation

What is a Chiari Malformation?

A Chiari malformation is a neurological condition wherein tissue from the brain extends into the spinal canal and is often the result of the cerebellum being either too small or deformed.  This crowding over the spinal space causes pressure on the brain and can result in a variety of symptoms. However, many with a Chiari malformation will never experience any symptoms or require treatment.

Chiari malformations are classified into 3 different types and can have varying causes.

Chiari Malformation Type I. This type occurs as the brain and skull are growing and symptoms do not typically present until later in childhood or adulthood.  The common symptoms can include headaches, neck pain, imbalance, problems with balance and motor skills, dizziness as well as speech or vision problems.

Chiari Malformation Type II. This type is caused by the spine and spinal canal not closing properly before birth.  The common symptoms include changes in breathing patterns, difficulty swallowing and weakness in the arms.

Chiari Malformation Type III. In this type, the part of the brainstem or cerebellum extends through an opening in the back of the skull. This type is very rare and is diagnosed at birth or during pregnancy.

How is a Chiari Malformation Treated at Elite Brain and Spine?

Treatment for Chiari malformations are based on type and severity.  If no symptoms are present, your Elite Brain and Spine specialist may recommend monitoring the condition with MRI’s.

If symptoms are present, surgery is usually recommended to correct the malformation and alleviate symptoms.  The most common procedure is known as a Posterior Fossa Decompression.  During this procedure, a small piece of the back of the skull is removed which allows pressure in the brain to be relieved.  Other procedures may be recommended based on whether the spine or the brain is extended into the canal and if there is excess cerebrospinal fluid in the space.

Glioblastoma

What is Glioblastoma?

Glioblastoma is the most common type of brain cancer in adults. Glioblastoma is cancer that starts in the cerebrum, which is the largest part of the brain, and aggressively spreads to other parts of the brain. As cancer progresses, symptoms can become worse and lead to dramatic lifestyle changes. 

If you have glioblastoma the common symptoms can include:

  • Headaches
  • Seizures
  • Nausea, vomiting
  • Distorted thinking
  • Mood or personality changes
  • Double or blurred vision
  • Difficulty speaking

Symptoms may range from very mild to severe but treating glioblastoma in its early stages can prevent symptoms from getting worse. At Elite Brain and Spine _, our Board Certified Neurosurgeons have helped thousands of patients with glioblastoma using the latest non-surgical and surgical procedures. 

How is Glioblastoma Treated at Elite Brain and Spine?

Although it may be difficult to cure glioblastoma, there are many treatment options at Elite Brain and Spine that can slow or stop cancer from spreading as well as relieve the symptoms of glioblastoma. At Elite Brain and Spine, glioblastoma can be treated using four treatment options and the specialists at Elite Brain and Spine create treatment plans based on your lifestyle and goals. These treatment plans may consist of any combination of the following treatment options:

  • Surgery
  • Radiation
  • Chemotherapy
  • Electric field therapy

During surgery, the Elite Brain and Spine Neurosurgeon uses a microscope and tiny instruments to remove as much of the cancer tumor as possible. Patients who have surgery may undergo radiation therapy after to make sure all cancer cells are killed. The Board Certified Neurosurgeons at Elite Brain and Spine are experts at performing Glioblastoma Surgery. 

Hydrocephalus

What is Hydrocephalus?

Hydrocephalus is a neurological condition that can occur at any age but is most frequently seen in children and adults who are 60 and over. Hydrocephalus is a condition that causes increased fluid and pressure in the brain, which results in a large head and other physical signs and symptoms. As the condition progresses, more pressure can be put on the brain and life-threating symptoms can occur. 

If you have hydrocephalus the common signs and symptoms can include:

  • A large head
  • A rapid increase in head size
  • A bulging or soft spot on the top of the head
  • Nausea
  • Vomiting
  • Trouble sleeping
  • Irritability
  • Personality changes
  • Headaches
  • Seizures 
  • Muscle tone and strength deficits
  • Eyes that look downward
  • Non-responsiveness to touch
  • Blurred vision or double vision
  • Lethargy
  • Trouble with balance and coordination
  • Decreased appetite
  • Urination inconsistency
  • Memory and concentration problems

Symptoms may range from very mild to severe but treating hydrocephalus in its early stages can prevent symptoms from getting worse. At Elite Brain and Spine, our Board Certified Neurosurgeons have helped thousands of patients with hydrocephalus live active and healthy lives using the latest surgical procedures. 

How is Hydrocephalus Treated at Elite Brain and Spine?

Surgery is usually recommended for hydrocephalus. There are two surgical treatment options at Elite Brain and Spine  that can treat hydrocephalus and relieve its symptoms:

  • A shunt, which is a drainage system that consists of a tube and a valve, can be surgically placed in the head to make sure fluid flows properly. 
  • An Endoscopic Third Ventriculostomy is a surgical procedure that uses a small surgical camera and small surgical instruments to make a hole in the bottom of one of the ventricles or between two ventricles to allow fluid to leave the brain. 

The Board Certified Neurosurgeons at Elite Brain and Spine are experts at performing both surgical procedures. 

Intracerebral Hemorrhage

What is Intracerebral Hemorrhage?

Intracerebral hemorrhage, which may be referred to as a stroke, is a common neurovascular condition, especially in the older population. Intracerebral hemorrhage is a condition where a blood vessel in the brain bursts and blood leaks inside the brain. Increased blood pressure in the brain causes brain cells to die, which results in symptoms that can be life-altering. As the bleeding progresses, pressure and symptoms become worse, which can be a life-threating event.

If you have intracerebral hemorrhage the common symptoms can include:

  • Headaches
  • Seizures
  • Nausea
  • Vomiting
  • Weakness or numbness on one side of the face, arm, or leg
  • Loss of consciousness
  • Temporary vision loss

Symptoms may range from very mild to severe but treating intracerebral hemorrhage in its early stages can prevent symptoms from getting worse. At Elite Brain and Spine, our Board Certified Neurosurgeons have helped thousands of patients with intracerebral hemorrhages using the latest non-surgical and surgical procedures.

How is Intracerebral Hemorrhage Treated at Elite Brain and Spine?

Although the damage from intracerebral hemorrhage cannot be reversed, there are many treatment options at Elite Brain and Spine Elite Brain and Spine  that can slow or stop the damage from becoming worse as well as relieve the symptoms of intracerebral hemorrhage. At Elite Brain and Spine Elite Brain and Spine, intracerebral hemorrhages can be treated using non-surgical treatment options and the specialists at Elite Brain and Spine create treatment plans based on your lifestyle and goals. These treatment plans may consist of any combination of the following treatment options:

  • Blood pressure medications
  • Anti-seizure drugs
  • Pain medications
  • Physical therapy
  • Speech therapy
  • Occupational therapy
  • Lifestyle (diet, exercise, stress factor) changes

Minimally invasive treatment options or surgery may be recommended for moderate or severe intracerebral hemorrhages. The Board Certified Neurosurgeons at Elite Brain and Spine are experts at performing Minimally Invasive and Surgical Intracerebral Hemorrhage Procedures. 

Neurovascular Disorders

What are Neurovascular Disorders?

Neurovascular disorders, which may be referred to simply as aneurysms or strokes, are common conditions, especially in the older population. Neurovascular disorders are conditions that cause damage to the brain or spinal cord, which can result in life-altering symptoms. As the conditions progress, the brain or spinal cord can be further damaged and symptoms can become worse. 

If you have a neurovascular disorder the common symptoms can include:

  • Paralysis (partial or complete)
  • Sensation loss (partial or complete)
  • Muscle weakness
  • Seizures
  • Difficulty reading, writing, speaking
  • Pain
  • Difficulty concentrating
  • Mood swings
  • Depression

Symptoms may range from very mild to severe but treating a neurovascular disorder in its early stages can prevent symptoms from getting worse. At Elite Brain and Spine, our Board Certified Neurosurgeons have helped thousands of patients with neurovascular disorders using the latest non-surgical and surgical procedures.

How are Neurovascular Disorders Treated at Elite Brain and Spine?

Although the damage from a neurovascular disorder cannot be reversed, there are many treatment options at Elite Brain and Spine that can slow or stop the damage from becoming worse as well as relieve the symptoms of neurovascular disorders. At Elite Brain and Spine, neurovascular disorders can be treated using non-surgical treatment options and the specialists at Elite Brain and Spine create treatment plans based on your lifestyle and goals. These treatment plans may consist of any combination of the following treatment options:

  • Anti-seizure medications
  • Anti-clotting medications
  • Anti-depressants
  • Blood thinners
  • Disease-modifying drugs
  • Dopaminergic medications
  • Physical therapy

Minimally invasive treatment options or surgery may be recommended for advanced stage neurovascular disorders or neurovascular disorders that do not respond to non-surgical treatment options. The Board Certified Neurosurgery Specialists at Elite Brain and Spine are experts at performing Minimally Invasive and Surgical Neurovascular Disorder Procedures.  

Skull Tumors

What are Skull Tumors?

Skull tumors, which are often referred to as skull base tumors are tumors located in the part of the brain that meets the base of the skull. Some skull tumors can be cancerous and grow and spread to other parts of the brain, which results in symptoms and can be life-threatening.  Once cancer spreads to other parts of the brain it may be more difficult to treat. 

If you have a skull tumor the common symptoms can include:

  • Headache
  • Vision or hearing loss
  • Memory problems
  • A general feeling of weakness
  • Numbness

Symptoms may range from very mild to severe but treating skull tumors in their early stages can prevent symptoms from getting worse. At Elite Brain and Spine, our Board Certified Neurosurgeons have helped thousands of patients with skull tumors live active and healthy lives using the latest non-surgical and surgical procedures.

How are Skull Tumors Treated at Elite Brain and Spine?

There are many treatment options at Elite Brain and Spine that can decrease the likelihood of skull tumors growing and spreading to other parts of the brain as well as relieve the symptoms of skull tumors. At Elite Brain and Spine, skull tumors are treated using non-surgical treatment options and the specialists at Elite Brain and Spine create treatment plans based on your lifestyle and goals. These treatment plans may consist of any combination of the following non-surgical treatment options:

  • Medications
  • Stereotactic radiation
  • Chemotherapy

Surgery is recommended if skull tumors do not respond to non-surgical treatment options or skull tumors have spread to other parts of the brain. The Board Certified Neurosurgeons at Elite Brain and Spine are experts at Minimally Invasive Skull Base Surgery. 

Microvascular Decompression & Trigeminal Neuralgia

What is Microvascular Decompression?

Microvascular Decompression is a surgical procedure that is used to relieve compression of a cranial nerve. The goal of this procedure is to decompress the nerve using a special sponge to separate the compressed nerve from the adjacent artery. Once the sponge is put in place, the pulsating effect of the artery does not compress the nerve and cause it to send pain signals. 

For many years surgical procedures were not available to treat a compressed cranial nerve but, at Elite Brain and Spine, modern surgical techniques allow the condition to be treated using a small incision and small surgical tools. 

How is Microvascular Decompression Performed at Elite Brain and Spine? 

Microvascular Decompression is performed as an inpatient procedure by the Board Certified Neurosurgeons at Elite Brain and Spine. 

During a Microvascular Decompression procedure the following steps are performed:

  1. Incision. A tiny incision is made and a craniectomy is performed to expose the brain. 
  2. Nerve exposure. Tiny retractors and instruments are used to expose the compressed nerve.
  3. Sponge placement. A sponge is placed the nerve and adjacent artery.
  4. Plate placement. A small plate and screws are placed over the bone that was removed during the craniectomy. 

Incisions are carefully closed and covered with dressings. 

Total procedure time is usually 2-3 hours and patients are taken to the neurovascular care unit after their procedure. A 1-2-day hospital stay is usually necessary. Medications are given to help ease pain and discomfort that may occur after the procedure. 

The Board Certified Neurosurgeons at Elite Brain and Spine have performed thousands of Microvascular Decompressions and are experts in this procedure. 

What is a Trigeminal Neuralgia?

Trigeminal neuralgia is a rare chronic pain condition that is seen in the aging population or in patients who have a neurovascular disease or injury. Trigeminal neuralgia is a condition that affects the trigeminal nerve, blocking nerve signals that carry sensation from the face to the brain, which results in pain while performing simple day-to-day activities. As the condition progresses, the nerve is further damaged causing increased pain. Once the condition reaches severe stages pain can become excruciating and cause dramatic lifestyle changes. 

If you have trigeminal neuralgia the common symptoms can include:

  • Pain in jaw, cheek, teeth, gums, lips, eye and forehead
  • Aching, shooting, stabbing or shocking pain
  • Pain while chewing, brushing your teeth or speaking
  • Severe pain episodes lasting weeks, months or longer
  • Short pain attacks ranging from a few seconds to several minutes
  • Constant pain

Symptoms may range from very mild to severe but treating trigeminal neuralgia in its early stages can prevent symptoms from getting worse. At Elite Brain and Spine, our Board Certified Neurosurgeons have helped thousands of patients with trigeminal neuralgia using the latest non-surgical and surgical procedures.

How is Trigeminal Neuralgia Treated at Elite Brain and Spine?

There are many treatment options at Elite Brain and Spine that can treat trigeminal neuralgia and relieve its symptoms. At Elite Brain and Spine, trigeminal neuralgia can be treated using non-surgical treatment options and the specialists at Elite Brain and Spine create treatment plans based on your lifestyle and goals. These treatment plans may consist of any combination of the following treatment options:

  • Anticonvulsant medications
  • Antispasmodic medications
  • Botox injections

Minimally invasive treatment options may be recommended for severe trigeminal neuralgia or trigeminal neuralgia that does not respond to non-surgical treatment. The Board Certified Neurosurgeons at Elite Brain and Spine are experts at performing all Minimally Invasive Trigeminal Neuralgia Procedures.  

Stereotactic Biopsy

What is a Stereotactic Biopsy?

Stereotactic biopsy is a surgical procedure that is used to remove a small piece of tissue from the brain so it can be viewed under a microscope and examined for abnormalities that suggest cancer or other diseases are present. The goal of the procedure is to remove a sample that is adequate enough for the pathologist to properly examine it and write an accurate report. Once the report is written, the neurosurgeon can make an accurate diagnosis and prescribe a customized treatment plan. 


Biopsies were performed for many years as an open incision procedure, but, at Elite Brain and Spine, modern surgical techniques allow stereotactic biopsies to now be performed minimally invasively using a thin needle. 

How is a Stereotactic Biopsy Performed at Elite Brain and Spine?

In most cases, Stereotactic Biopsy is performed as an outpatient procedure by the Board Certified Neurosurgeons at Elite Brain and Spine.

During a Stereotactic Biopsy procedure the following steps are performed:

  • A small incision is made on the top of the skull.
  • A small hole is made in the skull.
  • A thin needle is carefully guided into the target area and a tissue sample is taken. 

The incision is carefully closed and covered with a dressing.

Total procedure time is usually less than 1 hour and is usually performed under general anesthesia which requires at least an overnight stay in the hospital. The Board Certified Neurosurgeons at Elite Brain and Spine have performed thousands of Stereotactic Biopsies and are experts in this procedure.

Stereotactic Radio Surgery
What is a Stereotactic Radio Surgery?

Stereotactic radiosurgery is a non-invasive procedure that is used to treat small brain tumors and other brain abnormalities. The goal of the procedure is to deliver enough radiation to kill unhealthy cells without damaging surrounding brain tissue. Once the abnormal cells are killed, symptoms decrease and quality of life improves. 

Brain surgery was performed for many years as an open incision procedure, but, at Elite Brain and Spine, modern medical advancements allow non-invasive procedures to be performed using high-energy radiation.

How is a Stereotactic Radio Surgery Performed at Elite Brain and Spine?

Stereotactic Radio Surgery is performed as an outpatient procedure by the Board Certified Neurosurgeons at Elite Brain and Spine.

During a Stereotactic Radio Surgery procedure the following steps are performed:

  1. Anesthesia. Local anesthesia is given to ensure no pain or discomfort are felt during the procedure.
  2. Head stabilization. A lightweight head frame is placed on the skull to ensure the head stays perfectly still and radiation is precisely delivered.
  3. Radiation therapy. A machine delivers radiation while the patient rests comfortably with their head on a pillow. 

The patient slowly sits up after the procedure and the head frame is removed.  

Total procedure time is usually less than 1 hour and patients are able to return home the same day as their procedure. The Board Certified Neurosurgeons at Elite Brain and Spine have performed thousands of Stereotactic Radio Surgeries and are experts in this procedure.

Stroke

What is a Stroke?

 A stroke, which may be referred to as a cerebrovascular accident, is one of the most common neurovascular conditions, especially in the older population. A stroke is a condition that blocks blood flow to the brain which causes brain cells to die, which results in symptoms that can be life-altering. As the condition progresses, less blood, oxygen, and nutrients reach the brain and symptoms become worse. Once many of the brain cells die a severe stroke can occur, which can be a life-threating event. 

If you have a stroke the common symptoms can include:

  • Sudden weakness
  • Paralysis
  • Numbness of the face, arms, legs or an entire side of the body
  • Confusion
  • Difficulty speaking
  • Difficulty understanding speech
  • Difficulty seeing out of one or both eyes
  • Dizziness
  • Difficulty walking
  • Headaches
  • Falls

Symptoms may range from very mild to severe but treating a stroke in its early stages can prevent symptoms from getting worse. At Elite Brain and Spine, our Board Certified Neurosurgeons have helped thousands of patients with strokes using the latest non-surgical and surgical procedures.

How is a Stroke Treated at Elite Brain and Spine?

Although the damage from a stroke cannot be reversed, there are many treatment options at Elite Brain and Spine that can slow or stop the damage from becoming worse as well as relieve the symptoms of a stroke. At Elite Brain and Spine, strokes can be treated using non-surgical treatment options and the specialists at Elite Brain and Spine create treatment plans based on your lifestyle and goals. These treatment plans may consist of any combination of the following treatment options:

  • Anti-clotting medications
  • Anti-platelet medications
  • Anticoagulant medications
  • Physical therapy
  • Lifestyle (diet, exercise, stress factor) changes

Minimally invasive treatment options or surgery may be recommended for moderate or severe strokes. The Board Certified Neurosurgeons at Elite Brain and Spine are experts at performing Minimally Invasive and Surgical Stroke Procedures.   

Subdural Hematoma Embolization

What is Subdural Hematoma Embolization?

Subdural Hematoma Embolization is a minimally invasive procedure that is used to relieve pressure on the brain caused by a subdural hematoma. The goal of this procedure is to relieve pressure on the brain using a microcatheter and medications or synthetic materials. Once the microcatheter is put in place, medications or synthetic materials are released through the microcatheter to block blood flow to the hematoma. 

Subdural hematoma embolization was performed for many years as an open incision procedure but, at Elite Brain and Spine, modern surgical techniques allow subdural hematoma embolization to now be performed minimally invasively using live x-ray visualization and a microcatheter.  

How is Subdural Hematoma Embolization Performed at Elite Brain and Spine? 

During a Subdural Hematoma Embolization procedure the following steps are performed:

  1. Incision. A very tiny incision is made on the arm or leg and a microcatheter is placed through it. 
  2. Microcatheter placement. A contrast material is placed through the catheter and x-rays are taken to make sure it is perfectly positioned to the hematoma. 
  3. Medication or synthetic material release. A medication or synthetic material is released through the microcatheter. 

The incision is carefully closed and covered with dressings. 

Total procedure time can vary depending on the complexity of the hematoma. A procedure may take as little as 30 minutes or as much as a few hours. Most patients are able to return home the same day as their procedure. 

The Board Certified Neurosurgeons at Elite Brain and Spine have performed thousands of Subdural Hematoma Embolizations and are experts in this procedure. 

Comprehensive & Experienced Care

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Give Us A Call:

Danbury: 203-792-2003
Norwalk203-853-0003

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Locations in:

- Norwalk
- Danbury (2 Offices)