Endovascular Neurosurgery

Endovascular neurosurgery is a subspecialty within neurosurgery. It uses catheters and radiology to diagnose and treat various conditions and diseases of the central nervous system. The central nervous system is made up of the brain and the spinal cord. Endovascular Neurosurgery is also refered to as neurointerventional surgery.

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Expertise in Endovascular Neurosurgery and Interventional Neuroradiology

The neurovascular surgery program at Elite Brain and Spine combine expertise in minimally invasive surgical techniques with the advanced specialties of interventional neuroradiology and stereotactic radiosurgery, one of only three such centers in the state of Connecticut. Our own Dr. Joshua Marcus and Dr. Jonathon Lebovitz specialize in these cutting-edge, minimally invasive procedures. 

We provide comprehensive care and treatment for vascular conditions of the brain and spine including:

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? 

In most cases, Subdural Hematoma Embolization is performed as an outpatient procedure by the Board Certified Neurosurgeons 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 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.

Microvascular Decompression

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:

  • Incision. A tiny incision is made and a craniectomy is performed to expose the brain. 
  • Nerve exposure. Tiny retractors and instruments are used to expose the compressed nerve.
  • Sponge placement. A sponge is placed the nerve and adjacent artery.
  • 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.

Skull Base Surgery

What is Skull Base Surgery?

Skull Base Surgery is a minimally invasive procedure that is used to diagnose and remove abnormalities, including tumors, located on the underside of the brain, the base of the skull, and the cervical vertebrae. The goal of this procedure is to diagnose and remove an abnormality using an arthroscopic camera and tiny instruments. Once the abnormality is removed, it is sent to the lab for a pathologist to analyze.  

Skull based surgery was performed for many years as an open incision procedure but, at Elite Brain and Spine, modern surgical techniques allow the overwhelming majority of skull base surgeries to be performed minimally invasively using only a very tiny incision in the skull, nose, or mouth.

How is Skull Base Surgery Performed at Elite Brain and Spine? 

In most cases, Skull Base Surgery is performed as an inpatient procedure by the Board Certified Neurosurgeons at Elite Brain and Spine. 

During a Skull Base Surgery procedure the following steps are performed:

  1. Incision. A tiny incision is made in the skull, nose, or mouth.
  2. Diagnosing the abnormality. An arthroscopic camera and television monitor are used to locate, view, and diagnose the abnormality.
  3. Removing the abnormality. Tiny instruments are used to remove the abnormality.

The incision is carefully closed and covered with dressings. 

Total procedure time is usually 1-2 hours and patients are taken to the neurovascular care unit after their procedure. A 1-2-day hospital stay is usually necessary. 

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

Comprehensive & Experienced Care

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Locations in:

- Norwalk
- Danbury (2 Offices)

Give Us A Call:

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

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