Medical Specialty: Neurosurgery

Surgery of the nervous system, including nerves, the brain or spinal cord.

Anterior Cervical Decompression
Herniated nucleus pulposus. Anterior cervical decompression, anterior spine instrumentation, anterior cervical spine fusion, and application of machined allograft.
Anterior Cervical Discectomy
Anterior cervical discectomy and removal of herniated disk and osteophytes and decompression of spinal cord and bilateral nerve root decompression. Harvesting of autologous bone from the vertebral bodies. Grafting of allograft bone for creation of arthrodesis.
Anterior Cervical Discectomy - 1
Anterior cervical discectomy, removal of herniated disc and osteophytes, bilateral C4 nerve root decompression, harvesting of bone for autologous vertebral bodies for creation of arthrodesis, grafting of fibular allograft bone for creation of arthrodesis, creation of arthrodesis via an anterior technique with fibular allograft bone and autologous bone from the vertebral bodies, and placement of anterior spinal instrumentation using the operating microscope and microdissection technique.
Anterior Cervical Discectomy - 2
Anterior cervical discectomy at C5-6 and placement of artificial disk replacement. Right C5-C6 herniated nucleus pulposus.
Anterior Cervical Discectomy - 3
Anterior cervical discectomy (two levels) and C5-C6 and C6-C7 allograft fusions. A C5-C7 anterior cervical plate fixation (Sofamor Danek titanium window plate) intraoperative fluoroscopy used and intraoperative microscopy used. Intraoperative SSEP and EMG monitoring used.
Anterior Cervical Discectomy - 4
C5-C6 anterior cervical discectomy, bone bank allograft, and anterior cervical plate. Left cervical radiculopathy.
Anterior Cervical Discectomy & Arthrodesis
Anterior cervical discectomy, arthrodesis, partial corpectomy, Machine bone allograft, placement of anterior cervical plate with a Zephyr. 7. Microscopic dissection.
Anterior Cervical Discectomy & Arthrodesis - 1
Arthrodesis - anterior interbody technique, anterior cervical discectomy, anterior instrumentation with a 23-mm Mystique plate and the 13-mm screws, implantation of machine bone implant. Disc herniation with right arm radiculopathy.
Anterior Cervical Discectomy & Arthrodesis - 2
Anterior cervical discectomy C4-C5 arthrodesis with 8 mm lordotic ACF spacer, corticocancellous, and stabilization with Synthes Vector plate and screws. Cervical spondylosis and herniated nucleus pulposus of C4-C5.
Anterior Cervical Discectomy & Decompression
Anterior cervical discectomy with decompression C6-C7, arthrodesis with anterior interbody fusion C6-C7, spinal instrumentation using Pioneer 20 mm plate and four 12 x 4.0 mm screws, PEEK implant 7 mm, and Allograft using Vitoss.
Anterior Cervical Discectomy & Decompression - 1
Anterior cervical discectomy with decompression, anterior cervical fusion, anterior cervical instrumentation, and Allograft C5-C6.
Anterior Cervical Discectomy & Fusion
Anterior cervical discectomy fusion C3-C4 and C4-C5 using operating microscope and the ABC titanium plates fixation with bone black bone procedure. Cervical spondylotic myelopathy with cord compression and cervical spondylosis.
Anterior Cervical Discectomy & Fusion - 1
Anterior cervical discectomy and fusion, C2-C3, C3-C4. Removal of old instrumentation, C4-C5. Fusion C3-C4 and C2-C3 with instrumentation using ABC plates.
Anterior Cervical Discectomy & Fusion - 2
Herniated nucleus pulposus, C5-C6, with spinal stenosis. Anterior cervical discectomy with fusion C5-C6.
Anterior Cervical Discectomy & Fusion - 3
Radical anterior discectomy with removal of posterior osteophytes, foraminotomies, and decompression of the spinal canal. Anterior cervical fusion. Utilization of allograft for purposes of spinal fusion. Application of anterior cervical locking plate.
Anterior Cervical Discectomy & Fusion - 4
Anterior cervical discectomy with decompression and arthrodesis with anterior interbody fusion. Spinal instrumentation using Pioneer 18-mm plate and four 14 x 4.3 mm screws (all titanium).
Anterior Cervical Discectomy & Fusion - 5
Anterior cervical discectomy at C5-C6 and C6-C7 for neural decompression and anterior interbody fusion at C5-C6 and C6-C7 utilizing Bengal cages x2. Anterior instrumentation by Uniplate construction C5, C6, and C7 with intraoperative x-ray x2.
Anterior Cervical Discectomy & Fusion - 6
Anterior cervical discectomy with decompression of spinal cord. Anterior cervical fusion. Anterior cervical instrumentation. Insertion of intervertebral device. Use of operating microscope.
Anterior Cervical Discectomy & Fusion - 7
C4-C5, C5-C6 anterior cervical discectomy and fusion. The patient is a 62-year-old female who presents with neck pain as well as upper extremity symptoms. Her MRI showed stenosis at portion of C4 to C6.
Anterior Cervical Discectomy & Fusion - 8
C5-C6 anterior cervical discectomy, allograft fusion, and anterior plating.
Anterior Cervical Discectomy & Fusion - 9
Herniated nucleus pulposus C5-C6. Anterior cervical discectomy fusion C5-C6 followed by instrumentation C5-C6 with titanium dynamic plating system, Aesculap. Operating microscope was used for both illumination and magnification.
Anterior Cervical Discectomy & Fusion - Discharge Summary
Anterior cervical discectomy and fusions C4-5, C5-6, C6-7 using Bengal cages and Slimlock plate C4 to C7; intraoperative x-ray. Herniated nucleuses pulposus, C5-6 greater than C6-7, left greater than C4-5 right with left radiculopathy and moderate stenosis C5-6.
Anterior Cervical Discectomy & Interbody Fusion
Anterior cervical discectomy with decompression, C5-C6, arthrodesis with anterior interbody fusion, C5-C6, spinal instrumentation, C5-C6 using Pioneer 18-mm plate and four 14 x 4.0 mm screws (all titanium), implant using PEEK 7 mm, and Allograft using Vitoss.
Anterior Cervical Discectomy & Interbody Fusion - 1
Anterior cervical discectomy for neural decompression and anterior interbody fusion at C4-C5, C5-C6, and C6-C7 utilizing Bengal cages times three.
Anterior Cervical Discectomy & Interbody Fusion - 2
Anterior cervical discectomy with spinal cord and spinal canal decompression and Anterior interbody fusion at C5-C6 utilizing Bengal cage.
Anterior Cervical Discectomy & Interbody Fusion - 3
Anterior cervical discectomy for neural decompression and anterior interbody fusion C5-C6 utilizing Bengal cage.
Anterior Cervical Discectomy & Osteophytectomy
Anterior cervical discectomy and osteophytectomy. Application of prosthetic interbody fusion device. Anterior cervical interbody arthrodesis. Anterior cervical instrumentation
Anterior Lumbar Fusion
Anterior lumbar fusion, L4-L5, L5-S1, PEEK vertebral spacer, structural autograft from L5 vertebral body, BMP and anterior plate. Severe low back pain.
Bifrontal Cranioplasty
Bifrontal cranioplasty, cranial defect greater than 10 cm in diameter in the frontal region.
Bilateral Carotid Cerebral Angiogram
Bilateral carotid cerebral angiogram and right femoral-popliteal angiogram.
Brain Stimulator Electrode
Frontal craniotomy for placement of deep brain stimulator electrode. Microelectrode recording of deep brain structures. Intraoperative programming and assessment of device.
Cranial Vault Reconstruction
Anterior cranial vault reconstruction with fronto-orbital bar advancement.
Right-sided craniotomy for evacuation of a right frontal intracranial hemorrhage. Status post orbitozygomatic resection of a pituitary tumor with a very large intracranial component basically a very large skull-based brain tumor.
Craniotomy - Biparietal
Biparietal craniotomy, insertion of left lateral ventriculostomy, right suboccipital craniectomy and excision of tumor.
Craniotomy - Burr Hole
Right burr hole craniotomy for evacuation of subdural hematoma and placement of subdural drain.
Craniotomy - Frontal Zygomatic
Bilateral orbital frontal zygomatic craniotomy (skull base approach), bilateral orbital advancement with (C-shaped osteotomies down to the inferior orbital rim) with bilateral orbital advancement with bone grafts, bilateral forehead reconstruction with autologous graft.
Craniotomy - Frontotemporal
Right frontotemporal craniotomy and evacuation of hematoma, biopsy of membranes, microtechniques.
Craniotomy - Frontotemporal - 1
Acute left subdural hematoma. Left frontal temporal craniotomy for evacuation of acute subdural hematoma. CT imaging reveals an acute left subdural hematoma, which is hemispheric.
Craniotomy - Occipital
Occipital craniotomy, removal of large tumor using the inner hemispheric approach, stealth system operating microscope and CUSA.
Craniotomy - Retrosigmoid
Left retrosigmoid craniotomy and excision of acoustic neuroma.
Craniotomy - Temporal
Left temporal craniotomy and removal of brain tumor.
Craniotomy & Neuronavigation
Right frontal craniotomy with resection of right medial frontal brain tumor. Stereotactic image-guided neuronavigation and microdissection and micro-magnification for resection of brain tumor.
Cystic Suprasellar Tumor Resection
Endoscopic and microsurgical transnasal resection of cystic suprasellar tumor.
Decompressive Laminectomy
Decompressive laminectomy at T12 with bilateral facetectomies, decompression of T11 and T12 nerve roots bilaterally with posterolateral fusion supplemented with allograft bone chips and pedicle screws and rods with crosslink Synthes ClickX System.
Discectomy, Osteophytectomy, & Foraminotomy
Anterior cervical discectomy, osteophytectomy, foraminotomies, spinal cord decompression, fusion with machined allografts, Eagle titanium plate, Jackson-Pratt drain placement, and intraoperative monitoring with EMGs and SSEPs
Epidural Hematoma Evacuation
Evacuation of epidural hematoma and insertion of epidural drain. Epidural hematoma, cervical spine. Status post cervical laminectomy, C3 through C7 postop day #10. Central cord syndrome and acute quadriplegia.
Facetectomy & Foraminotomy
Bilateral C3-C4, C4-C5, C5-C6, and C6-C7 medial facetectomy and foraminotomy with technical difficulty, total laminectomy C3, C4, C5, and C6, excision of scar tissue, and repair of dural tear with Prolene 6-0 and Tisseel.
First Followup - Shunt Surgery
Patient returns for his first followup after shunt surgery.
Frameless Stereotactic Radiosurgery
CT-guided frameless stereotactic radiosurgery for the right occipital arteriovenous malformation using dynamic tracking.
Frontotemporoparietal Craniotomy
Right frontotemporoparietal craniotomy, evacuation of acute subdural hematoma. Acute subdural hematoma, right, with herniation syndrome.
Hematoma Evacuation
Right side craniotomy for temporal lobe intracerebral hematoma evacuation and resection of temporal lobe lesion. Biopsy of dura.
Left-sided large hemicraniectomy for traumatic brain injury and increased intracranial pressure. She came in with severe traumatic brain injury and severe multiple fractures of the right side of the skull.
Hemilaminotomy & Foraminotomy
Left C5-6 hemilaminotomy and foraminotomy with medial facetectomy for microscopic decompression of nerve root.
Laminectomy & Discectomy & Facetectomy
Revision laminectomy L5-S1, discectomy L5-S1, right medial facetectomy, preparation of disk space and arthrodesis with interbody graft with BMP. Status post previous lumbar surgery for herniated disk with severe recurrence of axial back pain, failed conservative therapy.
Laminectomy & Facetectomy
Complete laminectomy, L4. and facetectomy, L3-L4 level. A dural repair, right sided, on the lateral sheath, subarticular recess at the L4 pedicle level. Posterior spinal instrumentation, L4 to S1, using Synthes Pangea System. Posterior spinal fusion, L4 to S1. Insertion of morselized autograft, L4 to S1.
Laminectomy & Foraminotomy & Cervical Fusion
Decompressive left lumbar laminectomy C4-C5 and C5-C6 with neural foraminotomy. Posterior cervical fusion C4-C5. Songer wire. Right iliac bone graft.
Laminectomy & Foraminotomy Revision
Microscopic-assisted revision of bilateral decompressive lumbar laminectomies and foraminotomies at the levels of L3-L4, L4-L5, and L5-S1. Posterior spinal fusion at the level of L4-L5 and L5-S1 utilizing local bone graft, allograft and segmental instrumentation. Posterior lumbar interbody arthrodesis utilizing cage instrumentation at L4-L5 with local bone graft and allograft. All procedures were performed under SSEP, EMG, and neurophysiologic monitoring.
Laminotomy & Microdissection
L1 laminotomy, microdissection, retrieval of foreign body (retained lumbar spinal catheter), attempted insertion of new external lumbar drain, and fluoroscopy.
Laminotomy, Facetectomy & Foraminotomy
Right L4 and L5 transpedicular decompression of distal right L4 and L5 nerve roots. Right L4-L5 and right L5-S1 laminotomies, medial facetectomies, and foraminotomies, decompression of right L5 and S1 nerve roots. Right L4-S1 posterolateral fusion with local bone graft. Left L4 through S1 segmental pedicle screw instrumentation. Preparation harvesting of local bone graft.
Lumbar Laminectomy
Lumbar laminectomy for decompression with foraminotomies L3-L4, L4-L5, L5-S1 microtechniques and repair of CSF fistula, microtechniques L5-S1, application of DuraSeal. Lumbar stenosis and cerebrospinal fluid fistula.
Lumbar Laminectomy & Discectomy
Injection for myelogram and microscopic-assisted lumbar laminectomy with discectomy at L5-S1 on the left. Herniated nucleus pulposus, L5-S1 on the left with severe weakness and intractable pain.
Lumbar Laminotomy & Discectomy
Microscopic assisted lumbar laminotomy with discectomy at L5-S1 on the left. Herniated nucleus pulposus of L5-S1 on the left.
Lumbar Puncture
Possible CSF malignancy. This is an 83-year-old woman referred for diagnostic lumbar puncture for possible malignancy by Dr. X. The patient has gradually stopped walking even with her walker and her left arm has become gradually less functional. She is not able to use the walker because her left arm is so weak.
Lumbar Puncture - 1
Lumbar puncture with moderate sedation.
Lumbar Puncture - 2
Lumbar puncture. A 20-gauge spinal needle was then inserted into the L3-L4 space. Attempt was successful on the first try and several mLs of clear, colorless CSF were obtained.
Lumbar Re-exploration
Recurrent degenerative spondylolisthesis and stenosis at L4-5 and L5-S1 with L3 compression fracture adjacent to an instrumented fusion from T11 through L2 with hardware malfunction distal at the L2 end of the hardware fixation.
Nerve & Tendon Repair - Finger
Repair of nerve and tendon, right ring finger and exploration of digital laceration. Laceration to right ring finger with partial laceration to the ulnar slip of the FDS which is the flexor digitorum superficialis and 25% laceration to the flexor digitorum profundus of the right ring finger and laceration 100% of the ulnar digital nerve to the right ring finger.
Left L4-L5 transforaminal neuroplasty with nerve root decompression and lysis of adhesions followed by epidural steroid injection.
Ommaya reservoir
Leukemic meningitis. Right frontal side-inlet Ommaya reservoir. The patient is a 49-year-old gentleman with leukemia and meningeal involvement, who was undergoing intrathecal chemotherapy.
Phenol Neurolysis & Botulinum Toxin Injection - 1
Phenol neurolysis left musculocutaneous nerve and bilateral obturator nerves. Botulinum toxin injection left pectoralis major, left wrist flexors, and bilateral knee extensors.
Phenol Neurolysis & Botulinum Toxin Injection - 2
Phenol neurolysis right obturator nerve, botulinum toxin injection right rectus femoris and vastus medialis intermedius and right pectoralis major muscles.
Phenol Neurolysis & Botulinum Toxin Injection - 3
Botulinum toxin injection bilateral rectus femoris, medial hamstrings, and gastrocnemius soleus muscles, phenol neurolysis of bilateral obturator nerves, application of bilateral short leg fiberglass casts.
Pituitary Adenomectomy
Endoscopic-assisted transsphenoidal exploration and radical excision of pituitary adenoma. Endoscopic exposure of sphenoid sinus with removal of tissue from within the sinus.
Pituitary Tumor Resection
Transnasal transsphenoidal approach in resection of pituitary tumor. The patient is a 17-year-old girl who presented with headaches and was found to have a prolactin of 200 and pituitary tumor.
PMT Halo Crown & Vest
Application of PMT large halo crown and vest. Cervical spondylosis, status post complex anterior cervical discectomy, corpectomy, decompression and fusion.
Pterional Craniotomy
Right pterional craniotomy with obliteration of medial temporal arteriovenous malformation and associated aneurysm and evacuation of frontotemporal intracerebral hematoma.
Scott Cannula
Placement of Scott cannula, right lateral ventricle
Shunt Revision
Bilateral endoscopic proximal shunt revision and a distal shunt revision.
Shunt Revision - 1
Endoscopic proximal shunt revision.
Shunt Revision - 2
Endoscopic proximal and distal shunt revision with removal of old valve and insertion of new.
Shunt Revision - 3
Ventriculoperitoneal shunt revision with replacement of ventricular catheter and flushing of the distal end.
Skull Base Reconstruction
Squamous cell carcinoma of right temporal bone/middle ear space. Right temporal bone resection; rectus abdominis myocutaneous free flap for reconstruction of skull base defect; right selective neck dissection zones 2 and 3.
Spine Fusion
Anterior spine fusion from T11-L3. Posterior spine fusion from T3-L5. Posterior spine segmental instrumentation from T3-L5, placement of morcellized autograft and allograft.
Suboccipital Craniectomy
Right suboccipital craniectomy for resection of tumor using the microscope modifier 22 and cranioplasty.
Temporal Artery Biopsy
Bilateral temporal artery biopsy. Rule out temporal arteritis.
Temporal Artery Biopsy - 1
Headaches, question of temporal arteritis. Bilateral temporal artery biopsies.
Thoracic Discectomy
Thoracic right-sided discectomy at T8-T9. The patient is a 53-year-old female with a history of right thoracic rib pain related to a herniated nucleus pulposus at T8-T9.
Ulnar Nerve Transposition
Subcutaneous ulnar nerve transposition. A curvilinear incision was made over the medial elbow, starting proximally at the medial intermuscular septum, curving posterior to the medial epicondyle, then curving anteriorly along the path of the ulnar nerve. Dissection was carried down to the ulnar nerve.
Vein Stripping
Chronic venous hypertension with painful varicosities, lower extremities, bilaterally. Greater saphenous vein stripping and stab phlebectomies requiring 10 to 20 incisions, bilaterally.
Ventricular Drain Catheter Insertion
Burr hole and insertion of external ventricular drain catheter.
Endoscopic third ventriculostomy.
Ventriculostomy Placement
Placement of left ventriculostomy via twist drill. Massive intraventricular hemorrhage with hydrocephalus and increased intracranial pressure.
VP Shunt Placement
Placement of right new ventriculoperitoneal (VP) shunts Strata valve and to removal of right frontal Ommaya reservoir.
Wound Closure & Debridement - Hydrocephalus
A complex closure and debridement of wound. The patient is a 26-year-old female with a long history of shunt and hydrocephalus presenting with a draining wound in the right upper quadrant, just below the costal margin that was lanced by General Surgery and resolved; however, it continued to drain.