At Neurosurgeons of New Jersey, we want to make sure you have all the information you need before undergoing surgery.
We perform hundreds of different procedures on patients, both invasive and, more commonly, non-invasive. Ultimately, we want to solve pain and discomfort in the least disruptive way possible.
Angioplasty is a common treatment for assisting those with blockage in the arteries, as fatty deposits can clog the arteries and restrict blood flow. The goal of an angioplasty is to reopen those diseased arteries and allow blood and oxygen to flow again to the brain. It is not a cure for this health issue, but instead a way to mend it.
This typically involves a small, lateral incision in a skin crease in front of your neck, careful dissection through a natural surgical corridor through the structures in the front of your neck down to the front of the spine and removal of one or more discs in their entirety to decompress your nerves.
The carotid arteries supply blood to your brain and face. A buildup of waste material called plaque can narrow these arteries and reduce blood flow. Doctors use carotid revascularization to open up the area inside the carotid artery at the site of the blockage to reduce the risk of stroke or to prevent further complications from a stroke.
Clipping is a surgical procedure to treat a brain aneurysm. An aneurysm is a bulge in the wall of an artery which usually causes no problems unless it ruptures. Clipping is performed once the aneurysm has reached a large size and may burst, or after it has already ruptured.
Endovascular coiling is used to exclude existing aneurysms from your brain’s arteries blood flow. By filling the affected area with tiny, soft coils, your neurosurgeon can essentially cut the aneurysms off from blood flow. This helps prevent future bleeding.
Many procedures might require a craniotomy, so the goal can vary. However, these procedures usually include treatment for brain infections, blood clots, tumors, swelling, skull fractures, brain aneurysms, or arteriovenous malformations, among others.
Gamma Knife radiosurgery may be used in situations where the brain lesion cannot be reached by conventional surgical techniques. It may also be used in persons whose condition is such that they might not be able to tolerate a surgical procedure, such as craniotomy, to treat their condition.
Glue embolization is a medical process that uses a chemical called n-Butyl cyanoacrylate, which is usually shortened to NBCA, to block problematic arteries. Neurosurgeons of New Jersey frequently uses glue embolization (NBCA) in preparation for other types of brain surgeries, such as removing blood vessel lesions and malformations.
Kyphoplasty is linked to vertebroplasty. This procedure is used to treat fractures in the spine. These bones are called vertebrae. A vertebroplasty procedure includes the doctor injecting a cementlike material into the bone to help stabilize it.
Microvascular decompression (MVD) is often used to treat conditions such as trigeminal neuralgia (TN) and hemifacial spasm. Although MVD is considered to be the most invasive procedure for these conditions, it was designed to cause no additional nerve damage and also offers a high probability that pain will not reoccur.
The main goal of a posterior cervical microdiscectomy is to help relieve pressure from your spinal nerve. A small incision will be made in the back of your neck, and the muscles will be gently spread apart to introduce a tube through which the surgery will be performed.
A minimally invasive microdiscectomy is a surgical procedure where your neurosurgeon makes a small incision in your back. Then, specialized instruments are introduced into your back to help remove a portion of the spinal disc that is pressing against your spinal nerve. Once your surgeon decompresses your nerve, the instruments are removed and the tiny incision is repaired.
During your procedure, small incisions are made in your back near your spine. Your back muscles are not cut but gently spread apart to allow your doctor to introduce specialized instruments into your spinal area. Your doctor will then use the instruments to correct the position of your spine. Once your scoliotic curve is corrected, your doctor will apply external hardware to the bones, so they stay in place.
During minimally invasive spine tumor surgery, a small incision is made in your back, and specialized instruments are introduced to the area where the tumor is located. Your neurosurgeon will use these instruments to remove the tumor from your spinal, relieving pressure from your spinal cord and nerves.
Small incisions are made in your low back, and specialized instruments are introduced to areas in and around your spine. The instruments are used to cut away disc, ligament, and bone to take the pressure off of your spinal nerves.
During minimally invasive foraminotomy or laminectomy, your doctor will make a small incision in your back and introduce specialized instruments. Then, small cuts will be made to trim back the bone and ligament that is compressing your spinal nerve or nerves. When your nerve is adequately decompressed, the instruments are removed and the incision will be closed.
A pipeline embolization device, or PED, is a revolutionary tool neurosurgeons can use to treat patients who suffer from aneurysms. The PED is a thin braided cylindrical mesh device placed across the aneurysm’s opening, which stops blood flow to the aneurysm. Limiting excess blood flow will often cause the aneurysm to clot and dissolve back into the body.
A stent retriever is a medical device used to unclog blood clots that can cause strokes. The stent retriever looks like a small metal cage attached to the end of a long wire. The cage is also collapsible, which makes it possible for a doctor to grab blood clots in your brain and remove them through an artery.
Stenting is a minimally invasive procedure used to implant a stent into a clogged artery. Neurovascular stents, which are designed for arteries located in your brain, have become increasingly common over the last few decades.
Stereotactic Radiosurgery is a precise form of therapeutic radiology that uses intense doses of radiation without a surgical incision or opening. It is called “surgery” because a result similar to an actual surgical procedure is created by the radiation therapy treatment. The beams of radiation are precisely focused to reach the tumor, lesion or other area being treated with minimal effect on surrounding healthy tissue.
Stimulator placement is a technique that does not require extensive surgery. Rather, this procedure is a method of treatment that aims to stimulate the facial nerves using electrodes, which are metal wires that produce mild electrical signals.
During a thrombectomy, surgeons use a mechanical device to break up or remove the blood clot at the source. The goal is to restore normal blood flow to the brain. Thrombectomy, when performed within hours of the onset of a severe stroke, can vastly improve patient outcomes in terms of mobility and overall quality of life.
There are many rare problems that effect the blood vessels in the brain of newborns, infants and growing children. While very frightening and potentially lethal, many if not most of these conditions can be successfully treated.
Unlike the majority of problems, children can face that require a neurosurgeon, these problems can be quite complex and are often best treated at very select centers that can provide the varied support staff needed to deal with such complicated issues. These include in addition to pediatric neurosurgeons, endovascular neurosurgeons and radiologists, neurologists and pediatric intensivists.
