Neurological Conditions and Their Treatment Options

At California Neurological Institute, our surgeons perform minimally invasive spine surgeries for spine pain treatment due to Cervical Discectomy & Fusion, Posterior Fusion, Lumbar, Corpectomy, and Disk Prosthesis Placement, and other sources of spine pain.

  • Anterior cervical discectomy and fusion
  • A common approach to the front of the spine in the neck to remove and replace a disc with a fusion of the bones above and below. With minimally invasive techniques this is often performed as an outpatient with early return to activities.
  • Placement of cervical disk prosthesis
  • This is similar to discectomy but with placement of an artificial disc with natural motion preservation. Research published by CNI doctors demonstrate this technique has the advantage of reduced complications including fewer future spine operations.
  • Corpectomy
  • Surgery to replace the bone in addition to the discs for more extensive spinal cord compression problems. Newer expandable devices to replace the bone has replaced uncomfortable grafting from the patient's own hip bone.
  • Laminectomy
  • The part of the spine bone forming the canal for nerves in the back is the lamina. Laminectomy is removal of some of this bone to relieve pressure in the canal.
  • Posterior Fusion
  • This is an approach to the back of the spine for fusing by bone, and or metal, two or more spine bones, [ vertebrae.]
  • Resection of spine and spinal cord tumor
  • Clipping of brain aneurysms
  • Surgery of the brain with microscopic magnification to place a special clamp on a weak or ruptured area of a brain artery. CNI member doctors are specialists in these treatments.
  • Clipping of arteriovenous fistula
  • Arteriovenous malformations are similar to aneurysms with the potential to bleed and cause strokes.
  • Resection of cavernous malformation
  • Cavernous malformation is a less common vascular tumor with the potential to bleed.
  • Carotid endartectomy
  • An operation to remove material inside neck arteries that commonly limit blood flow to the brain and cause stroke.
  • Cerebral Bypass
  • An operation to detour blood flow to a brain artery to improve circulation and prevent stroke.
  • Endovascular therapy of aneurysms
  • Treatment of aneurysms to prevent rupture by placement of devices through tubes placed inside the arteries and manipulated by the surgeon while viewing Xrays. Many aneurysms previously treated with surgery can be successfully treated with this technique.
  • Decompressive craniectomy
  • Significant brain trauma often causes swelling, [ edema,] of the brain. The skull is a rigid closed container and pressure can rapidly increase and threaten survival. Crainiectomy produces a large opening in the skull to allow extra space for the brain to swell until the edema resolves. This is frequently an emergency procedure.
  • Evacuation of intracranial hematoma
  • Brain injury is often associated by bleeding in or next to the brain producing a clot, [ hematoma.] The clot can rapidly produce damaging pressure against the brain which can be treated by surgical removal. This is frequently an emergency procedure.
  • Cranioplasty
  • After a craniectomy when the brain swelling resolves and the patient recovers, the skull can be repaired for protection of the brain and cosmetic reasons. The skull opening can be repaired with the patient's preserved bone or a variety of synthetic substitute materials.
  • Microsurgical resection of benign brain tumors
  • Benign, [ non cancerous,] tumors of the brain can be removed with improved safety and reduced effects on surrounding structures by use of modern technology. Computers in the operating room direct the surgeon precisely to the tumor. The operating binocular microscope is used with the surgeon's skills to remove the tumor safely and more completely.
  • Microsurgical resection of malignant brain tumors
  • Removal of malignant, [ cancerous,] tumors is very similar to the above technique for benign tumors. Newer technology often permits more effective surgical treatments for conditions that used to be only radiated with less effective results.
  • Resection of complex skull base tumors
  • This is an area of neurologic surgery with special challenges. CNI member surgeons have special fellowship training and experience as well as scholarly publications in this area.
  • Endoscopic transphenoidal resection of pituitary tumors
  • Pituitary tumors are often benign but cause problems by excessive hormone production and or pressure on critical brain structures. The surgical approach to the pituitary through the nose and skull base is classic but newer technology with fiberoptic vision and remote instruments now allow surgery to be performed through very small openings with greater precision and safety. CNI surgeons are specialists in these procedures.
  • Minimally Invasive Brain Tumor Removal Surgery For information regarding the best treatment options please make an appointment with one of our neurosurgeons.

Brain Tumor Treatment Recovery

  • The recovery time after brain surgery varies greatly depending on the procedure as well as the individual patient. However the biggest factor in recovery and rehabilitation depends on the location of the tumor within the brain. For more information regarding your expected recovery time please make an appointment with one of our neurosurgeons.
  • Hydrocephalus Treatment
  • The brain sets in a fluid called Cerebrospinal fluid, produced in the ventricles of the brain. The abnormal accumulation of this fluid in any specific section of the brain will exert pressure onto that region, causing neurological disorders.
  • Because the body continues to over produce the cerebrospinal fluid, the most effective long term solution is to perform a surgery where a tube is inserted in the effected region, continually draining (shunting) the excessive fluid.
  • Ventriculoperitoneal shunt placement [VP shunt]
  • Placement of a tube from the fluid cavity, [ ventricle,] of the brain, passing under the skin to the abdominal cavity,[ peritoneum,] where the fluid can be resorbed.
  • This is a detour used to treat obstructions to spinal fluid flow resulting in excessive ventricle size or pressure in the brain known as hydrocephalus.
  • Ventriculoatrial shunt placement [VA shunt]
  • Similar to VP shunt except the end of the tube is placed in the low pressure side of the heart known as the atrium. This is sometimes used for patients with problems in the peritoneum such as scar tissue.
  • Ventriculopleural shunt placement
  • This is another alternative shunt procedure with the tube ending in the lung cavity. Spinal fluid can be resorbed in this location.
  • Endoscopic third ventriculostomy
  • This is a minimally invasive operation to treat hydrocephalus where the surgeon creates an opening between a brain fluid cavity [ ventricle,] to the area outside of the brain where spinal fluid may be resorbed without the need of a tube. The endoscope is a fiberoptic viewing apparatus which permits the surgeon to see and operate through a very small opening.

Hydrocephalus Shunt Surgery Recovery

The recovery time after a placement of a shunt varies greatly depending on the procedure as well as the individual patient. It is important for patients to rest sufficiently before returning to work and activates. For more information regarding your expected recovery time please make an appointment with one of our neurosurgeons.

  • Chiari decompression
  • Chiari malformations are congenital variations of the back of the brain which can cause head aches and other symptoms that respond poorly to medications. Decompression surgery can relieve this condition.
  • Microvascular decompression for trigeminal neuralgia
  • Trigeminal neuralgia causes very severe pain to the face from an artery pressing a nerve in the brain. Microvascular decompression is a brain operation using a microscope to separate the blood vessel from the nerve, often with dramatic improvement.
  • Microvascular decompression for hemifacial spasm
  • The cause of hemifacial spasm is similar to trigeminal neuralgia with a blood vessel compressing a nerve. The surgery separates the blood vessel from the nerve.
  • Microvascular decompression for Glossopharyngeal neuralgia
  • Glossopharyngeal neuralgia is similar in cause to the above two conditions. CNI surgeons are specialists in the treatment of these conditions.

Microvascular Decompression Surgery Recovery

The recovery time after decompression surgery varies greatly depending on the procedure as well as the individual patient. However the biggest factor in recovery and rehabilitation depends on the location of the surgery. For more information regarding your expected recovery time please make an appointment with one of our neurosurgeons.

  • Decompression of the ulnar nerve
  • Compression of the ulnar nerve occurs most often at the elbow, called 'tardy ulnar palsy' with numbness of the ring and little fingers. Decompression is a simple outpatient surgery often with little discomfort and early return to activities.
  • Decompression of the median nerve in the carpal tunnel
  • Carpal tunnel syndrome is compression of the median nerve in the wrist. A variety of surgical treatments are available but neurosurgeons often use the microscope for both safety and small incisions.

A Brief Introduction to Peripheral Nerve Surgery

Neurologic surgeons perform procedures to the nerves outside the spine. Conditions requiring treatments include trauma, and tumors, but by far the most common indications are pressure from adjacent anatomy.

Compression of the median nerve in the wrist, known as carpal tunnel syndrome, is the most common nerve condition requiring surgery. The condition can produce wrist discomfort involving the first three fingers which may interfere with sleep. The nerve is compressed under the transverse carpal ligament near the wrist. Older procedures to divide the ligament required long incisions in the palm which were tender healing and required a long period of limited hand activity. Minimally invasive neurologic surgery employing the microscope have made the procedure much smaller with faster recovery. The next most common procedure is decompression of the ulnar nerve in the elbow for tardy ulnar palsy, also known as cubital tunnel syndrome. This condition can produce tenderness to the elbow with numbness and discomfort to the fourth and fifth fingers. In cases that do not respond to conservative measures, the condition can be treated with a simple outpatient procedure. Recent research shows that the simple decompression operation is more successful than bigger more complicated procedures.

Less often nerve conditions treated by decompression include the lateral femoral cutaneous nerve which produces a discomfort to the outside of the thigh known as meralgia paresthetica. Another condition can cause discomfort to the inside and bottom of the foot caused by compression of the tibial nerve in the tarsal tunnel known a tarsal tunnel syndrome. Again as for most of these conditions, they can be successfully relieved by simple outpatient surgery with very low risk.

Peripheral Nerve Surgery Recovery

The recovery time after peripheral nerve surgery varies greatly depending on the procedure as well as the individual patient. It is important for patients to regain mobility to. For more information regarding your expected recovery time please make an appointment with one of our neurosurgeons.

Appointments at California Neurosurgical Institute

CNI works with most insurance companies and is an in-network provider for these insurances. In most cases, CNI doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need, and the team members who will care for you or your family have the expertise and skills to provide the best care possible.

Contact Us

If you are currently suffering from a brain or spine disorder, or are experiencing persistent pain for a minimum of 6 months, you should consult with a neurosurgeon at CNI. The surgeon will evaluate your condition and suggest the best possible treatment options. Take the first step to feeling better and call today to schedule a consultation.

Valencia

(661) 799-2542

Encino/San Fernando Valley

(747) 206-5424

Bakersfield

(661) 414-9100

What to bring

  • Form of Identification
  • Insurance Card
  • Prior Images on CD (preferred) or film
  • If a member of an HMO, your referral form
  • If you are a new patient, please arrive 15 minutes prior to your appointment time to complete New Patient Forms.