Neurological Treatment

Our physicians and specialists at Carondelet are dedicated to providing individualized treatment and rehabilitation plans to get you on the road to recovery.

We take great pride in restoring good health in patients with brain and neurological conditions, including stroke and stroke prevention. Some common treatments that we may provide for brain and neurological conditions:

CAROTID ARTERY ENDARTERECTOMY

This procedure is performed in order to prevent strokes in those who have been diagnosed with carotid artery disease. Carotid artery disease is a buildup of plaque in the two largest arteries found on both sides of the neck.

CEREBRAL ANGIOGRAPHY

This diagnostic test is an X-ray of the brain's blood vessels. It can be used to evaluate conditions such as aneurysms and stenosis.

CEREBRAL ANEURYSM REPAIR (COILING/CLIPPING)

A brain aneurysm is surgically repaired by coiling or clipping to correct a weakening blood vessel and prevent bleeding into the brain. Clipping is the most common form of repair, and coiling is a less invasive way to treat a brain aneurysm.

CERVICAL/SPINAL FUSION

Fusion surgery is a procedure that joins two or more of the vertebrae in the neck or spine. This procedure is designed to help stop neck or back pain.

CRANIOTOMY

This procedure is the surgical removal of part of the skull in order to expose the brain. The piece of bone is removed during surgery and replaced at the end of the procedure.

DISCECTOMY

A surgical procedure used on individuals with herniated discs. During surgery, the damaged portion of the disc is removed.

DISC REPLACEMENT

This particular surgery is a procedure designed to reduce back pain. During surgery, vertebrae are replaced with an artificial device — much like during knee or hip replacement surgery.

EPISTAXIS TREATMENT VIA EMBOLIZATION

In layman's terms, epistaxis is a nosebleed. Embolization can be used to treat nosebleeds, placing a material within the bleeding vessel to block it.

FORAMENOTOMY

This procedure is a type of decompression surgery. During surgery, the portion of the back covering the nerve roots is widened to reduce pressure on the spinal column.

INTRA-ARTERIAL T-PA FOR ACUTE STROKE

In the event of a stroke, time is crucial. Intra-arterial t-PA involves inserting a thin, flexible catheter into an artery in the groin and guiding it up to the area of the brain clot to pull the clot out of the brain.

LAMINECTOMY

Also referred to as decompression surgery, a laminectomy removes the lamina — or back part of the vertebrae that covers the spinal canal. The aim of this surgery is to relieve pressure on the spinal cord and nerves.

LUMBAR DECOMPRESSION SURGERY

This minimally invasive procedure is used to treat a herniated disc — also called a slipped or ruptured disc. The herniation occurs when the softer portion of the disc pushes through the tough exterior of the vertebrae. The surgery removes that portion of the disc under the nerve root to relieve the pressure on it.

MECHANICAL THROMBECTOMY FOR ACUTE STROKE

Used as a treatment for acute stroke, mechanical thrombectomy is a medical therapy. This procedure is the only one of its kind approved in the United States that actually removes the clot.

PAIN MANAGEMENT

Pain management is very important in long-term pain control, especially in patients with chronic or long-term illness. Pain management physicians make an assessment and offer a treatment plan to help control pain.

PERIPHERAL NERVE SURGERY

Peripheral nerves are cord-like structures containing nerve fibers that carry information from the body to the spinal cord. If the nerves become injured, chronic pelvic pain may occur. Recovery from an injury to the peripheral nerves can be a long one; surgery is sometimes encouraged to help repair the nerves.

PITUITARY/BRAIN TUMOR RESECTION

Pituitary and brain tumors are resected – or cut out – through a surgical procedure. The tumor is removed as well as some of the surrounding tissue some pituitary tumors can be removed through the nose.

PREOPERATIVE EMBOLIZATION OF HEAD/NECK TUMORS

Many tumors in the head and neck have a large supply of blood. Preoperative embolization can block off the supply of blood to the tumor, making surgery much less risky.

SKULL BASE SURGERY

Skull base tumors grow at the bottom of the brain and near the skull. Their growth can cause significant problems including dizziness and hearing and vision loss. Minimally invasive techniques are often used to treat and remove them, with a faster recovery than for “open brain” craniotomies.

SEIZURE WORKUP AND TREATMENT

Metabolic and drug screening, as well as a neurology workup, are performed on patients reporting their first seizure. Treatment may not be required for all seizure patients, but many will be placed on anti-seizure medications.

SPINAL FUSIONS AND DECOMPRESSION

Fusion surgery is a procedure that joins two or more of the vertebrae in the neck or spine. Decompression surgery works to reduce pressure on the spinal nerves.

SPINAL VASCULAR MALFORMATION TREATMENT

Also known as AVM, spinal vascular malformation is a rare and abnormal tangling of the blood vessels at the end of the spinal cord. Untreated AVM can lead to permanent spinal cord damage. Treatment involves a combination of embolization – or blocking of blood vessels – and microsurgery.

STENTING AND ANGIOPLASTY

An angioplasty procedure is often combined with stenting in order to open clogged heart arteries. A stent is placed in order to help keep the arteries open and reduce the risk of them becoming clogged again.

TREATMENT FOR BRAIN ABSCESS/INFECTION

The treatment of a brain abscess varies from case to case. Doctors may order a CT scan in order to determine the size of the abscess. Once size is determined, medication and/or surgery are used to treat the infection.

TRIGEMINAL NEURALGIA SURGERY

TN is a chronic pain condition that affects the trigeminal (5th cranial) nerve. Surgery can be performed on damaged nerve fibers so that pain can be blocked.

VASCULITIS TREATMENT

Vasculitis is an inflammation of the blood vessels. The immune system attacks the blood vessels and causes thickening, weakening, scarring and narrowing. Medications are typically used to suppress parts of the immune system.

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