In addition to a large and extensive experience in general neurosurgical conditions, the efforts of the Department are focused in several major programmatic areas. The faculty is organized into areas of sub-specialization, which gives the resident excellent exposure to each of these disciplines as well as the more general neurosurgical experience. The emphasis of the training program is to provide outstanding clinical experience and expertise in all fields appropriate for pursuing a career in academic or clinical neurosurgery. The volume and intensity of the exposure has enabled many graduates of the program to obtain positions without taking additional fellowship training.
All aspects of cerebrovascular disease are managed at the participating hospitals. Microsurgical management of aneurysms and arteriovenous malformations is an area of major interest. In addition, interventional neuroradiology with the availability of intra-arterial embolization, angioplasty and stenting have increased our ability to manage the complex disorders that are referred to us at both hospital sites. Drs. Flamm and Gordon are responsible for the management of intracranial and extracranial cerebrovascular disorders.
Active programs in surgery and treatment of brain tumors exist at both Montefiore and Roosevelt Hospital. These include the management of benign and malignant tumors in both adult and pediatric populations. In addition to the neurosurgical management, emphasis is placed on the multidisciplinary management of these complex problems. Close interaction between Neurosurgery, Neurooncology and Radiation Oncology through the Tumor Board provides an opportunity for the residents to be exposed to current protocols and management strategies. The Department of Neurosurgery is also a participant in the Montefiore Einstein Cancer Center of AECOM.
Diagnostic facilities include CT, MRI imaging and spectroscopy, PET and SPECT scanning. Surgical management utilizes the latest surgical techniques including advanced microsurgical methods, frameless stereotactic guidance, ultrasound and endoscopic visualization. Radiosurgery is also available.
Drs. LaSala and Abbott at Montefiore and Drs. LaSala, Tandon and Abbott at Roosevelt Hospital are responsible for supervision of the adult and pediatric tumor programs.
Patients with complex partial seizure disorders are evaluated for management and consideration for surgical treatment. Facilities for monitoring patients with implanted electrodes to aid in localization are available at both sites. PET scanning is used to complement the electrophysiologic localization of the seizure focus. Drs. LaSala and Abbott direct the adult and pediatric surgical program in epilepsy and collaborate with The Epilepsy Center of the Department of Neurology.
An extensive program in advanced techniques of spine surgery including stabilization techniques is available. Collaboration with Orthopedics is encouraged. Drs. Houten, Gordon and Tandon have responsibility for these programs.
Skull Base and Reconstructive Surgery
An integrated program in com¬plex skull base surgery has been developed with the Department of Otorhinolaryngology. Surgical laboratory facilities are available to prepare the residents for involvement in adult and pediatric patients with tumors and congenital abnormalities. The rotation at Roosevelt Hospital is under the direction of Dr. Gordon, a former fellow of Dr. Sen, directs the efforts at Montefiore.
Drs. Abbott and Goodrich see the general range of pediatric neurosurgical cases at The Children's Hospital at Montefiore, with special emphasis on craniofacial reconstruction for congenital abnormalities, brain and spinal cord tumors.