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 subspecialization, which gives the resident excellent exposure to each of these disciplines as well as to 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 Moses Campus. We are the only Advanced Comprehensive Stroke Center in the borough of the Bronx and Westchester county. Microsurgical and endovascular management of aneurysms and arteriovenous malformations are areas of major interest at Montefiore. We also have areas of focus in ischemic, and hemorrhagic stroke, including carotid artery disease, intracranial atherosclerosis, minimally invasive hematoma evacuation. We also work closely with our Children’s Hospital and treat pediatric arteriovenous malformations. We are a multi-disciplinary group consisting of two dual trained cerebrovascular neurosurgeons, and three neurointerventionalists. David Altschul, MD and Neil Haranhalli MD are responsible for the management of intracranial and extracranial cerebrovascular disorders. In addition to the above, Dr. Altschul hadsspecial interest in Moyamoya disease, while Dr. Haranhalli has special interest in carotid artery stenosis.
All residents rotate on the cerebrovascular service once during the junior years and again during the senior years. Residents are exposed to cutting edge minimally invasive technologies and get a superb amount of hands on training. Cerebrovascular conference occurs once every other Friday morning for one hour, which is multi-disciplinary in nature. All residents graduating from our program routinely attain the diagnostic angiography requirements to proceed with a single year of an interventional fellowship.
Montefiore has active programs in surgery and the treatment of brain tumors. 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 among Neurosurgery, Neuro-oncology 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 Neurological Surgery is also a participant in the Montefiore Einstein Center for Cancer Care of our Albert Einstein College of Medicine .
Diagnostic facilities include CT scanning, magnetic resonance imaging (MRI) and spectroscopy, and positron emission tomography (PET) and single photon emission computed tomography (SPECT) scanning. Surgical management utilizes the latest surgical techniques, including advanced microsurgical methods, frameless stereotactic guidance, ultrasound and endoscopic visualization. Radiosurgery is also available.
Patients with complex partial seizure disorders are evaluated for management and consideration of 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. Dr. LaSala and Dr. Abbott direct the adult and pediatric surgical program in epilepsy and collaborate with the Epilepsy Center of the Department of Neurological Surgery.
An extensive program in advanced techniques of spine surgery including stabilization techniques, is available. Collaboration with orthopedics is encouraged. John Houten, MD, Dr. Gordon and Dr. Tandon have responsibility for these programs.
Skull Base and Reconstructive Surgery
An integrated program in complex skull base surgery has been developed with the Department of Otorhinolaryngology-Head and Neck Surgery. Surgical laboratory facilities are available to prepare the residents for involvement with adult and pediatric patients who have tumors and congenital abnormalities.
Dr. Abbott and James Goodrich, MD, see the general range of pediatric neurosurgical cases at Children's Hospital at Montefiore, with a special emphasis on craniofacial reconstruction for congenital abnormalities and brain and spinal cord tumors.