Neurosurgery

Neurosurgeons are specially trained doctors who treat conditions of the brain, spine and nerves with surgical procedures, including minimally invasive options. While the idea of undergoing neurosurgery may be intimidating, these procedures can be lifesaving, improve outcomes and enhance quality of life.

Neurosurgeons commonly perform the following procedures:

• Placement of a shunt to treat hydrocephalus
• Removal of spinal cord or brain tumors
• Implantation of devices to treat epilepsy or movement disorders
• Repair of traumatic injuries to the brain, neck or spine
• Repair or stabilization of the spine

Three of the most common reasons patients may require neurosurgery are for brain tumors, brain trauma and spine conditions.

• Brain tumors. Neurosurgery may be one of several approaches used to treat brain tumors. Our neurosurgeons work collaboratively with medical oncologists, radiation oncologists, rehabilitation experts and other members of the cancer care team to deliver optimal outcomes and help preserve functioning.
• Brain trauma. Motor vehicle accidents, falls, violence and other incidents can cause traumatic brain injuries. These injuries can range from mild to severe. Neurosurgery may be required to repair damage and alleviate swelling of the brain or pressure on the skull.
• Spine disorders. MultiCare neurosurgeons frequently consult with patients who have spine conditions, such as herniated disks or spinal stenosis. Surgery may help alleviate pain and restore or improve functioning. Both orthopedic surgeons and neurosurgeons perform operations on the spine.

During a consultation, your neurosurgeon will review your medical history, discuss your symptoms and may perform a neurological exam. In some cases, further diagnostic testing may be needed. Your neurosurgeon will discuss potential surgical treatment options, their risks and how they may benefit you.

Please note that neurosurgeons are also trained in a number of nonsurgical procedures and may recommend those less-invasive approaches before pursuing surgery.

Neurosurgeons at MultiCare perform a range of surgical procedures. These include traditional open surgeries like craniotomies, where a piece of the skull is temporarily removed to access the brain.

Other types of surgical treatment we perform include:

• Deep brain stimulation. Deep brain stimulation (DBS) involves the surgical implantation of an electrode into the brain to help regulate electrical signals. DBS can be helpful in managing uncontrollable movements, such as severe tremors, that affect those with Parkinson’s disease and other movement disorders.
• Vagus nerve stimulation. Vagus nerve stimulation (VNS) may be beneficial for patients with forms of epilepsy that don’t respond well to other treatments. The VNS device is surgically placed under the skin on the chest and then connected to the vagus nerve. Located in the neck, this nerve plays an important role in regulating involuntary bodily functions. The VNS device emits mild electrical impulses to the brain through the vagus nerve, reducing and in some cases eliminating seizures. While this procedure does not involve direct surgery on the brain, it is typically performed by neurosurgeons.