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ArthritisClarke MJ, Cohen-Gadol AA, Ebersold MJ, Cabanela ME. Long-term incidence of subaxial cervical spine instability following cervical arthrodesis surgery in patients with rheumatoid arthritis. Surg Neurol 66:136-40, 2006.
Stroke RehabilitationThe meeting brought together neurosurgeons, neurologists, stroke specialists, nurses, stroke care support teams and chief medical officers who discussed recent clinical evidence indicating that early surgical intervention of intracerebral hemorrhage -- also called hemorrhagic stroke -- using new access technology can mitigate brain injury and result in a faster, more complete recovery. This offers new hope for hemorrhagic stroke patients who may have had no surgical options before.
Pediatric CareVogel TD, Kulwin CG, Denardo AJ, Payner TD, Boaz JC, Fulkerson DH. "Tumor bleeding from a de novo aneurysm associated with optic glioma." Journal of Neurosurgery Pediatrics. 2011 Jun;7(6):633-6.
Primary CarePlease bring your insurance card each time you visit the office. The card is an important guide to your insurance company's pre-certification, copayment, and claims requirements. Please advise the receptionist of any changes to your contact information, your marital status, insurance, or primary care physician.
Emergency CareIf urgent problems arise, a Goodman Campbell neurosurgeon is available 24 hours a day, seven days a week. When the office is closed, call 317-396-1300 to reach the answering service. An on-call physician will be contacted immediately. If necessary, you may also call 911 or travel to the nearest hospital emergency room.
ElectrocardiogramVarious monitoring devices may be used to assess the patient's condition during recuperation. Among the most common are: an EKG (heart) monitor, an ICP monitoring device, a Swan-Ganz catheter to assess the patient's fluid balance, and an arterial line to continuously measure blood pressure and aid in drawing frequent blood samples for laboratory study.
Neurology"What we are seeing in the peer-reviewed clinical evidence is truly groundbreaking for the appropriate patients who had very little to be optimistic about before when suffering a hemorrhagic stroke," said Anantha Shekhar, M.D., Ph.D., director of the Indiana Clinical and Translation Sciences Institute (Indiana CTSI). "Bringing together these well-respected thought leaders from across the spectrum of neurology, neurosurgical and neuro critical care and sharing our experiences with the goal of impacting clinical outcomes of this disease is a unique effort and a monumental step in the right direction."
Carpal Tunnel SyndromeNo, neurosurgeons treat disorders and diseases of the spine and nervous system, in addition to the brain. Other specialists may treat the spine and problems related to nerves (such as carpal tunnel syndrome), but only neurosurgeons are specially trained to treat the brain and any other nerves in the body, such as those that are part of your spinal cord and those that go to your arms and legs. If you feel any weakness or numbness in any part of your body, it's likely your nerves are part of the problem and it's best to seek advice from your family doctor, who may refer you to a neurologist first. Then, if appropriate, you may be sent for a consultation with a neurosurgeon.
Multiple SclerosisOur neuroradiologists use MRI scans to diagnose and evaluate multiple sclerosis (MS), tumors of the brain, blood vessel abnormalities in the neck or brain, infections in the brain, spine, or joints, strokes in the earliest stages, the integrity of the spinal cord after trauma, bone tumors, cysts, and bulging or herniated discs in the spine.
EpilepsyOur highly trained, superspecialized surgeons treat pediatric and adult problems of the brain, spine and peripheral nerves, including the latest neurological treatments for brain and spinal tumors, skull base tumors, pituitary tumors, epilepsy, seizure disorders, intracranial aneurysms, intracranial arteriovenous malformations, carotid occlusive disease, head injury and spinal problems, including spinal instrumentation.
Computed TomographySpondylolysis is a defect in the lamina of the vertebrae in the pars interarticularis, usually the fourth or the fifth lumbar vertebrae in the lower (lumbar) spine. Spondylolysis may occur as a congenital defect or be the result of repetitive trauma. Some physicians believe spondylolysis may be caused by genetics, and that someone could be born with thin vertebral bones causing them to be vulnerable to the condition. Spondylolysis is common in teenage gymnasts and football players, and presents with lower back pain that is worse with strenuous exercise or activity. Radiographic findings are subtle, but bone scans or CT scans will usually detect the lesion. Activity modification, bracing, or surgical treatment may be indicated for persistent symptoms.
UltrasoundDuring surgery, ultrasound imaging may be used to pinpoint the tumor's precise location and help the surgeon plan his approach for its removal.
MRIToday, the degree of injury, progression of disease, and course of treatment can all be identified with the same powerful technique. In less than 30 years, the MRI (or magnetic resonance imaging) has revolutionized the way physicians diagnose injury and illness. This unique body scan is painless and perfectly safe and Goodman Campbell neuroradiologists are onsite to interpret and discuss results almost immediately.
EndoscopyWe also offer new non-invasive and minimally invasive programs, including stereotactic surgery, pallidotomies for Parkinson's disease, radiosurgery using the gamma knife, endoscopy and glycerol injections for trigeminal neuralgia.
SciaticaSciatica is the descriptive term for when pain runs from your back or buttocks down your leg and into your foot. It is a condition caused by either compression or trauma of the sciatic nerve. Sciatica is made worse when you cough or if someone lifts your leg up while you are laying down. Symptoms may begin abruptly or gradually, are usually irritated by movement, and often grow worse at night. Sciatica implies that there is an irritation of your nerve root in the lower part of your spine. In some instances, this could be due to a ruptured or herniated disc in your lower back.
WhiplashCervical spine injuries can occur during motor vehicle accidents, in rough contact sports, after a fall, or by hitting your head against a hard surface, such as when diving into a pool that is too shallow. These accidents can cause injuries that range from mild cases of neck pain, called whiplash, to injuries that can cause paralysis of the rest of the body below the level of injury.
Minimally Invasive SurgerySurgery that focuses on identifying and strengthening blood vessel (vascular) abnormalities of the brain and spinal cord. This minimally invasive surgery takes place inside the blood vessels (endovascular) with the insertion of a small tube (catheter). Stroke correction or prevention may include blood vessel bypass or the use of tiny clips, coils, or stents to treat blood vessel walls that balloon outward at a branching site (aneurysms). Three of our neurosurgeons and two neuroradiologists are specially trained in vascular abnormalities of the brain and spine and are experienced at working together to offer patients every possible treatment option available.
NeurosurgeryGoodman Campbell Brain and Spine offers a fully-approved 7-year Neurological Surgery Residency. The faculty neurosurgeons of the IU School of Medicine Department of Neurological Surgery and the private practice neurosurgeons of Indianapolis Neurosurgical Group merged in 2010 to form Goodman Campbell Brain and Spine, one of the nation's largest private neurosurgery practices. The combination of these two groups provides an outstanding learning experience for our residents and fellows.
Vascular SurgeryResidents in the neurological surgery program at Indiana University Medical Center are responsible for the complete care of adults and children with neurological surgery problems including Intracranial and Carotid Vascular Surgery, Skull Base Surgery, Neurooncology, Gamma Knife Radiosurgery, Frame and Frameless Stereotactic Surgery, Epilepsy Surgery, Pallidotomy/Functional Neurosurgery, Neuroendoscopy, Level 1 Cranial and Spinal Neurotrauma, Spinal Instrumentation and Peripheral Nerve Surgery. The Neurological Surgery Section also employs seven PhD Neuroscientists that are dedicated to neurological surgery research.
Skin CancerLavine SD, Petrovich Z, Cohen-Gadol AA, Masri LS, Morton DL, O'Day SJ, Essner R, Zelman V, Yu C, Luxton G, Apuzzo ML. Gamma knife radiosurgery for metastatic melanoma: An analysis of survival, outcome, and complications. Neurosurgery 44(1):59-66, 1999.
UlcerOther complications from subarachnoid hemorrhage, such as hydrocephalus, hematoma (blood clot), and brain swelling, involve the brain; but other body systems can also be affected because of the severe nature of the illness. Pulmonary embolus, heart abnormalities, and bleeding from an ulcer may cause further complications.
LesionsWe also introduced radiosurgery for the treatment of brain tumors and vascular malformations, stereotactic biopsy of brain lesions, neuronavigation as aid to cranial surgery and spinal instrumentation in complex spinal disorders by neurosurgeons.
Sports MedicineOur expertise lies in the treatment of traumatic injuries, spinal tumors, degenerative disease, scoliosis, sports injuries, and disc disease. The most advanced surgical technology and procedures are available to our patients, including...
Physical TherapyOur comprehensive spine care program includes the following non-surgical treatments: physiatry, spine traction, therapeutic injections and referrals to physical therapy in the community you live. As always, our physicians will thoroughly assess each patient's condition and discuss all available treatment options.
Slipped DiscA herniated ("slipped") or ruptured disc in your back can cause each of these pain patterns. The ways in which a slipped disc causes different pain patterns and problems with your back is related to the location of the slipped disc along your spine, and also to the anatomy of your spinal column.
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