Neurosurgery: Brain

Mount Sinai Medical Center is home to a team of highly specialized neurosurgeons with extensive clinical training that encompasses a wide variety of treatments, including minimally invasive surgical methods for patients seeking unparalleled care in South Florida. We strive to elevate neurosurgical medicine through innovative techniques, advanced technology, and the unwavering commitment to prevent, treat, or cure disorders of the neurological system. Our expert team drafts personalized treatments for patients with a wide variety of conditions, including brain tumors, meningiomas, and acoustic neuromas.

Our Specialties

• General neurosurgery, which employs minimally invasive techniques to treat tumors and small lesions in the brain
• Microsurgery, which coordinates the use of a microscope and electrodes during surgery on the brain or spinal cord, increasing the chance of surgical success and avoiding damage to healthy tissue
• Skull-based surgery to perform lesion and tumor removal
• Lesion and tumor removal at the base of the skull, one of the most intricate and complex areas of the body
• Hearing loss due to disruption in auditory nerve pathways

Multidisciplinary Care

Mount Sinai provides high-quality neurosurgical care, tailored to meet the individual needs of each patient. A comprehensive team of physicians and surgeons collaborates to customize the diagnostic and therapeutic plan, bringing together the renowned skills of physicians trained in neurosurgery, neurology, medical oncology, radiation oncology, endocrinology, ophthalmology, and rehabilitative medicine.

Interventional Neuroradiology

Mount Sinai Medical Center is among the first hospitals in South Florida to offer the biplane angio suite that enables interventional neuroradiologists to access the most remote parts of the brain by using minicatheter surgery. This allows them to perform the most complex, minimally invasive interventions to treat conditions like aneurysms, vascular malformations, brain hemorrhages, and brain tumors.

Our neurointerventional team specializes in the use of a revolutionary detachable coiling operation, stent flow diversion, bifurcation stent reconstruction, pipeline stent, and other minimally invasive techniques to treat aneurysms. Using state-of-the-art endovascular technology, combined with high-tech imaging to visualize a patient’s cerebrovascular system, our physicians can reach aneurysms in the most challenging locations. This often eliminates the need for more invasive and risky conventional surgery. Minimally invasive procedures such as thrombolysis are also used to treat acute ischemic strokes, which occur when an artery supplying blood to the brain becomes blocked. Percutaneous balloon angioplasty is also used to treat fibromuscular dysplasia, most commonly caused by a narrowing of arteries leading to the brain.

Technology

With the aid of advanced digital angiography depicting detailed 3-D images of blood vessels, our surgeons are able to guide instruments through tiny incisions with the utmost care, in the least invasive method possible. Our team regularly performs microsurgery, which coordinates the use of a microscope and electrodes on the brain, to increase the chance of surgical success and avoid damage to healthy tissue. This minimally invasive brain surgery offers patients smaller scars, less postoperative pain, and shorter recovery time than open surgery.

Our neurosurgeons work closely with our radiation oncologists utilizing the Trilogy Stereotactic System for the treatment of brain tumors, meningiomas, and acoustic neuromas.

Trilogy delivers image-guided radiation therapy (IGRT), intensity modulation radiotherapy (IMRT), and stereotactic radiosurgery (SRS). It represents a major advance in radiation oncology, because it has the most accurate system of targeting a tumor available, causing less damage to surrounding healthy tissue. The result: decreased side effects and less risk of complication. Part of what makes Trilogy so unique is that it takes daily high-resolution images of the size, shape, and position of each patient’s tumor — which can vary from day to day — and adjusts the patient’s positioning accordingly, to ensure the greatest accuracy in targeting the tumor. The Trilogy system can be used for the widest range of external beam radiotherapy, including multiple types of radiosurgery. When used for image-guided radiosurgery, Trilogy can treat tumors and small lesions in the brain and other parts of the body quickly, with precisely targeted, powerful beams.

Mount Sinai also provides advanced individualized vaccines for qualified patients with glioblastoma, a variety of brain tumors that requires multidisciplinary treatment.