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Vascular Neurosurgery

Diseases related to blood vessels of the neck and brain are a relatively common problem that affect people of all ages. The symptoms can range from a headache to a severe stroke. It is imperative for a patient and his or her physician to understand the importance of diagnosing and treating the problem in a timely fashion to prevent a devastating neurologic problem. It is extremely important to locate centers that have an expertise in recognizing, diagnosing, and treating patients with neurovascular diseases.

The Vascular Neurosurgery Program consists of a dedicated multi-disciplinary team made up of neurologists, neurosurgeons, neuroradiologists and intensivists who treat patients with complex neurovascular disorders. The team utilizes state-of-the-art technology to diagnose and treat a variety of diseases and illness.

Atherosclerotic stenosis (critical narrowing) of the internal carotid artery (one of the four blood vessels that feeds the brain) is a common problem diagnosed at the Institute. This problem can manifest itself through visual changes, mini reversible strokes or irreversible strokes. It can also be diagnosed before it can cause a serious problem. The Vascular Neurosurgery Program has the ability to diagnose this problem via the latest non-invasive methods. The team is also able to study patients with 3-Dimensional Angiography - technology only offered at a handful of facilities around the world. 

Cerebral Aneurysms are abnormal outpouchings or balloons in the wall of arteries (blood vessel) of the brain. If the aneurysm ruptures, it can result in a devastating bleed within the brain called a subarachnoid hemorrhage. Our multi-disciplinary team is extremely well trained and experienced in treating people suffering from this problem. We were one of the first centers in the world and the first in the country to offer 3-Dimensional angiography to detect cerebral aneurysms. This technology is superior to the conventional angiography most centers use. Treatment of this disease includes microsurgical placement of a metal clip across the base of the aneurysm preventing it from rerupturing. 

Intraoperative angiography is a unique tool employed by the Institute that provides immediate feedback to the vascular neurosurgeon during surgery. Cerebral aneurysms can also be treated by placing coils (GDC coils) within the aneurysms causing the aneurysm to clot off. This can be performed through non-surgical minimally invasive means. Our team of neuro-nurses also have experience in treating patients who have undergone either surgical clopping or GDC coiling of their aneurysms.

Arteriovenous Malformations (AVMs) are abnormal tangles of blood vessels in the brain. A patient is born with this problem and it can become symptomatic at any age. The symptoms include a headache or a sudden neurologic deficit caused by a brain hemorrhage or a new onset seizure. The Cerebral Vascular Center has the most advanced technology to detect these types of malformations. Our 3-Dimensional angiography creates images superior to the conventional angiography offered at most institutions. These 3-D images give much greater detail and information about the pathology. The neurovascular team can then offer the patient a wide range of treatment options. Our center has the capability of microsurgical operative removal with intraoperative angiography, minimally invasive endovascular embolization and non-invasive stereotactic radiosurgery with the Gamma Knife.

The New Jersey Neuroscience Institute not only keeps pace with the rapid changes taking place in medicine, but also helps to set the pace. We are dedicated to every aspect of clinical treatment and contribute to the academic advancement of the neurosciences. We have an active Neuroscience Lab studying a variety of problems - which is helping to expand on the treatment options available for our patients. We are also involved in numerous clinical trials, including multi-centered studies, focusing on the treatment of various vascular diseases.

Our Cerebrovascular Team:
Thomas Steineke, MD, PhD neurosurgeon
Martin Gizzi, MD, PhD neurologist
Spozhmy Panezai, MD neurologist
Ugo Paolucci, MD neurologist