Care for Patients with Brain Disorders
The Brain and Spine Center provides evaluation, diagnosis, and treatment of the full spectrum of structural disorders of the brain and other intracranial tissues, including developmental disorders, brain and pituitary tumors, skull base tumors, cerebrovascular disease, adult-onset hydrocephalus, cranial nerve disorders, and head injury/concussion.
Our Approach and Philosophy
Brain disorders are complex and often challenging. To ensure that patients receive the best-possible care, the Brain and Spine Center takes a multidisciplinary approach. While each patient’s care is coordinated by the Center’s neurosurgeon, evaluation findings, treatment plans, and ongoing follow-up are reviewed with other specialists at regularly scheduled multidisciplinary conferences. Clinical teams may include neurosurgeons, neurologists, otolaryngologists, anesthesiologists, radiation oncologists, medical oncologists, and/or rehabilitation specialists—among others.
Because every patient is different, treatment plans vary depending on the patient, the diagnosis, and other factors. For example, treatment for an incidental small, unruptured aneurysm or benign tumor may be very different from treatments considered for a patient with a malignant tumor.
In this way, treating brain disorders is a lot like custom tailoring. Each patient situation demands careful assessment and attention to detail to ensure precise diagnosis and a treatment plan that is custom fit.
Getting the right fit—the treatment that is best for that patient at that time—is one hallmark of the Brain and Spine Center’s approach to care for patients with brain disorders. Compassionate care is another. The moment we encounter a patient with a brain problem, that problem becomes ours. From that point, the patient is at the center of everything we do.
We are committed to providing excellent care to patients with brain disorders. No matter how complex the problem, we will get to the bottom of it and provide the best-possible treatment plan. The best treatment may not be surgery or another procedure. It could be stereotactic radiosurgery, radiation therapy, chemotherapy, a medication, or simply watching carefully to see if and how the situation changes. In every case, our goal is not only treating the problem but also improving function and quality of life.
Evaluation and Diagnosis
Diagnostic and Imaging Technologies
Specialized tests available to patients seen at the Brain and Spine Center include:
The Brain and Spine Center provides evaluation, diagnosis, and treatment of the full spectrum of structural disorders of the brain and other intracranial tissues. Following is a list of the most common brain disorders treated:
The Brain and Spine Center offers comprehensive surgical and nonsurgical options for the treatment of brain disorders, including stereotactic radiosurgery. Specific treatment plans are tailored to each patient based on diagnosis, symptoms, and a consideration of all patient and medical factors that may impact outcomes.
Treatment goals for all patients are to:
The Center specializes in surgical treatment of structural brain disorders and offers a full range of surgical approaches, including minimally invasive and microneurosurgical procedures. A rigorous screening process ensures that surgery is offered only to patients who will benefit most from surgical treatment. The specific procedure that is recommended is the one that offers the best-possible outcomes.
The Center employs the latest technologies aimed at improving the safety and effectiveness of brain surgery, including frameless “GPS systems” (stereotactic image guidance) for precisely locating tumors and other lesions, brain mapping techniques that allow the surgeon to avoid critical areas involved in movement and speech, and intraoperative monitoring of motor and sensory function.
Surgical treatments and technologies
Brain surgery–related treatments and technologies available at the Brain and Spine Center include:
Following surgery, patients are cared for in Lankenau’s state-of-the-art critical care unit with 24-hour coverage by an intensive care physician. A case manager is involved early in the postoperative period to ensure a seamless continuum of care after patient discharge from the hospital. Patients also are evaluated by rehabilitation medicine physicians, physical therapists, occupational therapists, and speech therapists to ensure the best functional recovery.
Stereotactic radiosurgery (SRS) is not true surgery, in that there is no incision. Instead, precisely targeted, high-intensity beams of radiation are used to treat a tumor or other abnormality within the brain. Several types of radiosurgery are practiced, the most common being focused-beam radiosurgery. One method of performing focused-beam radiosurgery is with the highly advanced TrueBeam STx linear accelerator. At Lankenau, TrueBeam SRS treatments are performed by a specialized team of neurosurgeons, radiation oncologists, nurse practitioners, and radiation physicists, who work as an integrated team to provide comprehensive patient care.
At Lankenau Medical Center, TrueBeam STx is used to treat many brain disorders, including benign and cancerous tumors, vascular malformations, and facial pain syndromes. TrueBeam STx delivers a powerful dose of radiation to a precise target in the brain. Patients experience little or no discomfort during the procedure, go home the same day, and are generally able to resume normal activities almost immediately.
At Lankenau, TrueBeam SRS treatments are performed by a specialized team of neurosurgeons, radiation oncologists, nurse practitioners, and radiation physicists, who work as an integrated team to provide comprehensive patient care.
Brain Disorders Treated With Stereotactic Radiosurgery include:
To schedule an appointment at the Brain and Spine Center, call 610.642.3005.
Schedule an appointment with a surgical specialist at the Brain and Spine Center:
Medical Science Building
100 E. Lancaster Avenue
Wynnewood, PA 19096
Monday through Friday:
8:30 am to 5:00 pm
© 2013 Main Line Health
Copyright 2011 Main Line Health
Printed from: www.mainlinehealth.org/oth/Page.asp?PageID=OTH007712