About the Department
To provide the highest level of patient care and comprehensive resident education, the Department is organized according to subspecialty programs. Patients benefit from coordinated multi-disciplinary teams, and residents experience an enhanced academic environment through the joint development of treatment protocols and paradigms, involvement in national protocols, and participation by team members in regional and national organizations. These programs also provide resources for residents to access ongoing clinical academic work. Each subspecialty program takes the patient from initial work-up and diagnosis through operative procedure, follow-up, and adjuvant care.
SUBSPECIALTY PROGRAMS IN THE DEPARTMENT ARE AS FOLLOWS:
Kaushik Das, M.D.; Meena Jhanwar-Uniyal, Ph.D.; Raj Murali M.D.; Avinash L Mohan M.D.; Michael E. Tobias M.D.; Tauseef Ahmed M.D.
The Neuro-Oncology Program provides a comprehensive approach to adult malignant and benign brain tumors. Neurosurgery cooperates with the departments of Radiation Medicine, Neuroradiology, Medical Oncology, and Neurology in this effort. Additional resources include neuropsychology, rehabilitation medicine, and social services. A Tumor Board meets weekly, and regular meetings are held to develop protocols and treatment paradigms to insure continuity of care and to explore basic science research related to neuro-oncology.
Kaushik Das, M.D.; John M. Abrahams, M.D.; Kent Duffy, M.D.
The Department of Neurosurgery works independently and in conjunction with the departments of Orthopaedic Surgery, General Surgery, Rehabilitation Medicine, Oncology, and Radiology in the diagnosis and treatment of a wide variety of spinal disorders, including trauma, degenerative diseases, and neoplastic disease. In the operating room, spinal instrumentation and intraoperative neurophysiologic monitoring are frequently used. The Neurosurgical ICU nursing staff is specially trained in the care of patients with spinal cord injuries. Postoperatively, rehabilitation, oncology, and radiation medicine faculty members are often involved in innovative and adjuvant treatment protocols.
CEREBROVASCULAR AND ENDOVASCULAR SURGERY
Raj Murali, M.D.; John M. Abrahams, M.D.; Bruce Zablow, M.D.;
Michael F. Steifel M.D., Ph.D.
Multiple cerebrovascular disorders including aneurysms, vascular malformations, and ischemic vascular diseases are diagnosed and treated by a team of neurosurgeons and endovascular interventional neuroradiologists. Full-capacity endovascular suite exists at Westchester Medical Center.
The Westchester Cerebrovascular Center is a multidisciplinary academic center dedicated to the prevention and treatment of cerebrovascular disease. The Departments of Neurology, Neurosurgery, Interventional Neuroradiology, Critical Care Medicine, and Rehabilitation Medicine recently opened this comprehensive center, which focuses on the treatment of stroke, brain aneurysms, vascular malformations, and carotid artery disease. These common but complex entities require a multidisciplinary approach for diagnosis, treatment planning, and proper management. Westchester Medical Center, the major teaching affiliate of New York Medical College, has the diverse full-time faculty and the infrastructure to manage these diseases.
Avinash L Mohan M.D.; Michael E. Tobias M.D.; Raj Murali M.D.
The Pediatric Neurosurgery Service is located exclusively at Westchester Medical Center. It is one of the fastest growing programs in the Department. A state-of the-art, free-standing, dedicated children’s hospital - The Maria Fareri Children’s Hospital - opened in 2004. A wide spectrum of pediatric neurosurgical disorders is managed at this facility. Multidisciplinary clinics and conferences are established for pediatric brain tumors, spina bifida, and craniofacial disorders. More than 175 pediatric neurosurgical operations are performed each year. Modern techniques including frameless stereotaxy and ventriculoscopy/endoscopy are used regularly and are an integral part of residency training.
Thomas A. Lansen, M.D.; Alain deLotbiniere, M.D.; Avinash L. Mohan M.D.; Chitti Moorthy M.D.
A state-of-the-art comprehensive Stereotactic Radiosurgery Program is operated jointly by the departments of Neurosurgery and Radiation Oncology. Recent equipment upgrades have significantly enhanced a long-standing stereotactic radiosurgery program, allowing extension of these techniques to the treatment of spine, head and neck, prostate, and gynecological cancers. The program is at the forefront in the development of spine stereotactic radiosurgery/radiotherapy. Several functional disorders are also being treated. This program is an integral part of other clinical programs including neuro-oncology, spine, and pediatric neurosurgery. Dr. Lansen and Dr. deLotbiniere are the directors of the Gamma Knife Center at Northern Westchester Hospital. A Cyberknife project is currently underway at Westchester Medical Center.
PERIPHERAL NERVE AND TRIGEMINAL NEURALGIA PROGRAM
Raj Murali, M.D.; P. Charles Garell M.D.
The Department of Neurosurgery at Westchester Medical Center works closely with the neuromuscular center (neurology), rehabilitation medicine, orthopedics, and general trauma to provide comprehensive management of peripheral nerve disorders. Emphasis on tumors and traumatic injuries results in an active clinical research area.
The Deparment has had a long interest in the diagnosis and management of facial pain syndromes, especially trigeminal neuralgia. All procedures are offered for treatment of trigeminal neuralgia, including peripheral procedures, microvascular decompression, and radiosurgery.
SKULL BASE SURGERY
Raj Murali, M.D.; Katrina Stidham M.D.; Chris Linstrom, M.D.; Lawrence Meiteles, M.D.
An active Skull Base Surgery Program exists in cooperation with the Department of Otolaryngology for the management of all types of skull base tumors including acoustic neuromas, pituitary tumors, and paranasal sinus neoplasms with intracranial extension. Facilities exist for monitoring cerebral and spinal cord function as well as most cranial nerves. Preoperative embolization is available for vascular tumors.
STEREOTACTIC AND FUNCTIONAL NEUROSURGERY; EPILEPSY SURGERY
P. Charles Garell, M. D.; Avinash L Mohan M.D.; Michael E. Tobias M.D.
The functional and epilepsy surgery programs have been initiated only recently. Neurologists who specialize in movement disorders and epilepsy are on the faculty. Westchester Medical Center has both an adult and a pediatric epilepsy monitoring unit. Dr. Garell's interests include deep brain stimulation for parkinsonism, spinal cord stimulation for pain, and vagus nerve stimulation for epilepsy and depression.