Categories

Select Category Best Doctors 2011 NY Magazine Dr. Alan Ettinger Dr. Artem Vaynman Dr. Donald Krieff Dr. Elizabeth M. Trinidad Dr. Jeffrey A. Brown Dr. Madan Raj Dr. Matthew Kern Dr. Michael Brisman Dr. Ramin Rak Dr. Sachin Shah Dr. Stephen T. Onesti Dr. William J. Sonstein Gad E. Klein MD NEWS Neck NSPC General Spine

Posts

• Give Your Patients Peace of Mind with Long Island’s Leading Experts in the Care of Spinal Tumors and Associated Degenerative Spinal Conditions
• Cheeburger Cheeburger:Make a Difference and Help Raise Awareness.
• Newsletter on Cranial Nerve Pain Conditions
• MD NEWS JULY 2012 COVER STORY!
• Unlocking the Anatomy of the Spine-Dr. Kern MD NEWS STORY!

Tags

Article AVM's Best Doctors Best Doctors NY Brain Care brain injuries Brain Tumors Car Accident Chief of Neurosurgery Chief Resident Columbia Coma Consulting Neurological Surgeon Dimancescu Dr. Jeffrey A. Brown Dr. Michael Brisman Dr. Rak Founder Gamma Knife Great Neck Harvard Lake Success Office MRI Nassau Neuropsychologist Neurosurgeon neurosurgical Newsweek NSPC Pediatric Neurosurgery Press Radiosurgery Residency South Nassau South Nassau Hospital spine Spine Care Spine Surgery Suffolk Support Group Surgery trigeminal neuralgia Welcome West Islip Office Yale University

Give Your Patients Peace of Mind with Long Island’s Leading Experts in the Care of Spinal Tumors and Associated Degenerative Spinal Conditions

Whether a spinal cord injury is due to infection, trauma, a degenerative disorder or tumors, it can result in dramatic consequences for the lives of your patients and their loved ones. The surgeons and specialists at NSPC work together to provide the highest quality, most advanced medical care in order to preserve spinal function and alleviate pain.

Dr. Stephen Onesti, Chief of the Division of Neurological Surgery at South Nassau Communities Hospital and neurosurgeon at Neurological Surgery, P.C, and Dr. Vladimir Dadashev, neurosurgeon at Neurological Surgery, P.C., specialize in spinal tumors as well as degenerative conditions of the spine. They both recommend that physicians refer patients at the onset of such symptoms as fever, numbness,

sciatica, spinal deformity and back pain for the patient’s full evaluation, beginning with magnetic resonance imaging (MRI) and computed tomography (CT) studies.

The dedicated team of spine doctors at NSPC are passionate about helping patients. Additionally, “we’re here to help primary care physicians,” says Dr. Onesti. “We’ll communicate and keep them informed every step of the way. Our aim is to take care of their patients, make sure they receive the

best care available and get them back to their physicians after they’ve completed their treatment.”

Read more about the award-winning team of spine specialists at NSPC, and discover the minimally invasive techniques and multimodal therapies they employ for more successful outcomes

http://www.nspc.com/pdf/058480025NS1_ePrint.pdf

 

Cheeburger Cheeburger:Make a Difference and Help Raise Awareness.

Don’t forget to support EFLI tomorrow August 15 th and visit
Cheeburger Cheeburger
(Fairway Shopping Plaza)
12 Manetto Hill Road
Plainview, NY
516-939-2237

 

Every 3rd Wednesday of the month

10% of all Cheeburger Cheeburger sales will be donated to the
Epilepsy Foundation of Long Island when you bring in the attached flyer.

Plan to phone ahead & pick up your order?

* Give them half an hour to prepare
* Give them a pick up time
* Get your delicious meal, when you want it

* Remember *
When you patronize Cheeburger Cheeburger
every 3rd Wednesday of the month
You support the programs and services of the
Epilepsy Foundation of Long Island.

Newsletter on Cranial Nerve Pain Conditions

Hey Fans! We have some new reading material! Neurological Surgery, P.C. Publishes Newsletter on Cranial Nerve Pain Conditions. This 12-page publication, written by Michael H. Brisman, M.D., F.A.C.S. An in-depth newsletter addressing the diagnosis and treatment of cranial nerve vascular compression syndromes.

ROCKVILLE, CENTRE, NY, August 7, 2012 – Neurological Surgery, P.C. (NSPC) has published an in-depth newsletter addressing the diagnosis and treatment of cranial nerve vascular compression syndromes, also known as cranial nerve hyperactivity syndromes.  The 12-page publication, written by Michael H. Brisman, M.D., F.A.C.S., discusses three painful conditions – trigeminal neuralgia (TN), hemifacial spasm (HFS) and glossopharyngeal neuralgia (GPN) – that are usually caused by compression of a cranial nerve by a small blood vessel.

“While these three syndromes have many similarities in presentation and treatment, they are often misdiagnosed and patients may suffer needlessly for years,” said Dr. Brisman, a senior partner at Neurological Surgery, P.C. who specializes in treating these syndromes as well as brain tumors.  “We want to educate the medical community about how to recognize these conditions, and to let patients know that effective treatments are available.”

Dr. Brisman has successfully treated more than 1,000 patients with cranial nerve vascular compression syndromes.
Trigeminal neuralgia occurs in about one in 20,000 people, although the incidence is likely higher due to frequent misdiagnosis.  It is experienced as severe, often unbearable facial pain.  People with TN often seek help from a dentist, and may go to multiple doctors without receiving a correct diagnosis or proper treatment.  The most common cause of TN is a small blood vessel pressing on the trigeminal nerve (a cranial nerve); the second most common cause is multiple sclerosis.  Once correctly diagnosed, patients may be treated with anti-seizure medications.  If these drugs fail or if their side effects are intolerable, one of two types of surgery may be used.  Radiosurgery, a minimally invasive procedure that uses focused radiation beams instead of a scalpel, may also be used.

The incidence of hemifacial spasm is similar to that of TN.  People with HFS, which is usually caused by a small blood vessel contacting or compressing the nerve root of the facial (7th) cranial nerve, experience intermittent spasms or twitches on one side of the face. HFS may respond to the same anticonvulsant medications as TN, and two surgical treatments used in trigeminal neuralgia – microvascular decompression (MVD) and denervation (with Botox, in the case of HFS) – are also used to treat hemifacial spasms.

Glossopharyngeal neuralgia, the third cranial nerve vascular compression syndrome, is also the least common, affecting about one in 125,000 people.  GPN pain is similar to that of trigeminal neuralgia – sharp, sudden, severe, electric shock-like – but its location is different.  Pain can be experienced anywhere in the sensory distribution of the ninth cranial nerve, including the ear, throat, tonsils and tongue.  In some cases, GPN patients may also experience potentially life threatening arrhythmias or other serious heart conditions.  Two classes of anticonvulsants are the first and second line treatments.  If these do not work, MVD surgery or stereotactic radiosurgery may be used.

Dr. Brisman serves as Chief of the Division of Neurosurgery and Co-director of the Neuroscience Institute at Winthrop University Hospital (Mineola, NY), and as Co-medical Director of Long Island Gamma Knife and Chief of Surgical Neuro-oncology at South Nassau Communities Hospital (Oceanside, NY), in addition to being a senior partner at Neurological Surgery, P.C.   He is on the board of directors of the New York State Neurosurgical Society, and recently completed a term as President of the Nassau County Medical Society, where he currently serves on the executive committee.  He is author of numerous papers and book chapters on neurosurgery.

To download a free copy of this newsletter, click here.

 

 

MD NEWS JULY 2012 COVER STORY!

Check the latest issue of MD NEWS copy and paste this link!  http://viewer.e-digitaledition.com/i/72806

“The Surgical Possibilities, Cervical Spine Surgery at Neurological Surgery P.C.”

Let us know if you have any questions!

 

Unlocking the Anatomy of the Spine-Dr. Kern MD NEWS STORY!

Unlocking the Anatomy of the Spine

Minimally Invasive Techniques at Neurological Surgery, P.C.
MD News Magazine

The field of spinal surgery has significantly evolved since French physician Nicolas Andry published is tome, Orthopaedia, on correcting deformities in children in 1791. Today, Long Island patients can access a myriad of modern developments – from image-guided spine surgery to posterior lumbar interbody fusion – delivered by modern-day experts at Neurological Surgery, P.C.

One of 12 spine specialists at NSPC, Matthew B. Kern, M.D., neurosurgeon, combines general neurosurgery practice with expertise in complex spinal surgery and surgical intervention for brain tumors and traumatic injuries of the brain, spine and spinal cord. Shown below is Dr. Kern.

“Early on in spinal surgery, there was really only one approach, and that was accessing the spine from the back, and performing everything through laminectomies. We now have many different options, given the patient case, for the appropriate use of materials and approaches to the spine to address the two tenets of spinal surgery. The first is to decompress the neurological elements by taking pressure off the spinal cord or the nerve roots, and the second is stabilizing the spine.”

http://nspc.com/pdf/058480018NS2_ePrint.pdf-For the full article!

 

Neurological Surgery, P.C. included on National List of “SPINE SURGERY PRACTICES TO KNOW”

We are so proud to announce the follow:

Neurological Surgery, P.C. included on National List of “SPINE SURGERY PRACTICES TO KNOW” Becker’s Spine Review, July, 2012 ROCKVILLE, CENTRE, NY, July 12, 2012 – Neurological Surgery, P.C. (NSPC) has been named to Becker’s Spine Review’s “53 Spine Surgery Practices to Know.”  NSPC was the only downstate New York-based spine surgery practice named to the national list by Becker’s, a top publication serving healthcare decision makers. “We are proud that the work of our spine surgeons has been acknowledged by this leading publication,” said Michael H. Brisman, M.D., F.A.C.S., a senior partner at Neurological Surgery, P.C.  “Our inclusion further validates what our patients already know:  that we provide the most comprehensive and advanced university-level care in metro New York, in a community setting.” One of the largest neurosurgical private practices in greater New York, NSPC is comprised of 30 physicians in neurosurgery and related specialties, including 12 neurosurgeons specializing in adult spine surgery and two pediatric neurosurgeons who conduct spinal and other complex surgeries.  The practice’s fellowship-trained surgeons perform the latest minimally invasive and open procedures for spinal conditions that range from common disorders such as spinal stenosis and herniated disks, to serious conditions that include spinal tumors and spina bifida. NSPC surgeons and nonsurgical specialists see patients in 10 offices conveniently located throughout four downstate counties.  The practice also offers physical therapy and medical imaging services. In naming NSPC to the national list, Becker’s editors pointed out that:  “The practice hired the first dual trained neurosurgery-spine fellowship neurosurgeon on Long Island in 1998 and surgeons performed one of the first minimally invasive microendoscopic discectomies in the tri-state area.” Spine surgeons in the practice include: Stephen D. Burstein, M.D., F.A.C.S. William J. Sonstein, M.D., F.A.C.S. Benjamin R. Cohen, M.D., F.A.A.N.S., F.A.C.S. Artem Y. Vaynman, M.D., F.A.A.N.S. Ramin Rak, M.D., F.A.A.N.S., F.A.C.S. Alan Mechanic, M.D., F.A.C.S. Donald S. Krieff, D.O., F.A.C.O.S. Elizabeth M. Trinidad, M.D. (Pediatric Neurosurgery) Robert N. Holtzman, M.D. Stephen T. Onesti, M.D., F.A.C.S. Matthew B. Kern, M.D., F.A.A.N.S. Sachin N. Shah, M.D. Vladimir Dadashev, M.D. John A. Grant, M.D., F.A.C.S. (Pediatric Neurosurgery) Becker’s Spine Review is published by ASC Communications, a leading source of cutting edge business and legal information for hospital and health system leaders, owners and operators of ambulatory surgery centers and leaders of orthopedic and spine practices. Neurological Surgery, P.C. is one of the New York City area’s premier neurosurgical groups, offering patients the most advanced treatments of brain and spine disorders.  These include minimally invasive procedures such as stereotactic radiosurgery (Gamma Knife®, CyberKnife® and Novalis TxÔ), aneurysm coiling, neuro-endoscopy, spinal stimulators, carotid stents, interventional pain management, microdiscectomy, kyphoplasty, and other types of minimally invasive spine surgery.  The practice’s physicians represent a range of surgical and nonsurgical specialties, combining compassionate care with highly specialized training. They are leaders in the region’s medical community, with appointments as chiefs of neurosurgery in some of Long Island’s best hospitals.  NSPC offers 10 convenient locations in Nassau and Suffolk Counties, as well as in Queens and Manhattan. For more information, call 1-800-775-7784 or visit www.NSPC.com.

 

Fundraiser for Long Island Epilepsy Foundation

Fundraiser for Long Island Epilepsy Foundation

Cheeburger Cheeburger

Please help and support the Long Island Epilepsy Foundation
Proceeds will help fund research, treatment and spread awareness of this disease.

July 18, 2012, 11am-9pm

 

SECOND SURGERY CAN OFTEN HELP “FAILED BACKS”

Neurosurgeon and Orthopaedic Surgeon Work Together to Increase Likelihood of Revision Spine Surgery Success

 

 

 

 

ROCKVILLE,  CENTRE, N.Y., November 11, 2010 – Back pain can sometimes return after spine  surgery.  While conservative approaches  such as physical therapy are generally first line treatments for recurring back  pain, a second surgery is sometimes necessary.

 

Reasons for recurring back pain  after surgery are many.  Scar tissue  following surgery can cause pain, and proper tissue healing may not take  place.  Even after a successful surgery,  the shape and function of the spine can deteriorate, requiring further  surgery.  In some cases, the initial  problem may not have been properly diagnosed or treated, or a new problem may  arise.

 

Although second (revision) spine  surgeries can be complicated, two Long Island-based spine specialists –  William J. Sonstein, MD, FACS, a neurosurgeon, and Richard S. Obedian, MD,  FAAOS, an orthopaedic surgeon – have formed a unique collaboration to help  increase the likelihood of success in revision surgeries, as well as in initial  back operations.

 

Operating together for more than  eight years, the surgeons’ collaboration is especially important in handling  complex cases including revision surgeries, which can prove more difficult than  initial surgeries.

 

“Our specialties and our surgical  approaches complement one another, and the time we have spent performing  surgeries together means that we can each anticipate what the other is going to  do,” says Dr. Sonstein.  “Because we  operate together it often means that our patients spend less time under  anesthesia, have less blood loss and have a lower likelihood of complications.”

 

Among the complex procedures the  surgeons perform together is posterior lumbar interbody fusion (PLIF), a  procedure that they have extensive experience with.  The PLIF procedure involves making an  incision in the patient’s back, removing problematic discs, and then grafting  bone onto the surrounding vertebrae to provide spinal stability and prevent  future disc slippage.

 

Another complex procedure done by  Dr. Sonstein and Dr. Obedian is X-Stop®, which may be performed when the spinal  canal narrows (stenosis).  In this  procedure, a small titanium implant is placed in the spine to create a  permanent flexing that relieves pain.   Kyphoplasty, another treatment performed by the surgeons, is a minimally  invasive procedure used to repair compression fractures due to  osteoporosis.  Cement is injected into  the fractured area, strengthening and stabilizing the fractured vertebrae.

 

“I recommend revision surgery  very selectively,” says Dr. Sonstein.   “Revision surgery today is more successful than it was even 10 years  ago.  Because it is usually more  complicated and there are a number of factors outside of the surgeon’s skill  that influence the surgery’s success, however, proper assessment of each case  is essential.”

 

Dr. Sonstein cites a number of  advances that have made revision surgeries more likely to succeed today than in  the past.  Among these are newer  instrumentation; more advanced procedures; medical imaging techniques that can  more accurately pinpoint problems; better surgeon training, and a better  understanding of the spine’s mechanics.
Among the factors contributing to  revision spine surgery success are the age and overall health of the patient,  the reason for recurring pain, the type of initial procedure and the initial  cause of back pain.  Surgeon skill and  experience are also very important.

Both Dr. Sonstein and Dr. Obedian  conducted specialized spine fellowships following their medical residencies,  including a significant amount of revision surgical experience.  Dr. Sonstein currently performs a high volume  of revision surgeries,  another indicator  of the likelihood of success.

Dr. Sonstein is a partner in  Neurological Surgery, P.C., a private practice of leading neurosurgeons, and  Chief of Neurosurgery at North Shore-LIJ Hospital at Plainview.  Dr. Obedian is Chief of Spine Service at the  hospital.

 

About  Neurological Surgery, P.C.
Neurological  Surgery, P.C. is one of the New York City area’s premier neurosurgical groups,  offering patients the most advanced treatments of brain and spine  disorders.  These include minimally  invasive procedures such as stereotactic radiosurgery (Gamma Knife® and CyberKnife®),  aneurysm coiling, neuro-endoscopy, spinal stimulators, carotid stents,  interventional pain management,  microdiscectomy, kyphoplasty, and X-STOP®.   The practice’s physicians represent a range of surgical and nonsurgical  specialties, combining compassionate care with highly specialized training.  They are leaders in the region’s medical community, with appointments as chiefs  of neurosurgery in some of Long Island’s best hospitals.  NSPC offers eight convenient locations in  Queens, Nassau and Suffolk Counties.  For  more information, call 1-800-775-7784 or visit www.NSPC.com.

Fundraiser for Long Island Epilepsy Foundation
July 18, 2012, 11am-9pm
CHEEBURGER CHEEBURGER Restaurant
12 Manetto Hill Road, Plainview NY
Please help and support the Long Island Epilepsy Foundation
Proceeds will help fund research, treatment and spread awareness of this disease.

We would like to thank all of our fans! Please feel free to ask us any questions you may have!

.......................