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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
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August 15, 2012 No Comments
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.
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.
August 14, 2012 No Comments
“The Surgical Possibilities, Cervical Spine Surgery at Neurological Surgery P.C.”
Let us know if you have any questions!
July 31, 2012 No Comments
Unlocking the Anatomy of the Spine
Minimally Invasive Techniques at Neurological Surgery, P.C.
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!
July 20, 2012 -Tags: DECOMPRESS, Dr. Kern, MD NEWS, Neurosurgeon, SPINAL CORD, spine, Surgery No Comments
We are so proud to announce the follow:
July 19, 2012 -Tags: 2012 best doctors, Best Doctors, Brisman MD, doctors, neurosuregon, practice, spine, Spine Surgery No Comments
Fundraiser for Long Island Epilepsy Foundation
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July 18, 2012 No Comments
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.
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.
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July 16, 2012 No Comments
Fundraiser for Long Island Epilepsy Foundation
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July 11, 2012 No Comments.......................
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