Pediatric Neurosurgery Treatments
The neurosurgeons at the Pediatric Neurosurgery Program at Mount Sinai are committed to working with families to produce the best possible outcomes for children with neurological disorders.
Our neurosurgical care team tailors cutting-edge therapies to make them safer for children of all ages, from infants to young adults. Special precautions are also made to prevent hydrocephalus (too much fluid in the brain) following a surgical procedure.
Some of the advanced therapies we deliver include brain mapping, craniotomy, deep brain stimulation (DBS), endoscopic surgery, pump implantation, and radiosurgery.
Mount Sinai offers these advanced, 3D imaging techniques, which help our neurosurgeons zero in on the location of a tumor, lesion, or area of the brain responsible for pediatric epilepsy prior to surgery. These techniques are very accurate, helping to identify the best trajectory for a procedure to avoid damaging areas of the brain responsible for vital functions.
During a surgical procedure, a brain mapping team will be present. They will place electrodes on the surface of the skin and will apply tiny electrical impulses as a way to monitor the brain.
Depending on the location and size of the tumor, the Pediatric Neurosurgery team may recommend a traditional procedure that opens the skull, called a craniotomy, to remove a tumor. In other instances, a craniotomy may be performed to obtain a biopsy, to treat a blood clot, or to treat hydrocephalus. Our skilled neurosurgical team uses innovative technologies such as intraoperative monitoring and neuronavigation devices to pinpoint the exact location of the tumor (or lesion) and the best surgical trajectory for safe removal.
Deep Brain Stimulation (DBS)
Similar to a pacemaker of the heart, the DBS device is implanted into the brain and is programmed to target focused regions of the brain responsible for the symptoms associated with neurological disease. Since this is always present, patients are often able to reduce their medication intake.
Our team collaborates with neurologists and specialists at the Center for Neuromodulation at Mount Sinai to provide accurate programming of the DBS device, which is key to a successful treatment.
This minimally invasive treatment offers pediatric patients a new option to remove tumors without having to undergo traditional surgery, which can be more invasive and can prolong recovery times. Used to treat a variety of tumors and lesions, this procedure involves the use of a tiny instrument called an endoscope (a long flexible tube with a light and video camera) that is inserted through the nose or ears to remove the lesion.
A multidisciplinary team of neurosurgeons and ear, nose, and throat surgeons work together to remove these tumors through the nose in state-of-the-art operating suites designated for pediatric patients.
For children with severe spasticity, pump implantation is a viable therapy offered at the Pediatric Neurosurgery Program at Mount Sinai. Also called a pain pump, this system is surgically implanted under the skin. It provides a high concentration of bacolfen, an antispasticity muscle relaxant that is delivered in tiny doses directly to the spinal cord to relieve long-term pain without the side affects of oral medication. The continual delivery of medication helps to reduce the severe symptoms of movement disorders and can help children get back to their daily routines quicker.
Tumors that are located near critical structures of the brain may be removed through non-surgical means, such as stereotactic radiosurgery. Using highly-sophisticated beams of technology, our pediatric neurosurgeons are able to target tumors deep in the brain without the risk of affecting vital brain areas.
Our specialists have experience delivering appropriate levels of radiation therapy to pediatric patients to reduce the risk of neurological damage for the following conditions:
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