OUR SPECIALTIES

Conditions treated & Procedures performed

Comprehensive, shared decision-making for complex neurological disorders. We specialize in minimally invasive procedures.

4,000+

Surgeries performed

20+

years experience

30+

publications

4

Board Certifications
CONDITIONS

Conditions we specialize in

Click any condition for a brief description of its symptoms. If you recognize any of these, schedule an appointment or call us.

Stroke

A stroke happens when blood flow to part of the brain is blocked or when bleeding occurs in or around the brain. Symptoms can include sudden face drooping, arm or leg weakness, speech trouble, confusion, vision changes, dizziness, loss of balance, or a sudden severe headache.

Subarachnoid Hemorrhage

Subarachnoid hemorrhage is bleeding in the space around the brain. It often causes a sudden, extremely severe “worst headache,” and may also cause neck stiffness, nausea, vomiting, sensitivity to light, confusion, seizure, or loss of consciousness.

Brain Aneurysm

A brain aneurysm is a weak, bulging area in a blood vessel in the brain. Many do not cause symptoms unless they grow, leak, or rupture. Warning signs can include a sudden severe headache, eye pain, double vision, drooping eyelid, nausea, stiff neck, or loss of consciousness.

Dizziness

Dizziness can feel like spinning, lightheadedness, imbalance, or feeling faint. While many causes are not dangerous, sudden dizziness with weakness, trouble speaking, double vision, severe headache, or loss of coordination may suggest a neurological or vascular emergency.

Brain Arteriovenous Malformations (AVM)

A brain AVM is an abnormal connection between arteries and veins. It may cause headaches, seizures, weakness, numbness, vision changes, or bleeding in the brain. A bleeding AVM can be life-threatening and needs urgent medical care.

Chronic Subdural Hemorrhage

Chronic subdural hemorrhage is slow bleeding between the brain and its outer covering, often after head injury, especially in older adults or people taking blood thinners. Symptoms may include headache, confusion, sleepiness, weakness, balance problems, or personality changes.

Headaches, Migraines & Intracranial Hypertension

Headaches and migraines can cause throbbing pain, nausea, light sensitivity, or visual symptoms. Intracranial hypertension means elevated pressure around the brain and may cause headache, blurred or double vision, brief vision blackouts, nausea, and pulsatile tinnitus.

Vertebral Artery Stenosis or Occlusion

Vertebral artery stenosis or occlusion means narrowing or blockage in arteries that supply the back of the brain. Symptoms may include dizziness, vertigo, double vision, trouble speaking, trouble swallowing, imbalance, weakness, numbness, or stroke-like episodes.

Basilar Artery Stenosis or Occlusion

The basilar artery supplies the brainstem and back of the brain. Narrowing or blockage can cause serious symptoms such as vertigo, double vision, slurred speech, weakness, numbness, loss of balance, decreased alertness, or a life-threatening stroke.

Middle Cerebral Artery Stenosis or Occlusion

The middle cerebral artery supplies large areas of the brain involved in movement, sensation, speech, and vision. Narrowing or blockage can cause one-sided weakness or numbness, facial droop, speech difficulty, confusion, or vision loss.

Bow Hunter Syndrome

Bow Hunter Syndrome is a rare condition where turning the head can compress a vertebral artery and reduce blood flow to the back of the brain. Symptoms may include dizziness, fainting, visual changes, vertigo, nausea, or stroke-like episodes triggered by neck rotation.

Pulsatile Tinnitus

Pulsatile tinnitus is a rhythmic whooshing, thumping, or pulsing sound that often matches the heartbeat. It can be linked to changes in blood flow near the ear, vascular abnormalities, venous sinus problems, or increased intracranial pressure.

Epilepsy and Seizures

Epilepsy is a neurological condition involving recurrent seizures. Seizures can cause staring spells, abnormal movements, sudden jerks, sensory changes, confusion, loss of awareness, or convulsions, depending on which part of the brain is involved.

Back and Neck Pain

Back and neck pain may come from muscles, joints, discs, nerves, arthritis, trauma, or spinal compression fractures. Concerning symptoms include pain with weakness, numbness, trouble walking, bowel or bladder changes, fever, cancer history, or severe trauma.

Trigeminal Neuralgia

Trigeminal neuralgia causes sudden, intense facial pain, often described as electric-shock-like, stabbing, or shooting. Pain usually affects one side of the face and may be triggered by chewing, speaking, brushing teeth, touching the face, or cold air.

Dural Arteriovenous Fistulas (dAVFs)

A dural arteriovenous fistula is an abnormal connection between arteries and veins in the covering of the brain or spine. Symptoms can include pulsatile tinnitus, headache, eye redness or swelling, vision changes, neurological deficits, seizure, or bleeding.

Epistaxis

Epistaxis means nosebleed. Most nosebleeds are minor, but severe, recurrent, or difficult-to-control bleeding may require specialist evaluation, especially if related to trauma, blood thinners, vascular abnormalities, tumors, or bleeding disorders.

Head and Neck Tumors

Head and neck tumors can involve the mouth, throat, nasal cavity, sinuses, salivary glands, skull base, or neck. Symptoms may include a lump, persistent pain, bleeding, swallowing difficulty, voice changes, nasal blockage, or cranial nerve symptoms.

Spinal Compression Fractures

Spinal compression fractures happen when a vertebra collapses, often from osteoporosis, trauma, or cancer. They can cause sudden back pain, height loss, spinal curvature, reduced mobility, and pain that worsens with standing or walking.

Carotid Artery Stenosis

Carotid artery stenosis is narrowing of the neck arteries that supply the brain. It may cause no symptoms until a TIA or stroke occurs. Warning signs include sudden one-sided weakness or numbness, speech trouble, vision loss, dizziness, or severe headache.

Idiopathic Intracranial Hypertension

Idiopathic intracranial hypertension is increased pressure around the brain without a clear cause. Symptoms can include headache, blurred vision, double vision, brief vision loss, pulsatile tinnitus, nausea, and optic nerve swelling that can threaten vision.

PROCEDURES

Procedures we specialize in

Advanced, minimally invasive techniques performed with precision and decades of experience.

Arteriovenous Malformation (AVM) Embolization

AVM embolization is a minimally invasive procedure that places a catheter through the blood vessels to deliver special materials into an arteriovenous malformation. The goal is to reduce abnormal blood flow, lower bleeding risk, or prepare the AVM for surgery or radiation treatment.

Brain Aneurysm Embolization

Brain aneurysm embolization treats an aneurysm from inside the blood vessel, often using coils, stents, flow diverters, or other devices. The purpose is to reduce blood flow into the aneurysm and lower the chance of rupture or rebleeding.

Internal Carotid Stent & Angioplasty

Carotid angioplasty and stenting are used to open a narrowed carotid artery that supplies blood to the brain. A small balloon may widen the artery, and a stent may be placed to help keep it open and reduce stroke risk in selected patients.

Head and Neck Tumor Embolization

Tumor embolization blocks or reduces blood supply to certain head and neck tumors. It is often performed before surgery to help reduce bleeding, improve surgical visibility, and make tumor removal safer when appropriate.

Subdural / Middle Meningeal Artery Embolization

Middle meningeal artery embolization is a minimally invasive treatment for some chronic subdural hematomas. It targets small blood vessels that may keep the collection active, helping reduce recurrence or growth in carefully selected patients.

Brachiocephalic & Subclavian Artery Stent & Angioplasty

Angioplasty and stenting of the brachiocephalic or subclavian arteries can treat narrowing that limits blood flow to the arm, brain, or posterior circulation. Symptoms may include arm fatigue, dizziness, blood pressure differences between arms, or steal-type circulation problems.

Embolization for Epistaxis

Embolization for epistaxis treats severe or recurrent nosebleeds by guiding a catheter to the responsible blood vessels and blocking them with tiny particles or other materials. It is typically considered when standard treatments do not control the bleeding.

Lumbar Puncture and Lumbar Drain

A lumbar puncture collects or measures cerebrospinal fluid through a small needle in the lower back. A lumbar drain may be placed to temporarily drain cerebrospinal fluid over time, often for pressure measurement, leak management, or selected neurosurgical conditions.

Spinal Angiogram

A spinal angiogram is an imaging test that uses a catheter and contrast dye to study the blood vessels of the spine and spinal cord. It can help diagnose vascular malformations, fistulas, tumors, or causes of spinal bleeding.

Kyphoplasty

Kyphoplasty is a minimally invasive procedure used to treat painful vertebral compression fractures, often caused by osteoporosis, trauma, or tumors. A small balloon may help restore vertebral height before bone cement is placed to stabilize the fracture.

Wada Testing for Epilepsy

Wada testing helps evaluate language and memory function before epilepsy or brain surgery. Medication is delivered through a catheter to temporarily put one side of the brain to sleep while specialists test language and memory abilities.

Botox and Trigger Point Injections

Botox injections may be used for selected neurologic or pain conditions, including chronic migraine or muscle spasm. Trigger point injections target painful muscle knots and may use anesthetic, saline, or other medication to reduce localized pain.

Carotid Ultrasound

Carotid ultrasound is a noninvasive test that uses sound waves to check blood flow through the carotid arteries in the neck. It can help detect narrowing, plaque buildup, or other changes that may increase stroke risk.

Transcranial Doppler

Transcranial Doppler is a noninvasive ultrasound test that measures blood flow in major arteries inside the brain. It may be used to assess vessel narrowing, vasospasm, emboli, or blood-flow patterns in certain neurological conditions.

Cerebral Angiography

Cerebral angiography is a detailed imaging test of the blood vessels in the brain and neck. A catheter is guided through the arteries and contrast dye is injected to diagnose aneurysms, AVMs, narrowing, blockages, fistulas, or bleeding sources.

Venous Sinus Stenting

Venous sinus stenting treats selected patients with narrowed venous sinuses, often in the setting of idiopathic intracranial hypertension. A stent is placed to improve venous drainage and may help reduce pressure-related symptoms such as headache, vision problems, or pulsatile tinnitus.

Intracranial Stent & Angioplasty

Intracranial angioplasty and stenting are used in selected cases to open narrowed arteries inside the brain. A balloon may widen the artery and a stent may help keep it open, usually after careful evaluation of stroke risk and other treatment options.

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