Neurology is a vast field of medicine. Bryan Health provides a variety of treatments for neuro patients, including:
Deep Brain Stimulation
Deep brain stimulation is used to treat a number of movement disorders including Parkinson’s and Essential Tremor. This may be an option for patients who do not agin satisfactory control of their tremors with medication. During the surgical procedure, electrodes are placed in the brain and a deep brain stimulator (DBS) is implanted in a shoulder pocket similar to a pacemaker. The patient is required to return to the office in several weeks after healing has occurred. At this time, the DBS will be turned on. Optimal settings for tremor control may require several office appointment visits. A fast track clinic for patient evaluation currently is available.
Continuous Video EEG
Continuous Video EEG monitoring units have an important role in the diagnosis and management of seizure disorders. There are three types of clinical situation where patients are admitted; classification of seizure or epilepsy type, differential diagnosis of conditions that mimic seizures, and the pre-surgical evaluation of patients with medically refractory epilepsy. Many patients with non-epileptic disorders ranging from movement disorders, psychogenic seizures, sleep disorders, neurocardiogenic syncope and sometimes cardiac disorders are incorrectly classified as having epilepsy. Often these patients are inappropriately treated with anti-epileptic drugs for years before they are finally referred to an epilepsy center for definitive diagnosis. Inpatient epilepsy monitoring units correctly diagnose conditions, some of which may be potentially serious if not properly treated. This program includes hospitalization of the patient for three to seven days, stopping the anti-seizure medication and then simultaneously and continuously monitoring with video and EEG for seizure activity. Seizure activity may be induced with sleep deprivation or exercise. The goal of the hospitalization usually is to capture five to seven seizure episodes. This program is offered at Bryan West Campus, on our neuroscience unit.
Vagal Nerve Stimulation
Vagal Nerve Stimulation (VNS) is an adjunctive treatment for certain types of intractable epilepsy. VNS uses a stimulator that sends electric impulses to the left vagus nerve in the neck via a lead implanted under the skin.
Dynavision is used to improve visuomotor skills in persons whose visual or motor function has been compromised by disease or injury. For persons with visual and visuomotor impairments the apparatus is used to train compensatory search strategies, improve oculomotor skills such as localization, fixation, gaze shift and tracking, increase peripheral visual awareness, visual attention and anticipation, and improved eye-hand coordination and visuomotor reaction time. For persons with motor impairment it can be used to increase active upper extremity range of motion and coordination, muscular and physical endurance and improve motor planning.
NeuroCom – Balance Manager System
NeuroCom’s evidence-based approach identifies and isolates specific balance impairments. The system provides accurate information that helps pinpoint a patient’s problem by assessing sensory and motor functions and its impact on daily functions. The customizable programs help assess, treat and document patient progress.
Bioness’ devices are externally-worn neurostimulation systems designed to restore function and provide recovery to individuals who suffer from neurological conditions and disorders. It utilizes neuromuscular electrical stimulation to re-integrate the brain and muscular function. This repetition of movement teaches the healthy parts of the brain to relearn lost function, thus improving extremity function and voluntary movement, increasing the range of motion and local blood circulation and reducing muscle spasticity and deterioration.
Stereotactic Radiation Therapy (SRT)
After a brain tumor is surgically removed, doctors need to ensure that they have removed every tumor cell possible. Post-surgery radiation treatments are used to destroy microscopic cells or any part of the tumor that was not accessible through surgery. Traditionally, radiation has been delivered to the whole brain – both to the tumor area and to normal tissue. This technology allows doctors to be precise in where the radiation is focused.
Surgeons at Bryan Health are specially trained in a procedure called awake craniotomy. This is similar to a standard craniotomy (brain tumor surgery), except that patients are fully awake during part of the procedure. In surgery, once the brain
is accessible, the general anesthetic level is reduced, and the patient returns to consciousness, able to talk as normal, although head movement is restricted. With the patient awake, surgeons can better target the tumor and avoid harming areas that are not affected.
Doctors at Bryan Health use this new device approved by the U.S. Food and Drug Administration to remove blood clots from patients experiencing an ischemic stroke. The device is led into the brain via the groin using basic catheterization techniques. When it reaches the targeted area, The Merci Retriever restores blood flow by capturing and removing the blood clot.
Vertebroplasty and Kyphoslasty
These are image-guided, minimally-invasive nonsurgical therapies that strengthen a broken spinal bone that has been weakened by osteoporosis, or less commonly, cancer. The procedures can increase your ability to function in everyday life and prevent further damage to your spine. Vertebroplasty and kyphoplasty also help ease pain caused by compression fractures. The procedures often are done on an outpatient basis.