Neurosurgery is often required to treat brain disease in order to protect and repair damage caused by stroke, cancer, trauma and neurodegenerative diseases such as Parkinson's and Alzheimer's Disease. Our team of physicians treat patients through traditional surgical means as well as through non-invasive surgery sometimes called “radiosurgery.”

Riverside, in partnership with the University of Virginia offers a state-of-the-art Radiosurgery Center located on the campus of Riverside Regional Medical Center.  It is here that neurosurgeons use Gamma Knife  and Synergy S technology to precisely target radiation beams to the brain in order to treat tumors and other neurological disorders.  Riverside is recognized as a world leader in neurosurgery and is one of only a select few Centers of Excellence nationwide to use Gamma Knife technology. Since 2006 when the Center opened, our medically distinguished physicians have performed more than 650 surgeries achieving some of the best medical outcomes possible.

While we treat all brain diseases and conditions, some of the more common are: 

• Ependymoma - A tumor arising from the ependymal cells found along the ventricles and central canal of the spinal cord. This is a relatively common and usually slow-growing tumor, accounting for more than half of adult spinal cord tumors.
Glioblastoma Multiforme (grade IV astrocytoma) - This is the most common and most malignant of the primary brain tumors. Glioblastoma multiforme usually       spreads quickly to other parts of the brain. For this reason, these tumors are difficult to treat. It is not uncommon for them to reoccur after initial treatment.
• Meningioma - A benign tumor arising from the meninges, the membranes covering the brain and spinal cord. Meningiomas occur most commonly in middle-aged women.
• Metastatic Tumor - Tumor formed by cancer cells that spread (metastasize) to the brain from elsewhere in the body. They can appear anywhere in the brain or spine.
Mixed Glioma 
• Oligodendroglioma - A tumor that arises from oligodendrocytes, a type of supportive brain tissue. They occur most frequently in young and middle-aged adults.
• Pineal Region Tumor - This type of tumor occurs in the area of the brain's pineal gland. Germinomas, teratomas, pineocytomas, pineoblastomas, mixed tumors and astrocytomas can occur in the pineal region.

  • Cranial Nerve Disorders - Cranial nerve disorders may affect the connections between cranial nerve centers within the brain. This dysfunction affects certain nerves in the brain that control or involve vision, smell, chewing, facial sensation or expression, taste, hearing, balance, swallowing, or speech. Cranial conditions and disorders include: 

Acoustic Neuroma 
Bell's palsy 
Ménière's Disease 
Trigeminal Neuralgia 

  • Intracranial bleeding - There are many reasons for bleeding in the brain, including blunt force trauma, blood clotting deficiencies and congenital blood vessel defects. Internal bleeding can damage the brain in irreversible ways. Some of the more common conditions we treat associated with intracranial bleeding are:  

• Clots - A blood clot is a thickened mass in the blood formed by tiny substances called platelets. Clots form to stop bleeding, such as at the site of a cut. Clots are not supposed to form when blood is flowing freely through the body and if they do form inside blood vessels or if your blood has a tendency to clot too much, there is the potential for the clot to travel to your brain and block normal blood flow. 

• Brain Arteriovenous Malformations (AVM) - Brain Arteriovenous Malformations are a tangle of abnormal and poorly formed blood vessels (arteries and veins) which have a higher rate of bleeding than normal vessels. Although AVMs can occur anywhere in the body, brain AVMs are of special concern because of the damage they can cause when they bleed. A CT Scan or MRI is used to diagnose an AVM and radiation, embolization or surgery is used to treat them.
Brain Aneurysms

  • Skull Fracture - Although the skull is tough, resilient, and provides excellent protection for the brain, a severe impact or blow can result in a fracture of the skull and injury to the brain. The brain can be affected directly by damage to the nervous system tissue and bleeding, or indirectly by blood clots which form under the skull and compress the underlying brain tissue.
  • Trigeminal Neuralgia
  • Brain Abcess - A brain abscess is a bacterial infection in the brain. A mass (swelling)  occurs as your body tries to isolate and contain the infection. As the brain swells, the mass may put pressure on delicate brain tissue. Infected matter can block blood vessels in the brain and inflammation may then result. The inflammation is caused by infected brain cells, white blood cells, and live and dead microorganisms collecting in a limited area of the brain.
  • Hydrocephalus  
  • Pituitary Tumors 


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