(left) Caetano Coimbra, MD, MSc, FACS (right) J. Bradley McGowan, MD
At Dallas Brain, Spine & Skull Base Surgery we believe in customized patient care and a team approach to medicine, with attention to careful selection of the least invasive and most effective form of treatment for each patient. Commitment to this philosophy has resulted in maximal preservation of function, less discomfort, shorter hospital stays and durable favorable outcomes for our patients.
Our practice is a top referral destination for the treatment of patients with complex brain tumors.
We are recognized leaders in Dallas/Fort Worth in the development of minimally invasive neurosurgical concepts.
In addition to a focus in rare brain tumors, our practice uses the same successful minimally invasive surgical concepts in the treatment of other neurological diseases – including, but not limited to, cerebral aneurysms, trigeminal neuralgia and spinal tumors. Additionally, we are fully committed to providing comprehensive care for patients with a wide range of spinal disorders.
The American Board of Neurological Surgery -
Neurological Surgery constitutes a medical discipline and surgical specialty that provides care for adult and pediatric patients in the treatment of pain or pathological processes that may modify the function of activity of the central nervous system (e.g. brain, hypophysis, and spinal cord), the peripheral nervous system (e.g. cranial, spinal and peripheral nerves), the autonomic nervous system, the supporting structures of these systems (e.g. meninges, skull and skull base and vertebral column), and their vascular supply (e.g. intracranial, extracranial and spinal vasculature).
Treatment encompasses both non-operative management (e.g. prevention, diagnosis – including image interpretation – and treatments such as, but not limited to, neurocritical intensive care and rehabilitation) and operative management with its associated image use and interpretation (e.g. endovascular surgery, functional and restorative surgery, stereotactic radiosurgery, and spinal fusion – including its instrumentation).
Prevention, diagnosis, including image interpretation; neurocritical intensive care, and spinal fusion, including its instrumentation.
Endovascular surgery, functional and restorative surgery, stereotactic radiosurgery, and spinal fusion, including its instrumentation.
Minimally Invasive Surgical Options
Minimally invasive skull base approaches were developed at Dallas Brain, Spine & Skull Base Surgery to replace the traditional extensive skull base approaches and their undesirable significant trauma and deformity to bone, soft tissue and the brain.
Delivering Proven Results
Extradural Navigation Concept
Dallas Brain, Spine & Skull Base Surgery has developed a cutting-edge concept of extradural navigation, using natural spaces in the skull to gain access to deep structures. Avoidance of early brain exposure limits the risk of potential injury to normal structures. This has resulted in improved outcomes in our patients.
Complete Petro-Clival Meningioma resection through focused periauricular approach with Extradural Navigation.
No Footprint Concept
Our focus on discrete, minimally invasive exposures coupled with extradural navigation results in less manipulation of the brain. On postoperative imaging, this is illustrated by the absence of a "footprint" or edema/contusion in normal tissue.
Complete Anterior Clinoid Meningioma resection through focused periorbital approach. No “footprints”.
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