Neurosurgery
Neurosurgery provides specialized care for spine, brain, and vascular diagnoses either as a result of trauma or degenerative processes. Neurosurgical services offered include, but are not limited to:
We provide total spine care through standard and minimally invasive approaches. Our physicians participate in clinical trials, including two recent studies on cervical disc replacement. All of our neurosurgeons are trained in new minimally invasive techniques including the extreme lateral interbody fusion (XLIF), which offers spinal surgery without a back incision. Spine services include treatment for: 

• Cervical and lumbar stenosis 
• Disc herniations and disc replacement 
• Spine trauma and stabilization 
• Spine and spinal cord tumors 
• Congenital spinal disorders in adults
 
We provide compassionate surgical services for patients diagnosed with primary and metastatic brain tumors. Using intraoperative 

brain mapping techniques we are able to remove brain tumors in the safest manner possible. Otherwise “inoperable” tumors in difficult areas of the brain can be removed safely with an “awake” craniotomy. Our neuroscience team and radiation oncologists are currently creating a radiosurgery program that will offer minimally invasive surgeries for many types of brain tumors. Surgeries available include: 
• Gliomas and glioblastoma 
• Meningiomas 
• Metastatic tumors 
• Pituitary Tumors 
• Acoustic Neuromas 

Functional 
We can offer surgical solutions for a number of neurological symptoms that originate within the brain. Our neuroscience team has recently established a comprehensive Epilepsy Program and Deep Brain Stimulation Program. When medical therapies fail, we can provide surgical options to patients with: 
 
• Intractable epilepsy 
• Parkinson's disease 
• Essential tremor 
• Trigeminal Neuralgia 
• Hemi-facial Spasm 
 
Nerve 
We offer expert care for a number of problems affecting the nerves after they exit from the spine. Compressive neuropathies are often treated surgically on an outpatient basis. Peripheral nerve services include: 
 
• Carpal Tunnel Release 
• Ulnar Nerve Release or Transposition 
• Peroneal Neuropathy 
• Peripheral Nerve Tumors 

Pain 
Chronic pain can often be managed with medications. When medical management is ineffectual, patients may benefit from minor surgical procedures performed by our pain anesthesiologists. Innovative surgical options include: 

• Spinal Cord Stimulators 
• Intrathecal Pumps 
• Dorsal Root Entry Zone procedure 
• Cordotomy for cancer pain 
• Motor Cortex Stimulation 
 
Trauma 
Winchester Medical Center is a Level II Trauma Center, which means that our physicians are on call 24/7 to provide critical care and surgical services for traumatic brain and spine injuries. We have a dedicated neurological ICU staffed with nurses trained in critical care for neurological patient. Trauma services provided include: 
 
• Intracranial Pressure Monitoring 
• Burr Holes for Evacuation of Subdural Hematoma 
• Craniotomy for Evacuation of Hemorrhage 
• Decompressive Hemicraniectomy 
• Spinal Decompression and Stabilization