Our neurosurgeons are internationally recognized for our surgical management of primary and metastatic brain tumors, including Lance Armstrong's successful testicular cancer treatment. Frameless stereotaxis with the Stealth unit, Axiss system, intraoperative MRI and CT scanning, and functional mapping are used including speech mapping, motor mapping and motor evoked potentials.
- Aaron Cohen-Gadol, MD
- Peter Gianaris, MD
- Thomas Leipzig, MD
- Jamie Miller, MD (Van Wagenen Fellow)
- Troy Payner, MD
- Richard Ben Rodgers, MD
- Carl Sartorius, MD
- Mitesh Shah, MD, FACS
- Scott Shapiro, MD, FACS
Gamma Knife Surgery
In the summer of 1997, the IU School of Medicine Departments of Neurological Surgery and Radiation Oncology jointly began operation of a Gamma Knife for stereotactic radiosurgery. The Gamma Knife is used to control benign and malignant brain tumors, obliterate arteriovenous malformations (AVMs) and relieve pain from trigeminal neuralgia in patients who are unwilling or unable to accept the risks associated with conventional surgery. Gamma Knife can provide convection-enhanced delivery of chemotherapy.
The Gamma Knife precisely focuses gamma rays from 201 hemispherically arrayed cobalt sources through a helmet (part of the Gamma Knife unit) onto a highly specific target within the brain. Although the radiation effects from any one of the beams is low, the summation of the beams at the target point results in a strong peak dose of radiation delivered to the lesion with a rapid fall-off of the dose into the surrounding normal brain tissue. In a field where it is critical to have a precise conformation of the toxic radiation dose to the borders of the lesion, the Gamma Knife is a leader. Dr. Thomas Witt is the Co-Director of the Lions Gamma Knife Center. He is the only neurosurgeon in Indianapolis whose Fellowship specifically was focused on stereotactic neurosurgery and radiosurgery.
Neurosurgeons at Indiana University and Riley Hospitals are currently using the CRW and Leksell stereotactic frames to perform biopsies, aspirate cysts, and deliver intraventricular chemotherapy as well as intracavitary irradiation with P-32.
In conjunction with the Department of Neurology at IU School of Medicine, IU faculty neurosurgeons who are part of Goodman Campbell Brain and Spine also perform microelectrode-guided stereotactic deep brain stimulation for Parkinson's disease and have the capability to perform thalamotomies for medically refractory tremor. The Stealth Medtronics unit is being used for frameless stereotactic intraoperative navigation during resections of brain tumors and cavernous angiomas.
Neurosurgeons at both Methodist Hospital use Novalis shaped-beam therapy to deliver precise doses of radiation to tumors and lesions that are irregularly-shaped. Novalis allows the radiation to conform to the shape of the tumor, which can spare the healthy tissue surrounding it. It also allows for a higher dose of radiation to be used.
Neurosurgeons have access to local CyberKnife and proton beam therapy centers, other radiotherapy options for cancers of the brain and spine.
No other neurosurgery practice in Indiana has as many radiosurgery and radiotherapy options available. Patients and referring physicians can rest assured that a patient will be able to receive the most beneficial radiation therapy method for their particular condition.
At the Indiana Surgical Epilepsy Program, we provide comprehensive evaluation and management of patients with medically intractable complex partial seizures. All patients undergo an extensive protocol-driven, pre-surgical evaluation including inpatient video/EEG monitoring, MR scanning, neuropsychological evaluation and intracarotid sodium amytal testing.
Those patients who are found to be appropriate candidates are then treated with resection of the identified focal initiator site guided by intraoperative electrocorticography.
Faculty who are part of this program include:
- Nicholas Barbaro, MD
- Aaron Cohen-Gadol, MD
- Robert Worth, MD
Please call 317-396-1300 for more information
The Goodman Campbell Functional Neurosurgery Program is a multidisciplinary team approach that uses stereotactic deep brain stimulation with electrophysiological monitoring to treat Parkinsons disease.
New diseases that may also be treated with deep brain stimulation include obsessive compulsive disease, depression and possibly obesity.
Physicians who are part of this program include:
- Michael Turner, MD
- Thomas Witt, MD
- Robert Worth, MD
For more information, please call 317-396-1300.
Center for Skull Base Surgery
The Center for Skull Base Surgery consists of a specialized team of surgeons (Neurosurgeons, Otolaryngologists, Neuro-ophthalmologists, Plastic Surgeons), Neuroradiologists, Radiation Therapists, Oncologists, and Rehabilitation physicians to diagnose and treat patients with lesions located at the base of the brain (basicranium).
Traditionally, skull base problems are considered among the most difficult to treat surgically. Through the use of a multidisciplinary team approach and refinement of craniofacial and skull base surgical and microsurgical techniques, many patients with deep-seated tumors and vascular lesions can now be safely treated.
Access to lesions centered around the basicranium can be accomplished with minimal brain retraction by extensive removal of displacement of the base of the skull. Thus, injury to cranial nerves, brain stem and blood vessels is minimized. Surgical approaches are formulated after thorough study of the pertinent normal and pathological surgical anatomy. This has been greatly facilitated by new, sophisticated neuroimaging techniques developed to study the osseous, soft tissue and vascular anatomy of the skull base. Physicians interested in obtaining consultation regarding potential patients with skull base pathology problems should call (317) 278-SKUL or contact one of the members of the skull base center directly.
- Mitesh V. Shah, MD - Neurosurgery (317) 396-1300
- John J. Coleman, III, MD - Plastic Surgery (317) 274-8106
- Richard T. Miyamoto, MD - Otolaryngology (317) 274-3556