Neurology - Procedures

PVSEC is proud to offer the following neurological procedures:

Complete neurologic examination and lesion localization
MRI and CT interpretation
Myelography
Cerebrospinal fluid (CSF) collection and evaluation
Tensilon testing for Myasthenia Gravis
Complete electrodiagnostic evaluation
Electromyography (EMG) to assess for nerve and muscle disease (neuropathy and myopathy)
Nerve conduction testing for neuropathy and demyelinating disorders
Repetitive nerve stimulation testing for Myasthenia Gravis
Brainstem auditory evoked response/potential (BAER or BAEP) testing for congenital and acquired deafness

Hemilaminectomy and ventral slot decompression for intervertebral disk disease
Spinal fracture stabilization
Stabilization for atlantoaxial instability/subluxation
Dorsal laminectomy and cervical fusion for cervical spondylomyelopathy ("Wobbler Syndrome")
Lumbosacral dorsal laminectomy for lumbosacral stenosis, intervertebral disease and cauda equina syndrome
Spinal tumor removal or biopsy
Craniotomy (brain surgery) for brain tumors
Foramen magnum decompression for Chiari-like malformation/syringomyelia
Brain biopsy
Nerve and muscle biopsy

Intervertebral disk disease
Encephalitis and meningitis - advanced therapies such as cytosine arabinoside (Cytosar), cyclosporine and CCNU (Lomustine) used for treatment of granulomatous meningoencephalitis (GME)
Epilepsy, especially difficult to manage or refractory cases - treatments include phenobarbital, potassium bromide, levetiracetam (Keppra), gabapentin (Neurontin), zonisamde (Zonegran) and other next-generation anti-epileptic drugs
Brain and spinal tumors
Chronic pain
Stroke - cerebrovascular accidents and fibrocartilagenous embolic (FCE) myelopathy
Degenerative myelopathy - genetic testing now available
Traumatic brain and spinal cord injury
Malformations of the brain and spine
Diffuse neuromuscular disease - Myasthenia Gravis, polyradiculoneuritis (Coon hound paralysis), polymyositis, tick paralysis, botulism
Peripheral neuropathy