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Neuroscience

Baylor University Medical Center at Dallas

 
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Treatment Options 

Treatment recommendations are made after careful analysis of radiological data; location and type of lesion; and evaluation of each patient’s unique health profile, needs and expectation. The treatment may include one or more of the following modalities:

Stereotactic Radiation 

Radiosurgery

The Skull Base Center is associated with the Baylor Radiosurgery Center in Dallas where physicians like medical director, Cole Giller, MD, PhD. have unique expertise in Gamma Knife®* and CyberKnife® radiosurgery. 

Radiosurgery is a technique that uses beams of radiation carefully directed at the tumor site from many different angles, providing a large dose of radiation directly onto the tumor with minimal exposure to the surrounding healthy tissue.

Radiosurgery may be used as the primary treatment for skull base tumors or as an adjuvant treatment for residual tumor after surgery.

Find out more about the Baylor Radiosurgery Center.

*Gamma Knife and Leksell Gamma Knife are U.S. federally registered trademarks of Elekta Instruments, S.A., Geneva, Switzerland.

Interventional Neuroradiology 

In selected cases, the interventional neuroradiology team at Baylor University Medical Center at Dallas, under the leadership of Joseph Hise, M.D., medical director and Baylor All Saint Medical Center provides angiographic preoperative evaluation of the feeding vessels to lesions, allowing more accurate surgical planning. 

In some cases, tumors with high vascularity are embolized preoperatively, allowing safer surgical resection of the tumor and less blood loss.

Patients with cerebral aneurysms are evaluated by a neurosurgeon and an interventional neuroradiologist to determine the most effective treatment modality for each patient.

Treatment for cerebral aneurysms includes intravascular packing and obliteration of the aneurysm with flexible coil or craniotomy and clipping of the aneurysm.

At the Skull Base Center, preference is given, whenever possible, to intravascular treatment of cerebral aneurysms, avoiding craniotomy and brain manipulation.

Skull Base Surgery 

When surgery is necessary, preference is given to the use of minimally invasive techniques, including:

  • Bi-directional approach
  • Endoscopic-assisted microneurosurgery
  • Focused skull base approaches
  • Transfacial approach
  • Transnasal endoscopic approach
  • Trans-facial and bidirectional approaches
  • Facial degloving
  • Head and neck approaches
  • Reconstruction