The Department of Neurosurgery at Cedars-Sinai treats the broad spectrum of benign intracranial disorders, including meningioma, epidermoid, dermoid, hemangioblastoma, colloid cyst, subependymal giant-cell astrocytoma, pleomorphic xanthoastrocytoma and craniopharyngioma tumors.
Weekly Tumor Board
One component of the Department of Neurosurgery is its weekly Tumor Board meeting. A comprehensive specialty team of neurosurgeons, medical oncologists, radiation oncologists, neurologists, neuroradiologists, pediatric oncologists, neuro-oncologists and neuropathologists review individual patient cases and provide recommendations on the most optimal treatment alternatives. The Tumor Board provides exceptional expertise, allowing physicians to consult with a variety of specialists in one setting.
Sophisticated Image-guidance and Technology for Surgery
The department's surgical expertise is supported with advanced technology to help improve surgical outcomes and patient recovery. Our advanced operating suite has a real-time image-guidance system, state-of-the-art surgical microscopes and specially designed instruments for complex tumor resection.
The real-time image-guidance system creates a 3D image of the patient's brain utilizing X-ray, computerized tomography (CT) scan, magnetic resonance imaging (MRI) and ultrasound images. This 3D image helps surgeons pinpoint the exact location of the tumor, display real-time images and instrumentation during surgery and avoid contact with nearby eloquent areas, healthy tissue and nerves.
Radiosurgery Treatment Advances
Because no two patients are alike and no two tumors are alike, a referral center specializing in the diagnosis and treatment of all types of brain, cranial base and spinal cord tumors must offer the most advanced technologies for each individual situation.
Imaging studies are typically the first step in diagnosis and treatment planning, and the S. Mark Taper Foundation Imaging Center provides a full spectrum of sophisticated diagnostic options.
The choice of treatment depends on many factors, including the type, location and aggressiveness of the tumor, and the age and overall health of the patient. Some tumors that grow slowly and pose little threat may be monitored for years with periodic imaging, never requiring intervention.
For some tumors, surgery may be an option, either alone or in combination with other therapies. But because tumors often invade "eloquent" areas of the brain - those responsible for thought, speech and other high-level functions - advanced surgical technologies, such as "awake" brain surgery and brain mapping, enable neurosurgeons to remove as much tumor as possible without injuring vital tissue.
Many procedures that once required a large opening can now be performed minimally invasively, resulting in shorter recovery times and reduced risk of complications.
Offers New Treatment Options for Spinal Tumors
The System provides highly focused, "image-guided" radiotherapy and radiosurgery options for treating tumors and other lesions located close to the spinal cord or other critical structures. It may be used alone or in combination with surgery, depending on a tumor's location and type.
Using a specialized CT scanner built into the treatment planning machine, Trilogy ensures that a radiation dose precisely hits its target. Among other features is a "respiratory gating" capability that can take a patient's breathing into account and time delivery of radiation accordingly.
Image-guided radiotherapy allows precisely focused radiation, reducing considerably the size of a treatment field. Radiation is delivered through multiple "arcs," minimizing radiation exposure to surrounding tissue, while intensifying dosage at the point of intersection.
Trilogy is a "frameless" system able to precisely treat lesions in areas of the body that are not easily immobilized. It adds another dimension to Cedars-Sinai's radiation therapy arsenal.
Surgical Technology and Research
Department of Neurosurgery surgeons perform hundreds of operations for brain tumors each year. Their goal, however, is to make surgery for brain tumors obsolete. Our surgeons are working on a technique to destroy brain tumors non-invasively using focused microwaves,
For an appointment, a second opinion or more information, please call 1-800-CEDARS-1 (1-800-233-2771) or e-mail us.