As a major referral center for neurological disorders, we often see patients who have exhausted their options elsewhere. Mitchel Berger, M.D., chair of Neurological Surgery, discusses how UCSF treats the most difficult cases.
Jill Ostrem, M.D., and her colleagues at the Movement Disorders Clinic at UCSF Medical Center evaluate dystonia patients and consider the use of neurotoxins in the context of other treatment options.
After 13 years of medical treatment, a 55-year-old man with Parkinson’s disease was referred to UCSF with disabling motor fluctuations, dyskinesia and painful toe curling. Philip Starr, MD, PhD, performed bilateral deep brain stimulation in the subthalamic nucleus, placing an implantable pulse generator in the patient’s chest wall. The patient’s symptoms were greatly improved.
It is important to assess for early signs of recovery about six weeks after traumatic nerve injury, says neurologist John W. Engstrom, MD, of the Nerve Injury Clinic at UCSF Medical Center. An initial evaluation by the neurologist could include electromyography and, perhaps, referral to a radiologist for magnetic resonance neurography.
Manish Aghi, M.D., Ph.D., a neurosurgeon and researcher, is part of a busy team that, in addition to working on malignant tumors, will remove more than 200 benign pituitary tumors this year.
According to physicians at the Neurospinal Disorders Program at UCSF Medical Center, advances in en bloc tumor resection, minimally invasive surgical approaches and osteotomies can reduce the risks associated with more traditional spine surgeries.
See information on upcoming continuing medical education courses.
The UCSF Physician Liaison Service provides assistance and information to referring physicians, medical groups and health plans. Please call the Physician Liaison Service or visit www.ucsfhealth.org/health_professionals/make_a_referral/.
Phone: (800) 444-2559
Fax: (415) 353-4395
The UCSF Transfer Center is open 24 hours daily to coordinate the transfer of your patients to UCSF Medical Center from hospitals throughout the region.
Phone: (415) 353-9166
Fax: (415) 353-9172