Neurology & Neurosurgery
Baylor St. Luke’s Medical Center collaborates with Baylor College of Medicine to revolutionize neurosurgical approaches, find innovative uses for technology, and navigate new frontiers. With some of the best brains in neuroscience, our team manages patient care today while developing new treatments for tomorrow.
Pioneers in Deep
Our image-guided, robotic DBS implantation system achieves the highest degree of precision available. We offer both conventional, microelectrode recording-guided surgery (during which the patient is awake for part of the procedure) and asleep, image-guided surgery (during which the patient is sound asleep the entire time). We maximize outcomes and minimize side effects by incorporating the latest intraoperative adjuncts and most sophisticated DBS systems, including those with directional steering capability.
In 2016, Baylor St. Luke’s Medical Center was one of the first hospitals in the country to use the Infinity™ Deep Brain Stimulation System, an advanced treatment option for patients with Parkinson’s disease and essential tremor.
And in 2019, we became the first hospital in Texas to use the Vercise™ Gevia™ Deep Brain Stimulation Systems, featuring the Vercise Cartesia™ Directional Lead by Boston Scientific.
Our team is internationally renowned for employing DBS to treat severe psychiatric illnesses, especially OCD and depression. In fact, Baylor St. Luke’s was the first in the world to use the Medtronic Activa RC+S DBS system in a patient with severe, treatment-resistant OCD as part of an NIH-funded research trial. This system is unique in that it allows the clinician to stream real-time brain recordings from the device in addition to providing stimulation. Dr. Sheth and Dr. Wayne Goodman, Chair in Psychiatry at Baylor College of Medicine, collaborated in the trial.
Associate Professor of Neurosurgery, Baylor College of Medicine
Revolutionizing Tumor Treatment and Removal
As one of the most active pituitary centers in the nation with published superior surgical outcomes, we safely discharge over 90% of our pituitary surgery patients after just one night in the hospital. We utilize a multidisciplinary approach that combines patient management protocol with a less-invasive endonasal surgical technique in which surgeons enter through the nasal passage to remove the pituitary tumor. The patient management protocol emphasizes patient education, early mobilization, and scheduled inpatient and outpatient endocrine assessments that have been shown to decrease hospital stay, complications, and readmission.
Updated Team With Subspecialities
1st To Bring Applied Artificial Intelligence to Stroke Care in Houston
Treating the Most Complex Spine Cases
Award-Winning Comprehensive Stroke Center
Life-Altering Treatment for Patients With Parkinson’s Disease
Two-Stage Surgical Procedure to Treat Cervical Degenerative Kyphosis
If you look at the average person from the side, the neck appears to stand straight up and down. However, there is a normal curve called lordosis that helps keep the head and neck in perfect alignment. When injuries, deformities, or arthritis disrupt this head-neck harmony, it can cause something known as cervical degenerative kyphosis, which reverses the normal lordosis.
The simplest of daily tasks quickly became challenging undertakings as a result of this condition. “I had resorted to using a towel to prevent my chin from touching my chest when being upright,” said Linda. “I used a walker to help with my balance, but I was still frustrated because I could not see things at normal eye gaze because I was constantly looking at the ground due to this chin-on-chest deformity.”
Imaging studies that were done at Baylor Neurosurgery Spine Clinic, an outpatient center that is part of Baylor St. Luke’s Medical Center, revealed a cervical spine deformity called “chin-on-chest.” She had multiple levels of stenosis, which refers to the narrowing and compressing of the space for the spinal cord or nerve branches in the cervical spine. Cervical stenosis is most frequently caused by aging and degenerative arthritis, but Linda’s stenosis was severe.
Due to the advanced stage of her deformity, Linda was identified as a candidate for a surgical spinal reconstruction that could be performed in two stages. Firstly, a C3-7 anterior cervical discectomy and fusion was performed, followed by a posterior approach for C6-T1 laminectomies, a C7 pedicle subtraction osteotomy, and C2 to T4 instrumented fusion. These surgical procedures were done after Linda underwent cervical traction, a process in which gentle stretching of the neck muscles allowed a temporary partial correction of her deformity, which aided in surgery.
“Large cervical spine deformity surgeries require a multidisciplinary team both in the operating room and the hospital. Our team was able to help this patient through her hospital course, and her surgery was very successful. She looks straight ahead now, rather than at the floor,” said Dr. Alexander Ropper of Baylor Neurosurgery. “Her neck pain and functionality improved dramatically after surgery.”
Cervical spine imaging revealed excellent correction of her deformity.