The division of neurosurgical anesthesiology is an extremely active division performing over 2100 anesthetics annually. Patients requiring neurological surgery have almost every type of procedure. The large number of cases and types of procedures provides a superb learning opportunity.
About half of the surgeries are craniotomies for patients with intracranial tumors, vascular lesions and control of epilepsy. The remaining surgeries are for peripheral vascular and peripheral nerve diseases, functional neurosurgery for treatment of movement disorders and epilepsy, spine surgery for treatment of radiculopathies, myelopathies, spondyloses and tumors.
Many patients come to the Columbia University Medical Center for treatment with functional neurosurgery. The Epilepsy Center at CUMC evaluates patients with epilepsy for treatment with surgery. Most craniotomies for epilepsy are performed under general anesthesia, however, some are performed as "awake craniotomies" particularly when cerebral areas associated with language have to be examined intra-operatively. Patients with movement disorders have placement of deep brain stimulators performed with MRI and/or electrophysiological guidance.
The division of vascular neurosurgery is a center of excellence in the management of patients with vascular lesions. Patients with arteriovenous malformations, cerebral aneurysms, and carotid artery stenosis may be treated with either endovascular or surgical modalities. The members of the division of Neurosurgical Anesthesiology provide anesthesia for both modalities.
The neuroradiologists perform neuroradiographic procedures primarily for central neurovascular or spinal vascular lesions. These include arteriovenous malformations, aneurysms, and carotid artery stenosis. In addition, vascular lesions involving the periphery are treated.
Patients requiring electroconvulsive therapy are treated both at The New York State Psychiatric Institute and at the Milstein Hospital Pavilion. The Division of Biological Psychiatry for many years has provided these services. Members of the division of neurosurgical anesthesiology assist in a number of clinical research projects to determine the mechanisms and efficacy of this type of therapy.
Our spine surgery center has had an increasing volume of patients needing more complicated spinal procedures requiring intra-operative electrophysiological monitoring. A considerable amount of time is spent teaching how to interpret results of electrophysiological monitoring.
There are currently nine anesthesiology attendings associated with the division of Neurosurgical Anesthesiology. Members of this division provide anesthesia in the operating room, neuroradiology suite, and off-site in the Department of Psychiatry for patients having electroconvulsive therapy. Teaching occurs both in the operating room as well as in small didactic sessions held every morning.
In summary, the division of neurosurgical anesthesiology provides a broad experience in traditional as well as in special neurosurgical cases.
Mitchell F. Berman, MD
John G. Gaudet, MD
Shailendra Joshi, MD
Maya Mikami, MD, PhD, MPH
Eugene Ornstein, PhD, MD
Cortessa Russell, MD
Mark Weller, MD
E. Thomas Yocum, MD
Current Fellow 2016-17:
Adam Gerber, MD, PhD
David C. Adams, MD – Columbia University
Zirka H. Anastasian, MD - Cornell University
Maria Bustillo, MD – Columbia University
Laura Friedman, MD – Columbia University
Joy Graham, MD – Columbia University
David Mintz, MD, PhD – Columbia University
Claudia Praetel, MD – University of Florida
Paolo Trubiano, MD – St Lukes-Roosevelt – Columbia University
John Van Driest, MD – University of Geneva
E. Thomas Yocum, MD – Columbia University
Maya Mikami, MD -- Columbia University
Peter Yim, MD – Columbia University
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For further information write or contact:
Mitchell Berman, MD
Professor of Anesthesiology at CUMC
Division of Neurosurgical Anesthesia
630 West 168th Street (PH5-523)
New York, NY 10032