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Neurosurgery

About this service:

The Ochsner LSU Health Shreveport Academic Medical Center’s Neurosurgery Department is committed to providing comprehensive patient care using the most innovative surgical approaches for a wide variety of neurological conditions. We offer state-of-the-art neuroscience treatment facilities including Gamma Knife, a dedicated Neuro ICU, and the only 24/7 Stroke Center in the area. Our neurosurgeons perform more than 3,000 complex surgical procedures each year and are recognized as leaders for neuroscience in the South.

Why Choose Ochsner LSU Health Shreveport Neurosurgery?

Dedicated high-quality care

  • Our Stroke Clinic is prepared to handle any stroke-related emergency 24 hours a day, seven days a
    week and is the only round-the-clock stroke clinic in the area.
  • We house the only Neuro ICU in the area, comprising of a 10-bed unit specifically for advanced monitoring and treatment of neurosurgery patients and specially trained nurses certified by the American Association of Neuroscience Nurses.

Industry-leading technology and research

  • In January 2000, we became the first facility in the state to offer patients Gamma Knife radiosurgery.
  • Whenever possible, we offer minimally-invasive endoscopic or laparoscopic techniques that are not
    only effective but also have faster recovery times to allow patients to return to their busy lives.
  • Our Epilepsy Surgery Program is part of a collaborative partnership between our neurosurgeons and
    neurological colleagues, working together to provide hope to adults and children with epilepsy by
    offering surgical removal of the epileptic focus within the brain.
  • Our Pediatric Concussion Clinic team uses a computerized cognitive assessment aid for pediatric
    concussions to identify possible impairment and compare to normative data to further assist the
    clinician in making a decision regarding a need for a more comprehensive evaluation and to return-to
    activity

 

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Our Physicians

Brian Willis,  MD, FAANS, FACS

Brian Willis, MD, FAANS, FACS

Professor and Chairman, Department of Neurosurgery

Specialties: Trauma, Spine, Pediatrics

Hugo Cuellar, MD, PhD, DABR

Hugo Cuellar, MD, PhD, DABR

Associate Professor

Specialties: Neurointerventional Surgery, Stroke, Brain Aneurysms

Bharat Guthikonda, MD, FAANS, FACS

Bharat Guthikonda, MD, FAANS, FACS

Professor and Director of Skull Base Surgery

Specialties: Brain Aneurysms, Brain Tumors, Arteriovenous Malformations (AVMs)

Christina Notarianni, MD, FAANS

Christina Notarianni, MD, FAANS

Associate Professor and Director of Pediatric Neurosurgery

Specialty: Pediatrics

Anthony Sin, MD, FAANS

Anthony Sin, MD, FAANS

Associate Professor and Director of Complex Spinal Disorders

Specialties: Scoliosis, Spinal Cord Injuries and Fractures, Degenerative Disc Disease

Donald Smith, MD, FAANS

Donald Smith, MD, FAANS

Clinical Professor

Specialties: Spine Disorders, Peripheral Nerves, Gamma Knife

Hai Sun, MD, PhD, FAANS

Hai Sun, MD, PhD, FAANS

Assistant Professor and Director of Epilepsy Surgery

Specialties: Epilepsy, Brain Tumors, Brain Aneurysms, Endovascular

Specialties & Services:

  • Acoustic Neuroma
  • Aneurysm
  • Anterior Communicating Hemorrhage
  • Anterior Fossa Skull Base
  • Arachnoid Cyst
  • Arnold Chiari Malformation
  • Arteriovenous Malformation
  • Basilar Artery Aneurysm
  • Basilar Hemorrhage
  • Brain Abscess
  • Brain Tumor
  • Cervical Spine Trauma
  • Closed Head Injury
  • Contusion
  • Cushing’s Disease
  • Dandy-Walker Syndrome
  • Diastematomyelia
  • Epidural Hematoma
  • Encephalocele
  • Gamma Knife
  • Giant Aneurysm
  • Glioma
  • Gilioblastoma
  • Gunshot Wounds
  • Hydrocephalus
  • Hypertensive Hemorrhage
  • ICA Aneurysm
  • Infection
  • Intraparenchymal Hemorrhage
  • Lumbar Spine Trauma
  • Meningioma Intracranial Neoplasm
  • Metastatic Intracranial Neoplasm
  • Metastatic Spine Neoplasm
  • Middle Cerebral Hemorrhage
  • Middle Fossa Skull Base
  • Multiple Metastases
  • Myelomeningocele
  • Ophthalmic Artery Aneurysm
  • Pain
  • Pediatric
  • Penetrating Injury
  • Petroclival Meningioma
  • Pituitary Adenoma
  • Pituitary Intracranial Neoplasm
  • Pituitary Tumor
  • Posterior Communicating Hemorrhage
  • Posterior Circulation Hemorrhage
  • Posterior Fossa Skull Base
  • Posterior Interhemispheric Approach
  • Primary Intracranial Neoplasm
  • Primary Spine Neoplasm
  • Rheumatoid
  • Sella Skull Base
  • Skull Base Meningioma
  • Skull Base Trauma
  • Skull Base Tumor
  • Subdural Mematoma
  • Skull Fracture
  • Spine Neoplasm
  • Spine Degenerative Disease
  • Subarachnoid Hemorrhage
  • Stealth
  • Stroke
  • Thoracic Spine Trauma
  • Vertebral Hemorrhage

FAQs

How long will my appointment take?
Our goal is to make sure each patient is seen promptly. Our neurosurgeons typically devote specific days each week in a clinic because they also manage treatment programs, perform surgeries, and teach. For this reason, please allow 2-3 hours for your appointment, especially if unscheduled emergencies delay the doctor.

Can I get an earlier appointment?
Clinics are by appointment only. If your condition deteriorates or changes, please contact our nursing staff, or if urgent attend the nearest hospital emergency department.

What should I do if I’m unable to attend an appointment?
If you are unable to attend an appointment, please cancel as soon as possible. You will be given another appointment if still required. By notifying us, it enables another patient the opportunity to see the doctor.

When can I visit a family member or friend after surgery?
Visiting hours for patients in the Neuro ICU is from 10:00 am to 1:00 pm and 3:00 pm to 8:30 pm. Visitors in the NICU are restricted to next-of-kin only; children are discouraged. 

Ochsner LSU Health Shreveport, in its role as an academic medical center of excellence, provides cutting-edge patient care, conducts world-class clinical and basic research, and offers the highest quality undergraduate and graduate medical education experiences. we provide state-of-the-art neuroscience treatment facilities including Gamma Knife, Neuro ICU, and Interventional Neuroradiology and are recognized as the leader for neuroscience in the South.

What is Gamma Knife?

Since becoming the first in the state of Louisiana to acquire Gamma Knife technology, we have completed over 800 procedures, becoming a leader in stereotactic radiosurgery in the South.

The Gamma Knife procedure stands unique in its ability to reach areas of the brain that remain inaccessible through conventional surgery. This enables patients who were once considered inoperable due to deep-seated abnormalities or critically-located lesions to receive treatment/cure for their disorders.

It also provides additional treatment options to those who have previously undergone conventional treatments or those who do not wish to undergo procedures such as the craniotomy. In addition, it offers treatment options to those who cannot qualify for surgery due to health problems or advanced age.

The Gamma Knife is revolutionary in the treatment of neurological disorders in that it, unlike conventional surgery, requires no incision or opening of the skull. Rather, it uses sources of radioactive Cobalt-60 for generating gamma-ray beams. The microscopic beads are digitally focused onto a specific pre-determined target within the brain, delivering a calculated amount of radiation. Targets are so precise that surrounding healthy tissue near the targeted area receives minimal radiation doses.

Gamma Knife radiosurgery is used for treating a wide spectrum of brain disorders either alone or as an adjunct to conventional surgery, such as vascular malformations, benign tumors, malignant tumors, movement disorders, trigeminal neuralgia.

More information on Brain Conditions

More information on Spine Conditions

Nationally Recognized Stroke Care

Our stroke specialists have been nationally recognized for their expertise in endovascular and open surgical approaches to neurovascular disease, most recently receiving the American Heart Association/American Stroke Association’s Get With The Guidelines® Stroke Silver Quality Achievement Award.

About Stroke Care

Award-winning stroke care

Ochsner LSU Health Shreveport is certified by The Joint Commission as a Thrombectomy-Capable Stroke Center. If you or your loved one is in need of care following a stroke, we provide high-quality, state of the art stroke care.

Stroke Care

Clinical excellence combined with professional and compassionate delivery of care defines Ochsner LSU Health Shreveport’s stroke program and sets us apart. Our stroke teams-comprised of board certified physicians, nurses, therapists, and social workers-offer an integrated approach to diagnosis, treatment, and prevention of and education about stroke.

Time is critical when it comes to stroke. When a patient displays stroke-like symptoms, early diagnosis and treatment is crucial. We are focused on providing rapid diagnosis using the treatment guidelines developed by the American Heart Association/American Stroke Association Get With the Guidelines-Stroke program to treat stroke patients. Our hospital is equipped:

  • To provide brain-imaging scans which are available 24-hours a day, 7 days a week.
  • With a rapid response stroke team comprised of specially trained physicians and nurses to administer immediate stroke care using clot-busting medications and/or mechanical clot removal therapy when appropriate.

During and after a hospital stay we provide or connect patients with services needed to begin their recovery and make continued progress. We offer:

  • Stroke education for patients and their families to help them understand stroke, rehabilitation, and prevention.
  • Rehabilitation and therapy services (including physical, speech, and occupational therapy) to help patients regain movement and function abilities
  • Nutrition services to help patients make positive lifestyle decisions.
  • Social work services to help patients and families cope with change.

We also help patients improve their health through providing information on:

  • Risks factors for stroke.
  • What you should do if you are at increased risk for stroke.
  • Warning signs of stroke.
  • Becoming more informed and involved in their health care.
  • Act quickly and call 911 if just one of the stroke-like symptoms come on suddenly.

Thrombectomy Care (Mechanical Endovascular Reperfusion)

Stroke patients at Ochsner LSU Health can benefit from an extended 4.5 hour tPA treatment window and can receive endovascular treatment up to 24 hours after symptom onset.

We feature an advanced Neurointerventional Biplane Angiography Suite and the latest thrombectomy devices, both of which allow physicians to perform the most complex endovascular interventions.

Scope of Service

The stroke program cares for those who have suffered an ischemic or hemorrhagic stroke.

Stroke Program Core Team

Oleg Chernyshev, MD, PhD – Stroke Program Medical Director
Hugo Cuellar, MD, PhD – Stroke Program Medical Co-Director
Sandy Putman, MBA, BSN, RN – Vice-President Trauma/Stroke
Wandria Dallas, MN, RN, AGCNS-BC – Stroke Coordinator
India Lewis, BSN, RN – Stroke Nurse Navigator
Mike Nolan, RN, CFRN – Stroke Nurse Educator