Navigation Links
Brain surgery is getting easier on patients
Date:8/20/2008

MAYWOOD, Ill. -- Dr. Edward Duckworth is part of a new generation of neurosurgeons who are making brain surgery a lot easier on patients.

At Loyola University Hospital, Duckworth is using less-invasive techniques to remove tumors, to repair life-threatening aneurysms and to dramatically reduce seizures in epilepsy patients.

Rather than removing large sections of the skull or face, Duckworth is reaching the brain through much smaller openings. And in certain cases, he goes through the nose to get to the brain.

"It's not necessary to expose a large surface of the brain in order to access a small abnormality," said Duckworth, an assistant professor, neurological surgery, at Loyola University Chicago Stritch School of Medicine.

Less-invasive brain surgery can result in decreased pain and shorter hospital stays. It also makes patients less apprehensive, Duckworth said.

Duckworth recently performed a less-invasive aneurysm repair on David Shoblaske of Riverside, Ill. An aneurysm is a bulge in a blood vessel. Shoblaske's aneurysm was in the right side of his brain. It was spotted on a CT done in an attempt to find the source of Shoblaske's nonstop headaches. If the aneurysm had burst, Shoblaske likely would have suffered a serious stroke. To prevent that from happening, Duckworth closed off the aneurysm with a small titanium clip.

In a traditional aneurysm repair, the surgeon cuts out a piece of skull roughly 3 inches high and 3 inches wide. After repairing the aneurysm, the surgeon uses small plates and screws to reattach the skull piece. By contrast, the opening Duckworth created in Shoblaske was only about one inch across.

It's difficult to work with such a small opening. "You have to be much more meticulous," Duckworth said.

But the effort paid off for Shoblaske, a 64-year-old retired business executive with a history of heart disease that also has been treated successfully at Loyola. Despite the complexity of the procedure and the additional risks Shoblaske faced as a heart patient, he experienced no surgical complications or changes in his cognitive abilities. And, his headaches went away. "It was a complete success," he said.

Duckworth has performed more than 50 similar aneurysm repairs at Loyola; at the University of South Florida, where he trained and at Northwestern Memorial Hospital, where he did a fellowship. Duckworth gave a presentation on the procedure at a recent meeting of the American Association of Neurological Surgeons.

Duckworth also performs less-invasive brain surgeries on epilepsy patients. In this procedure, Duckworth removes a small part of the brain that is triggering seizures. In a recent issue of the journal Neurosurgery, Duckworth and a colleague reported results on 201 of their patients at the University of South Florida. After being followed a minimum of two years, 78 percent were free of the most disabling type of seizures. And only 1.5 percent experienced complications. Patients stayed in the hospital an average of 2.6 days. By comparison, an earlier study found that patients who underwent surgery with a larger opening stayed seven days.

In certain cases, Duckworth can reach the brain by passing instruments through the nose and cutting a 1-centimeter-wide hole in the skull. A surgical instrument goes through one nostril and an endoscope through the other. An endoscope is a tube with a light and a lens. It enables the surgeon to see tissue. Using this technique, Duckworth can remove certain tumors located in the pituitary gland or at the base of the skull.

Duckworth predicts less-invasive brain surgery will become increasingly common because it offers big advantages. "Because the openings are smaller, less brain tissue is exposed," he said. "There's less blood loss. Surgery times are shorter, and patients spend less time in the hospital. It's better cosmetically, too. Smaller incisions leave smaller scars."


'/>"/>

Contact: Jim Ritter
jritter@lumc.edu
708-216-2445
Loyola University Health System
Source:Eurekalert  

Related medicine news :

1. Draining away brains toxic protein to stop Alzheimers
2. Vision restoration therapy shown to improve brain activity in brain injured patients
3. Clinical depression linked to abnormal emotional brain circuits
4. Brain imaging reveals breakdown of normal emotional processing
5. Brain cells work differently than previously thought
6. Vaccine Stops Alzheimers Brain Tangles
7. Research may unlock mystery of autisms origin in the brain
8. Scientists Spot Brains Free Will Center
9. Free will takes flight: how our brains respond to an approaching menace
10. Alcoholics With Cirrhosis Have More Brain Damage
11. Brain Lesions Predict MS Progression
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Brain surgery is getting easier on patients
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The House ... most popular and least understood books in the Holy Scriptures, Revelation. The Book of ... baffled scholars for centuries. Many have tossed it off as mere rubbish, but Yisrayl ...
(Date:10/13/2017)... ... October 13, 2017 , ... “America On The Brink”: the Christian history ... The Brink” is the creation of published author, William Nowers. Captain Nowers and ... WWII veteran, he spent thirty years in the Navy. Following his career as ...
(Date:10/12/2017)... ... 12, 2017 , ... The company has developed a suite ... regulatory authorities worldwide. From Children’s to Adults 50+, every formula has been developed ... , These products are also: Gluten Free, Non-GMO, Vegan, Soy Free, Non-Dairy*, ...
(Date:10/12/2017)... ... October 12, 2017 , ... Information about the technology: ... develop to enable prevention of a major side effect of chemotherapy in children. ... pediatric patients. For cisplatin, hearing loss is FDA listed on-label as a dose ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... On Saturday, ... a treadmill relay – Miles by Moonlight to raise money for the American Heart ... or more. , Teams will work together to keep their treadmills moving for ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... , Oct. 2, 2017 Diplomat Pharmacy, Inc. ... Day Software and Consulting, LLC , and named its ... Software, based in Tennessee , will ... Day expands EnvoyHealth,s service offerings for health care partners ... "In an interoperable world, ...
(Date:9/28/2017)... 28, 2017 Hill-Rom Holdings, Inc. (NYSE: HRC), ... call and webcast on Friday, November 3, 2017, beginning ... ending at approximately 8:30 a.m. (CDT) / 9:30 a.m. ... 2017 financial performance and guidance for 2018, Hill-Rom executives ... enhance operational performance, and long-range financial outlook through 2020. ...
(Date:9/25/2017)... Sept. 25, 2017  EpiVax, Inc., a leader ... and immune-engineering today announced the launch of EpiVax ... of personalized therapeutic cancer vaccines. EpiVax has provided ... access to enabling technologies to the new precision ... lead EpiVax Oncology as Chief Executive Officer. Gad ...
Breaking Medicine Technology: