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April 2006
Volume 3, Issue 1
MGH Neurosurgical Society Alumni News
 

 

 

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Page 1 of 8 Current Issue: [MS Word TM version] [Adobe Acrobat TM version]
Functional and Stereotactic Update MGH Neurosurgical Society Alumni HomePage

The MGH Stereotactic and Functional Neurosurgery Center continues to expand. Functional neurosurgery is one of the most rapidly growing areas of neurosurgery both at MGH and across the Nation and the Center has been an important part of this growth. The success of the center depends upon close cooperation between the department of Neurosurgery and the departments of Neurology and Psychiatry. There are regular multidisciplinary meetings for each of the main parts of the program - epilepsy, movement disorders, and psychiatric neurosurgery. These meetings are critical for the program to remain on the cutting edge of science and for ensuring the best possible patient care.

There is a weekly epilepsy conference during which cases are presented and the management strategies are discussed. Many of these cases are complex and require invasive monitoring for seizure localization. Over the past year we have introduced a number of new minimally-invasive technologies for localization. One such approach is the use of foramen-ovale electrodes to localize temporal lobe seizures. This is a much less invasive approach than depth electrodes, and can be very helpful in select cases. Another innovation has been the use of frameless stereotactic guidance combined with PET or SPECT scans to optimize resections.

The Center is also quite active in Deep Brain Stimulation (DBS) for movement disorders. We have a biweekly movement disorders conference where we review new patients. We continue to treat patients with Parkinson's Disease and Essential Tremor using DBS. In addition, we have been treating an ......
Residency Program Update from Paul H. Chapman

Over the past few years there have been significant structural changes in all residency programs including ours in response to ACGME mandates. All of you with teaching positions affiliated with residencies are familiar with these changes. The eighty-hour workweek restriction has required

some shifts in resident responsibilities to require our trainees to provide occasional nighttime coverage during the first year of their laboratory rotations. Until recently we had been able to completely protect our residents' lab time, something that is no longer possible. Nonetheless, we feel that we have minimized the impact of this change on their lab experience. Reflective of this is the fact that our trainees continue to excel in their research efforts.

Ziv Williams has been ......

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