CONDITIONS TREATED AND PROCEDURES

CENTRAL NERVOUS SYSTEM

 

 

TUMORS: BRAIN AND SPINAL CORD   (Primary or metastatic) including pituitary tumors, brainstem, skull and skull base, posterior fossa as well as face, head, and orbit  

 

FACIAL PAIN, FACIAL TIC   (Trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia)

 

VASCULAR MALFORMATIONS  (Surgical treatment of aneurysms, AVMs, and cavernous malformations)

 

CHIARI I MALFORMATION

 

ADULT HYDROCEPHALUS

 

SURGICAL TREATMENT OF EPILEPSY   (Requires close cooperation with a neurologist + access to very specific diagnostics)

 

ANTERIOR SKULL BASE DEFECTS  (I.e. spontaneous traumatic rhinorrhea)

 

 

 

 

 

 

CRANIAL PROCEDURES COMMONLY PERFORMED INCLUDE:

 

 

CRANIOTOMY - Standard Open  (multiple approaches for resection of brain tumors, surgical treatment of aneurysms, evacuation of intra-cerebral hematomas and many other conditions) 

 

CRANIOTOMY - Minimally Invasive  (Dr. Marsella is the only neurosurgeon in AZ to use the Nico Brainpath System).  See the corresponding link: www.niconeuro.com

 

ENDOSCOPIC ENDONASAL SKULL BASE  (For resection of lesions of anterior skull base, orbit, cavernous sinus, brain stem and pituitary gland)  

 

CRANIECTOMY  

(Example: Occipital Craniectomy for Chiari I malformation; requires a dural patch.

Craniectomy for acute treatment of ischemic CVA) 

 

V-P SHUNT - Adult Hydrocephalus

 

STEREOTACTIC RADIOSURGERY - In addition to all of the surgical procedures described above, Dr. Marsella can provide stereotactic radiosurgery as adjunct to the management for many of the above listed conditions (Brain tumors, AVMs, Trigeminal Neuralgia)

SPINE

(Dr. Marsella no longer treats chronic, degenerative thoracic and/or lumbar conditions)

 

SURGICAL TREATMENT OF DISK HERNIATION 

 

     CERVICAL

 

 

SURGICAL TREATMENT OF DEGENERATIVE CONDITIONS OF THE CERVICAL SPINE

 

     SPINAL STENOSIS: (Severe narrowing of the central canal compressing spinal cord and/or nerve roots)

 

SURGICAL TREATMENT OF SPINAL TUMORS (PRIMARY OR METASTATIC) 

     

 

 

 

 

 

 

 

SPINAL PROCEDURES PERFORMED:

 

 

 

CERVICAL MICRODISCECTOMY:

 

    Cervical Disc Herniation:

 

        1 - Anterior approach:                          

             - Anterior cervical discectomy fusion = ACDF

             - Anterior cervical discectomy and disk                              replacement

 

        2 - Posterior approach (decompressive                                laminectomy, foraminotomy and                                      discectomy

CORPECTOMY:

 

   A - Usually for the removal of larger cervical disk                 herniations and/or bony osteophytes causing                 severe compression of nerve roots and/or spinal           cord

 

 

DECOMPRESSIVE LAMINECTOMY:

 

  A. Cervical decompressive laminectomy for

        treatment of spinal stenosis

 

   B. Decompressive laminectomy for removal of                   spinal cord tumors

 

 

COMPLETE VERTEBRECTOMY: (i.e. for treatment of vertebral body tumors)

CONTACT US:

 

 

 

TEMPE OFFICE:

4515 S. McClintock Dr. Suite 115

Tempe AZ, 85282

SATELLITE OFFICE:

6036 N. 19th Ave.  Suite #502

Phoenix AZ, 85015

 

PHONE: 480.948.3301

FAX:       480.948.3302

 

 

OFFICE HOURS:

 

 

 

Mon. - Thur.:  8:30 am - 4:00 pm

 

 

Fri: 8:30am - 1 pm

 

 

 

 

 

 

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