Neurosurgery in Ventura and Los Angeles counties

Los Robles Health System's neurosurgery program offers cutting-edge techniques and state-of-the-art technology for the treatment of neurological disorders. Through our minimally invasive procedures, our expert team of neurological surgeons can treat brain and spinal cord conditions including complex tumors, vascular lesions, and other central nervous system disorders.

If you want to consult with our neurological experts, we'll evaluate your condition and suggest the best possible treatment option for you.

To find a physician specializing in neurosurgery, please call our Consult-A-Nurse® line at (877) 888-5746.

Neurological procedures we perform

Our neurologists can treat a variety of neurological diseases and conditions, including traumatic brain injury, spinal cord disorders and complications from a cerebrovascular accident (stroke). Some of the advanced neurological procedures we perform include:

Brain tumor treatment

A brain tumor is a collection of abnormal cells in the brain. Some brain tumors are cancerous and others are noncancerous. They can start in the brain, or they can begin in other parts of the body and spread to the brain.

We use several different procedures to treat brain tumors:

Microsurgical resection of benign brain tumors

Our doctors can remove benign, non-cancerous brain tumors with improved safety and reduced effects to the surrounding area through state-of-the-art technology.

Using a computer, the surgeon can identify the precise location of the tumor. They then use an operating binocular microscope to remove the tumor safely and more completely.

Microsurgical resection of malignant brain tumors

Removing malignant, cancerous tumors is similar to the technique that doctors use to combat benign tumors. New technology provides effective surgical treatments for conditions that used to undergo radiation with less effective results.

Resection of complex tumors

This is an area of neurologic surgery that treats tumors and other conditions that affect the base of the cranium. Our neurosurgeons have special fellowship training and experience to treat the area behind the eyes and nose that is close to vital nerves, as well as blood vessels in the brain, neck and spine.

Shunts

A shunt is a hollow tube surgically placed in the brain or spine to help drain cerebrospinal fluid to another part of the body. Our neurosurgeons can place shunts in a variety of ways:

Ventriculoperitoneal shunt placement (VP shunt)

In a VP shunt, doctors place the tube in one of the brain's cavities, where fluid collects, and pass it under the skin to the abdominal cavity, where the fluid can be resorbed. This placement treats hydrocephalus, which is an obstruction to the flow of spinal fluid causing excessive brain size or pressure.

Ventriculoatrial shunt placement (VA shunt)

This treatment is similar to a VP shunt except that the end of the tube is placed in the side of the heart known as the atrium. This can be used for patients who may have problems in the lining of the abdomen, such as scar tissue.

Ventriculopleural shunt placement

Another alternative shunt procedure is ventriculopleural shunt placement. This procedure has the tube ending in the lung cavity. Spinal fluid can be resorbed in this location.

Endoscopic third ventriculostomy

An endoscopic third ventriculostomy is a minimally invasive operation to treat hydrocephalous. During the procedure, the surgeon creates an opening between a brain fluid cavity and the area outside of the brain where spinal fluid may be resorbed without a tube.

Peripheral nerve decompression treatment

Conditions such as carpal tunnel syndrome can be caused by a nerve in the arms or legs that becomes compressed. Symptoms may include:

  • Feeling that a foot or hand has fallen asleep
  • Muscle weakness
  • Numbness in the area affected by the nerve
  • Sharp or burning pain
  • Tingling sensations

We can treat peripheral nerve decompression with several different procedures:

Decompression of the ulnar nerve

Compression of the ulnar nerve occurs most often at the elbow and includes symptoms such as numbness of the ring and little fingers. Decompressing the nerve is a simple outpatient procedure. The patient often feels little discomfort and can quickly return to their daily activities.

Decompression of the median nerve in the carpal tunnel

Carpal tunnel syndrome is the compression of the median nerve in the wrist. While a variety of surgical treatments are available, neurosurgeons often use a microscope for both safety and small incisions.

Cerebrovascular clipping

Clipping is a surgery performed to treat a brain aneurysm, which is a bulge in the wall of an artery that leads to the brain. In the procedure, a neurosurgeon places a small clip across the base of the aneurysm to stop it from bleeding.

Neuroendovascular program

Neuroendovascular surgery (NES), also known as interventional neuroradiology, uses minimally invasive procedures to treat complex diseases that affect the brain and spine.

The mission of the NES program is to provide comprehensive services to our community, including diagnostic catheter angiography, neurocritical care and open surgical and endovascular neurosurgery of cerebrovascular diseases.

Our dedicated team of specialists utilize state-of-the-art technology to achieve clinical excellence in neuroimaging, endovascular device development and advanced techniques in image guided minimally invasive surgery.

Employing minimally invasive procedures leads to many benefits, which include fewer complication rates and quicker recovery times. With the advancements that these procedures provide, our surgical team is able to provide effective treatment options that target the delicate areas of the brain, neck and spine.

Through these procedures, our surgeons are able to effectively treat brain aneurysms, arteriovenous malformations, arteriovenous fistulas and stroke by threading small wires and catheters through arteries and veins. This technique allows for conditions to be treated from within the blood vessels, without the need for traditional surgery.

Conditions treated

Our neuroendovascular program treats a wide range of conditions, including the following:

  • Aneurysm
  • Arteriovenous fistula
  • Arteriovenous malformation
  • Brain and spinal tumor
  • Carotid artery disease
  • Cavernous malformation
  • Central retinal artery occlusion
  • Epistaxis
  • Hemangiomas or venolymphatic malformations
  • Intracranial hemorrhage
  • Intracranial arteriosclerotic disease
  • Moyamoya disease
  • Pediatric brain vascular malformations
  • Spinal cord vascular disease
  • Stroke
  • Traumatic brain injury
  • Venous thrombosis in the brain

Procedures offered

Our team of neuroendovascular surgeons are trained to treat the above conditions with the following procedures:

  • Balloon test occlusion
  • Brain and spinal tumor embolization
  • Brain aneurysm treatment
  • Carotid stenting
  • Diagnostic cerebral angiogram
  • Intracranial angioplasty and stent placement
  • Spinal angiograms
  • Stroke — intra-arterial thrombolysis and thrombectomy

Clinical trials

Our team conducts research for a wide range of neurological disorders and offers patients opportunities to participate in research and clinical trials. Los Robles Health System is engaged in several cutting-edge trials, with many more in the pipeline, and below is information about the trials currently under way:

  • The APPLY Study: A Prospective, Single-Center Study Appraising the Embolization of Aneurysms using the Balt Optima™ Coil System
    • Sponsor: Vascular Neurology of Southern California, Inc.
    • The APPLY Study is an investigator-initiated prospective, real-world, single-center, post-market study conducted in Thousand Oaks, California. The purpose of this study is to demonstrate the efficacy and safety of the Balt Optima™ Coil System in the treatment of intracranial aneurysms.
    • Learn more about the APPLY Study
  • ASSIST Registry
    • Sponsor: Stryker Neurovascular
    • The ASSIST Registry is a prospective, global, consecutive enrollment registry. This registry aims to determine the success of procedural and clinical outcomes associated with various mechanical thrombectomy techniques using Stryker Neurovascular devices to treat large vessel occlusions found in the anterior circulation.
    • Learn more about the ASSIST Registry
  • EXCELLENT Registry: Embotrap eXtraction & Clot EvaLuation & Lesion Evaluation for NeuroThrombectomy
    • Sponsor: Cerenovus
    • The EXCELLENT Registry is a prospective, single-arm, real-world, multi-center study with sites located globally. The study aims to assess the efficacy of the EmboTrap Revascularization Device.
  • STEM Trial: The SQUID Trial for the Embolization of the Middle Meningeal Artery (STEM) For Treatment of Chronic Subdural Hematoma
    • Sponsor: Balt USA, LLC
    • The STEM Trial is a prospective, international, multi-center, randomized study established to provide an assessment of the safety and effectiveness of Middle Meningeal Artery (MMA) embolization of Chronic Subdural Hematoma.
  • SUCCESS Study: Success in Comaneci-assist Coils Embolization Surveillance Study
    • Sponsor: Rapid Medical
    • SUCCESS is a multi-center, single arm, prospective, post-market surveillance study aimed to assess safety and performance of the Comaneci Embolization Assist Device. This device is indicated for use as a temporary endovascular device for assisting in the coil embolization of wide-necked intracranial aneurysms.
    • Learn more about the SUCCESS Study
  • TESLA Trial
    • Sponsor: Investigator-Initiated Study funded by Genentech, Cerenovus, Medtronic, Penumbra, Stryker
    • The TESLA Trial is a prospective, randomized, open-label, blinded endpoint study that aims to determine the efficacy of intra-arterial mechanical thrombectomy in the treatment of acute ischemic stroke due to a large vessel occlusion in the anterior circulation that are currently not candidates for thrombectomy.
    • Learn more about the TESLA Trial