My main goal is to provide exceptional patient care in the diagnosis and treatment of complex diseases of the brain and spine. I believe in helping my patients understand their disease and the available treatment options so that they will be able to take control of their own health. The purpose of creating this website is to increase awareness for certain conditions that are under-diagnosed and not well understood. It should also serve as an educational tool for patients and their families.
Venous sinus stenting is the experimental procedure being tested in this protocol and consists of placing a stent into the narrowed veins of the brain. Under general anesthesia, a catheter will be inserted through a vein the upper part of the leg (groin area) and guided through the veins all the way to neck and the head. Then, a balloon will be advanced through the catheter and positioned across the stenosis. The balloon will be carefully inflated for a few seconds.
Over the past few years I have taken care of hundreds of patients with pulsatile tinnitus. Many of them had serious, and potentially life-threatening, conditions (such as dural arteriovenous fistulas), and others had more benign problems, like a venous aneurysm or venous sinus stenosis.
It was six years ago that we treated our first patient using venous sinus stenting – an innovative procedure that widens a narrowed vein inside the brain. She was a delightful young woman who had been diagnosed with pseudotumor cerebri and was losing vision due to high intracranial pressure.