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Instruction in neurological surgery begins with an introduction to the anatomy and physiology of the nervous system presented in the first-year course in neural sciences directed by the Department of Anatomy and Neurobiology with participation of the neurosurgery faculty. In the second year, the Department of Neurological Surgery presents the course in Diseases of the Nervous System in conjunction with the Departments of Neurology, Pathology, Molecular Biology and Pharmacology, Medicine and Pediatrics. The course emphasizes how knowledge derived from basic or clinical investigations leads to improvements in clinical care. In the third year, students may elect to participate in a four-week Neurosurgery clerkship which introduces them to the clinical care of patients with diseases of the nervous system. Neurosurgical faculty members work with the neurologists in providing lectures, demonstrations and teaching exercises in patients with neurological diagnoses as part of the Clinical Medicine course. Students may elect to fulfill their Neurology requirement by rotating on the neurosurgery service. Students may also choose neurosurgery as part of the Surgical Specialty rotations. Neurosurgical diagnosis, critical care, operative treatment and ethical issues in patient management are emphasized. In the fourth year, students may choose from several advanced electives including clinical externships in neurosurgery and experiences in basic or clinical/translational research.
Neurological Surgery Divisions
The Division of Pediatric Neurosurgery: Jeffrey R. Leonard, MD; Matthew D. Smyth, MD; Tae Sung Park, MD; David D. Limbrick Jr., MD, PhD.
Based in St. Louis Children’s Hospital, the Division of Pediatric Neurosurgery of the Department of Neurosurgery provides neurosurgical care for the many disorders that are unique to the developing nervous system, from the premature infant to the young adult. Subspecialty areas include pediatric neuro-oncology, spastic cerebral palsy, craniofacial disorders, obstetrical brachial plexus injuries and epilepsy surgery. Active areas of clinical and basic research include pediatric head trauma, brain tumors, epilepsy and neonatal brain injury and hydrocephalus.
The Center for Innovation in Neuroscience and Technology: Eric C. Leuthardt, MD (director)
The multidisciplinary center is based in the Department of Neurosurgery with participation from multiple departments in the medical school and across the University campus. Current active participants include neurosurgery faculty members Ralph G. Dacey Jr., MD, chairman; Colin Derdeyn, MD, with the Division of Neuroradiology; Steve Peterson, MD, with the Department of Neurology/Neurobiology; Frank C-P Yin, PhD, chairman and Daniel Moran, PhD, with the Department of Biomedical Engineering; Philip Bayly, PhD, and Guy Genin, PhD, with the Department of Mechanical Engineering; Bill Smart, PhD, with the Department of Computer Science; F. Scott Kieff, JD, with the School of Law and adjunct professor in the Department of Neurosurgery; and Michael Marrah with the Office of Technology Management.
The James L. O’Leary Division of Experimental Neurology and Neurological Surgery: Thomas A. Woolsey, MD (director)
The O’Leary Division was created in 1980 to formalize a long-standing tradition of providing unique opportunities for residents, fellows and others to engage in basic research as part of this academic training program. The division pioneered techniques to study brain structure and activity, with a focus on developmental and adult nervous system plasticity. Trainees have published fundamental work on mechanisms of activity-based changes to cerebral blood flow, a novel stroke model, new understanding of impacts of glioblastoma growth on cortical structure and function, and novel approaches to visualizing and analyzing dynamic changes in structure and function. The division currently collaborates widely on projects conducted in and outside WUSM including: faculty in this Department and the departments of Neurology, Anatomy and Neurobiology, Biomedical Engineering, Earth and Planetary Sciences, Electrical and Systems Engineering, Pediatrics, Otolaryngology and Radiology.
Areas of neurosurgical specialization include:
Cerebrovascular Surgery: Michael R. Chicoine, MD; Ralph G. Dacey Jr., MD; Robert L. Grubb Jr., MD; Keith M. Rich, MD; Gregory J. Zipfel, MD
Cranial Base Surgery: Michael R. Chicoine, MD; Robert L. Grubb Jr., MD; Gregory J. Zipfel, MD
Epilepsy Surgery: Joshua L. Dowling, MD; Eric C. Leuthardt, MD
Neuro-Oncology: Michael R. Chicoine, MD; Ralph G. Dacey Jr., MD; Keith M. Rich, MD; Eric C. Leuthardt, MD
Pediatric Neurosurgery: Jeffrey R. Leonard, MD; Matthew D. Smyth, MD; Tae Sung Park, MD; David D. Limbrick Jr., MD, PhD
Peripheral Nerve Surgery: Justin M. Brown, MD
Pituitary Surgery: Michael R. Chicoine, MD; Ralph G. Dacey Jr., MD; Gregory J. Zipfel, MD
Spinal Neurosurgery: Paul Santiago, MD; Todd J. Stewart, MD; Neill M. Wright, MD; Eric C. Leuthardt, MD
Stereotactic Radiosurgery: Michael R. Chicoine, MD; Ralph G. Dacey Jr., MD; Joshua L. Dowling, MD; Keith M. Rich, MD; Matthew D. Smyth, MD; Eric C. Leuthardt, MD
Surgical Management of Pain: Joshua L. Dowling, MD
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Last Modification: 08/03/2009 | |