Our Services

Doctors discussing x-rays

Pediatric Neurosurgery is the only recognized subspecialty of neurosurgery which maintains its own board certificationprocess. Pediatric neurosurgeons take care of children, and sometimes adults, with congenital and acquired neurological problems. Sometimes kids are born with neurological disorders, and sometimes infants develop problems that require neurosurgical intervention. Children are not simply little adults, and pediatric neurosurgeons are much more than “adult” neurosurgeons who treat little children. Pediatric neurosurgeons have done the full academic and surgical training for adult neurosurgery and have also done additional, specialized training in pediatric neurosurgery. New Jersey Pediatric Neurosurgeons provide children with problems of the brain or spine, the highest quality care, right here in New Jersey! Our pediatric neurosurgeons trained in the best children’s hospitals in the nation, and have brought their skills and expertise home to New Jersey.

We specialize in treating children with:

  • Baclofen Pumps
  • Brachial Plexus Injury
  • Brain Tumors
  • Cerebral Palsy
  • Chiari Malformation
  • Concussion and Brain Injury
  • Congenital Face, Neck and Spine Deformity
  • Craniosynostosis
  • Epilepsy
  • Hydrocephalus
  • Movement Disorders
  • Plagiocephaly
  • Spina Bifida
  • Spinal Cord Tumors
  • Stereotactic guidance
  • Syringomyelia
  • Tethered Spinal Cord
  • Torticollis
  • Vascular Malformations

Our team of Pediatric Neurosurgeons uses cutting edge technology, so that your child receives the best possible treatment. Over the years, we have built not only a great team of neurosurgeons, but a comprehensive network of neurologists, therapists, psychologists and orthotists who work together every day, side by side, to give YOUR child the excellence in care that they deserve. From diagnosis to discharge, our patients and their families receive exceptional care, all the time, without exception…whether they are in the hospital, in the office or at home! We are proud of our patient’s success stories. Please take the time to read about some of the children we have cared for! You get a whole team of doctors, nurses, and other healthcare providers who develop a care plan together with you and your child.

When is referral to a NEUROSURGEON appropriate?

Inside of the office buildingReferrals are typically made, by a pediatrician, neurologist or another doctor, to diagnose or rule out diseases of the brain or spinal cord. This information also helps to describe the identified condition’s impact on the patient’s daily functioning.  Examples include traumatic brain injury, hydrocephalus. Cerebral palsy, Spina bifida, epilepsy, arachnoid cysts, brain or spinal cord tumor, stroke, concussion, vascular disease (AVM’s and aneurysms) and other types of neurological problems. The information gathered during this assessment will go to your doctor, and he or she will use this information to make decisions regarding your health care.  If these types of conditions are diagnosed or suspected, a baseline evaluation with follow-up (usually yearly) may be useful in interpreting possible changes in one’s disease condition.

Neurocognitive or neuropsychological testing is also beneficial in tracking progress for patients undergoing rehabilitation and/or to evaluate how effective a certain treatment is for them.  Neurocognitive or neuropsychological testing can help in planning educational and vocational programs as well. They can also assist in disability determination or for forensic (medical-legal) uses.

 

When should I think about having a NEUROSURGICAL OR neurocognitive evaluation?

Difficulties that might indicate the need for an evaluation include:

  • Difficulty with moving or balance
  • Shaking or tremor
  • Memory loss
  • Difficulty communicating (getting the right words out and/or understanding others)
  • Attention and concentration problems
  • Difficulty planning and organizing
  • Changes in spatial skills or visual perception
  • Difficulty reading or writing
  • Disturbed thinking or confusion
  • Increased impulsivity
  • Slowed thinking speed

Talk to your doctor if you have any symptoms mentioned above.

Preparing For Your Upcoming Surgery

Two doctors discussing in operating roomPrior To Surgery

Once your surgery has been scheduled, you will receive a pre-operative packet in the mail from our office to review all the necessary instructions. Please review the entire pre-operative packet and call the office with any further questions.

Preparing For Surgery

Most patients require pre-procedural testing to be completed before surgery. In many cases, medical clearance is required by your pediatrician or primary care doctor in order to be cleared for surgery. Our office will send your physician the necessary documentation required for the medical clearance. Please feel free to ask us any questions before surgery.

Day Before Surgery

  • Inside the office buildingNo food or fluids after midnight the night before your scheduled procedure. This varies by age of the patient and specific instructions will be given on the pre- procedural phone call.
  • Shower/Bathe and shampoo hair the night prior to surgery
  • Plan to arrive at the hospital approximately 2 hours before your procedure

Please remember that a parent or legal guardian needs to be with your child on the day of the surgery. We strongly recommend that you arrange for other children in the family to stay with friends or family.

It is imperative that your child is in the best health prior to their surgery. Please let your surgeon know if your child has had any change in their usual health or has any of the following conditions:

  • Exposure to measles, mumps, or chicken pox
  • Cold symptoms, such as a runny nose, cough, or fever
  • Had any blood thinning products such as aspirin or Ibuprofen 2 weeks prior to surgery
    • Please follow our instructions for stopping these prior to surgery

Things to Bring From Home

  • A list of your child’s current medication including dose and frequency
  • A list of your child’s allergies including food allergies
  • Any CAT scans or MRI films
  • Immunization records
  • Insurance cards
  • Photo identification
  • A packed bag with articles including clothing, toiletries, and any special items for your child. Parents are welcome to remain with their children during the post-operative hospitalization and should pack items as needed.
  • A favorite toy or stuffed animal, blanket, or pacifier

After the procedure

Follow the physicians post-operative discharge instructions as directed.

Upon Discharge, call us if you experience any of the following

  • Morristown office buildingFever over 101F
  • Signs of infection
  • Pain or swelling at the incision
  • Excessive drainage or bleeding from the incision
  • Continued headache, nausea, vomiting