CHPG Neuroscience & Spine

Centura Health Physician Group

7780 S Broadway
Ste 340
Littleton, Colorado 80122-2641

39.6172375, -104.9812979

Latitude: 39.6172375, Longitude: -104.9812979
7233 Church Ranch Blvd
Westminster, Colorado 80021-4094

39.8840922, -105.0769332

Latitude: 39.8840922, Longitude: -105.0769332
14300 Orchard Pkwy
Westminster, Colorado 80023-9206

39.9564373, -104.9911905

Latitude: 39.9564373, Longitude: -104.9911905
11750 W 2nd Pl
Ste 255
Lakewood, Colorado 80228-1726

39.7169578, -105.1301036

Latitude: 39.7169578, Longitude: -105.1301036

CHPG Neuroscience & Spine

Centura Health Physician Group

Our Services

  • Neurology

    CHPG Neuroscience & Spine neurologists are trusted experts in treating neurological conditions.

    Our neurologists specialize in the neurological diagnosis and treatment of the adult patient, including:

    • Headache
    • Seizures
    • Stroke and TIA
    • Parkinson’s
    • Alzheimers
    • Pinched nerves
    • Neuropathy
    • Dystonia
    • Multiple Sclerosis
    • Tremor
    • Restless legs syndrome
    • Muscle diseases
    • Neurodegenerative disorders
    • Motor neuron diseases
    • Carpal tunnel syndrome
    • Cervical radiculopathy stenosis
    • Lumbar radiculopathy stenosis
    • Transverse myelitis
  • Neurosurgery

    Diagnosis & Neurosurgical Treatment of Brain Related Conditions

    At CHPG Neuroscience & Spine, we use the latest technology and procedures to provide diagnosis and treatment of brain related conditions.

    Conditions we treat include:

    • Aneurysms and arterial venous malformations (AVMs)
    • Angiomas
    • Brain Tumors
    • Brain Injury
    • NPH/Hydrocephalus
    • Stroke
    • Trigeminal Neuralgia (facial pain)

    Joint Commission for the Accreditation of Healthcare Organizations

    Joint CommissionSt. Anthony Hospital has been awarded Disease Specific Certification for Stroke Care by the Joint Commission for the Accreditation of Healthcare Organizations (JCAHO). Receiving JCAHO's Gold Seal of Approval signals that the hospital's stroke-related programs, associates and physicians are neurosurgery leaders in Metro Denver and the Rocky Mountain Region. 


    Cerebral Aneurysms

    A cerebral aneurysm is a bulge, or bleb, in the (weakened) wall of a blood vessel located inside the brain. This weakening is often caused by age-related degeneration, injury, or infection, but can also be congenital. Sometimes, aneurysms rupture and cause bleeding in the brain.

    The symptoms of an unruptured aneurysm include:

    • Eye pain and/or changes in vision
    • Facial numbness or paralysis
    • Often, an unruptured aneurysm causes no symptoms at all

    The symptoms of a ruptured aneurysm include:

    • Sudden onset of severe headache
    • Eye pain and/or changes in vision
    • Nausea or Vomiting
    • Stiff neck
    • Disorientation Seizure

    Treatment:

    InterMountain Neurosurgery specializes in cerebral aneurysm treatment in the Denver, Colorado area. Most ruptured aneurysms necessitate urgent treatment to prevent re-hemorrhage. Unruptured aneurysms, on the other hand, can be evaluated electively; some can be followed over time to determine if they will need treatment or not, while others will require occlusive therapy. Aneurysms can be occluded to prevent bleeding with open surgical clipping or with endovascular coil occlusion. The decision regarding which technique to use depends on many factors, including the size, location and shape of the aneurysm, and is determined by the treating neurosurgeon and neuro-interventionalist in a multi-disciplinary fashion.

    Surgical clipping requires an open operation, with the creation of an opening in the skull, referred to as a craniotomy. After locating the aneurysm and isolating it from the surrounding blood vessels, the surgeon places a very small clip across the base or neck of the aneurysm in order to stop blood flow into the aneurysm, thus preventing growth or rupture.

    Endovascular coiling is a less invasive surgical option. First, the surgeon threads a catheter into the femoral artery and advances it into the artery leading to the aneurysm. Then a soft flexible wire is inserted through the catheter and guided into the aneurysm itself. The wire coils inside the aneurysm like a ball of string, and this promotes clotting inside the aneurysm and prevents rupture or bleeding.

    Contact CHPG Neuroscience & Spine at 720-321-8040 for more information about cerebral aneurysm treatment in the Denver, Colorado area.

    Cavernous Angiomas

    A cavernous angioma (also known as a cavernous malformation) is a vascular malformation in the brain made up of a tangled mass large capillaries and abnormal vessels. Blood flow in these lesions is slow, so they don't usually result in catastrophic hemorrhages like aneurysms and AVMs, but they do often have multiple tiny hemorrhages over many years.

    Symptoms:

    • Seizures
    • Headache
    • Vision/language disturbances
    • Weakness or numbness
    • Often cavernous angiomas cause no symptoms at all.

    Treatment:

    When cavernous angiomas are present with large or repeated hemorrhaging, or are significantly symptomatic, surgical removal is generally recommended.

    Contact CHPG Neuroscience & Spine at 720-321-8040 for more information about cavernous angioma treatment in the Denver, Colorado area.

    Arterial Venous Malformations

    An arterial venous malformation (AVM) is an irregular joining of arteries and veins. Typically a congenital condition, AVMs most commonly occur in the brain, and less often in the spine. Sometimes, these blood vessels burst, resulting in brain hemorrhaging.

    Symptoms:

    • Headache
    • Seizure
    • Weakness, usually on one side
    • Sometimes, an AVM causes no symptoms at all

    When hemorrhaging occurs, symptoms may include:

    • Severe headache
    • Comprehension and coordination problems
    • Weakness, usually on one side
    • Altered speech
    • Changes in vision

    Treatment:

    If a surgeon determines that the location and severity of an AVM necessitates treatment, one (or more) of the following procedures is usually selected:

    • Endovascular embolization -An adhesive substance is delivered to the AVM site via a catheter inserted into the femoral artery. This treatment can be a stand-alone procedure, but it is often used to reduce blood flow and prevent hemorrhaging during surgical removal.
    • Surgical removal -An opening in the skull is made (a craniotomy) in order to allow the surgeon access to the AVM. The AVM is removed by occluding and disconnecting the abnormal arteries and veins.
    • Stereotactic radiosurgery -often the preferred treatment for smaller, deep or non-life-threatening AVMs-utilizes multiple precise focused beams of radiation directed at the AVM to cause occlusion of the AVM over a period of time ranging from 1-3 years.

    Brain Tumors

    A brain tumor is an abnormal growth in or on the brain. Tumors can be benign or malignant. They can be primary, originating in the brain, or metastatic, and spread to the brain from another cancer like lung, breast, colon, kidney or melanoma. Symptoms and treatment are often determined by the location and size of the tumor.

    Symptoms:

    • Headaches, new or progressively worsening
    • Changes in vision and/or hearing
    • Nausea and/or vomiting
    • Cognitive, speech and/or personality changes
    • Weakness, usually on one side
    • Trouble balancing
    • Sensorimotor difficulties
    • Seizures

    Treatment:

    CHPG Neuroscience & Spine specializes in brain tumor treatment in the Denver, Colorado area. The type, size and location of a tumor generally determine treatment.

    • Surgery- If it's determined that a tumor can be removed without damaging nearby nerves or tissues, surgery is often the first-line option. Large and symptomatic tumors usually require surgery.
    • Radiation therapy and/or stereotactic radiosurgery (SRS)- These treatments use precisely targeted radiation beams to destroy cancer cells. Small, deep, asymptomatic or multiple tumors often are best treated with radiation or SRS.
    • Chemotherapy and targeted drug therapy -The use of oral or I.V. drugs to deliver cancer-killing medicine is called chemotherapy. Targeted drug therapy involves utilizing drugs to treat abnormalities characteristic of cancer cells.
    Contact CHPG Neuroscience & Spine at 720-321-8040 for more information about brain tumor treatment in the Denver, Colorado area.

    NPH/Hydrocephalus

    A buildup of cerebrospinal fluid (CSF) causes increased pressure within the brain. This can result in significant alteration of brain function. Most common in infants and the elderly, hydrocephalus is caused by one of the following:

    • An obstruction that prevents CSF from flowing normally
    • Disease, infection or trauma-induced tissue inflammation that prevents the normal reabsorption of CSF
    • The presence of excess fluid

    Symptoms:

    Symptoms of hydrocephalus or NPH (normal pressure hydrocephalus) vary, and the condition presents differently in babies, children, adults, and the elderly. Common indicators include, but are not limited to:

    In children

    • A head that is atypically large (or that quickly increases in size)
    • Delayed muscle growth, speech, and/or cognitive abilities/motor skills

    In high-pressure hydrocephalus

    • Headache
    • Unexplained nausea and/or vomiting
    • Tiredness, confusion, unresponsiveness
    • Seizures
    • Vision problems

    In NPH

    • Gait disturbance
    • Memory problems, cognitive changes
    • Bladder incontinence

    Treatment:

    Hydrocephalous commonly requires the surgical insertion of a shunt, a long tube with a valve to regulate flow, that drains excess CSF from the brain and directs it to an area of the body that can absorb it, usually the abdomen. In an endoscopic venticulostomy, the neurosurgeon uses a small camera, placed inside the ventricles (the spaces in the brain where the CSF circulates), to create a new pathway from the affected ventricles to another CSF space, in order to restore normal CSF circulation.

    Contact CHPG Neuroscience & Spine at 720-321-8040 for more information about hydrocephalus treatment in Colorado or other kinds of neurosurgery in the Denver area.

    Stroke

    A stroke is a sudden spontaneous event (not from trauma) resulting in damage to the brain and causing neurologic deficit.

    hemorrhagic stroke occurs when a blood vessel ruptures and bleeds into the brain. There are two kinds of hemorrhagic strokes:

    • An intracerebral hemorrhage (ICH) is often caused by high blood pressure, or medications that thin the blood, and occurs when a blood vessel ruptures or leaks blood into the surrounding brain. This bleeding tears into the surrounding brain tissue and then clots, forming a hematoma. The tearing effect and the pressure from the expanding hematoma damage the brain. A subarachnoid hemorrhage is usually caused by a ruptured aneurysm,which bleeds into the cracks and crevices under and around the brain (known as the subarachnoid space).
    • Hemorrhagic strokes make up about 15-20% of all strokes

    An ischemic stroke is a sudden interruption of blood flow to the brain, usually as a result of a blood clot (known as a thrombus or embolus) inside a blood vessel, resulting in the death of brain cells.

    • Ischemic strokes make up about 80-85% of all strokes

    In a transient ischemic attack (commonly referred to as a TIA, or mini-stroke), blood flow to the brain is temporarily disrupted and then restored, so the effects of the event are short lived.

    Symptoms:

    • Confusion
    • Difficulty speaking
    • Paralysis on one side of the body
    • Numbness on one side of the body
    • Sudden headache
    • Visual disturbances

    Treatment:

    Stroke type will determine treatment.

    In an ischemic stroke:

    • Medications designed to thin the blood-administered orally or intravenously-are often used preventatively, but are also utilized as a first-line option if a stroke is suspected. A neuro-interventionalist may opt to deliver medications directly into the brain via an endovascular catheter. Sometimes, mechanical removal of the clot is necessary.
    • If an angioplasty is necessary, a neuro-interventionalist will insert a balloon (attached to a stent, or tube) through a catheter in the femoral artery. When the balloon reaches the blocked artery, it is inflated  to stretch the artery open while the stent is placed.
    • To prevent future ischemic attacks, a neurosurgeon might choose to do a carotid endarterectomy . This involves the surgical removal of plaque from the carotid arteries.

    In a hemorrhagic stroke, treatment is significantly different.

    • If a patient is on blood thinners, medications are given to reverse the effects of the blood thinners, in order to minimize the risk of further bleeding. Blood pressure is very carefully controlled, usually with strong IV medications, to keep the pressure precisely in a very narrow range.
    • For large intracerebral hemorrhages surgical evacuation is often necessary. Smaller ICHs can break down and reabsorb on their own over time.
    • Ruptured aneurysms need to be occluded within the first three days of the hemorrhage to minimize the risk of re-bleeding. They can be occluded by open surgical clipping (utilizing very small clips to stop blood flow into an aneurysm), or endovascular embolization/coiling (using tiny coils, inserted through a catheter, to interrupt blood flow into the aneurysm).
    Contact CHPG Neuro & Spine at 720-321-8040 for more information about stroke treatment in the Denver, Colorado area.

    Trigeminal Neuralgia

    Trigeminal neuralgia is a neurological condition that causes severe episodic, sharp, shooting facial pain. It usually occurs on only one side of the face, often in a very specific spot on the face. More common in older adults, the discomfort associated with trigeminal neuralgia generally gets progressively worse over time.

    Symptoms:

    • Episodes of mild, moderate, or severe pain, lasting from several seconds to several minutes, and often occurring multiple times a day. The pain is often triggered by simply touching the face, speaking, chewing, etc.

    Treatment:

    Anticonvulsant and antispasmodic medications are often first-line treatments for patients with trigeminal neuralgia. If a patient does not respond, more invasive options are considered.

    Microvascular decompression is an open surgical procedure in which a surgeon moves an offending blood vessel that is putting pressure on the trigeminal nerve. This treatment is directed at eliminating the actual cause of trigeminal neuralgia, and therefore has a very high success rate.

    Stereotactic radiosurgery is a non-invasive and lower risk procedure that enables a surgeon to very precisely target the trigeminal nerve using radiation. This injures the nerve in a way that eliminates the pain, usually without causing any numbness.

    Rhizotomy is a procedure that involves damaging the nerve fibers, and can be done with the use of pressure, heat or chemicals. In all of the types of rhizotomy for trigeminal neuralgia, the surgeon starts by inserting a spinal type needle through the cheek and into the tunnel where the trigeminal nerve exits the skull.

    • Balloon compression rhizotomy uses a catheter to insert a balloon into the tunnel with the trigeminal nerve. When the balloon is inflated, it compresses the nerve, eliminating the pain.
    • Radiofrequency rhizotomy involves the use of a heated electrode to selectively damage the nerve, thereby blocking pain.
    • Glycerol rhizotomy, which is rarely used anymore, involves the injection of glycerol into the nerve to destroy the nerve fibers and eliminate the pain.
    Contact CHPG Neuroscience & Spine at 720-321-8040 for more information about trigeminal neuralgia treatment in the Denver, Colorado area.
  • Spine Care

    Neurosurgical Spine Treatment & Surgery

    Our patients report a drastically improved quality of life, outstanding patient satisfaction scores, rapid recovery and transition back home and a low complication rate.  

    Our back and spine surgeons are neurosurgery experts and have access to leading-edge technology including Stealth TM computer assisted surgery and ISO-C TM Spine System and work in close collaboration with the area's leading orthopedic specialists to provide advanced treatment and surgical intervention for:

    • Pinched Spinal Nerve
    • Spinal Stenosis (Cervical)
    • Spinal Stenosis (Lumbar)
    • Spinal Tumors
    • Herniated Disc
    • Degenerative Spinal Conditions
    • Spinal Trauma / Fractures
    • Peripheral Nerve Entrapment
    Contact CHPG Neuroscience & Spine at 720-321-8040 for more information about spine surgery in the Denver, Colorado area.

    StealthStation® & Advanced Imaging

    Neurosurgeons at CHPG Neuroscience & Spine use state-of-the-art imaging technology.

    We are equipped with neuro-dedicated CT units, magnetic resonance angiography and imaging systems, ISO-C TMspine system for cervical, thoracic and lumbar spine surgeries and StealthStation® computer-guided surgery capabilities.

    Before surgery, patients undergo diagnostic scans, such as CT or MRI. The images obtained are then loaded into the StealthStation®  system where they are analyzed by advanced computer technology and translated into extremely precise 3-D images that the surgeon uses to map the least invasive and safest path to the target site. Once surgery begins, the StealthStation® system produces 3-D, real-time images of the procedure, allowing the surgeon to see behind areas that are hard to reach without disturbing the tissue around them.


    Pinched Spinal Nerve

    A pinched nerve affects the lower back or neck along the spinal cord, which extends from the base of the brain to the lower part of the thoracic spine (just above the lower back). At the point the spinal cord ends, nerve roots extend from the spine and into the area just above the buttocks. Pinched nerves generally occur at this lower portion

    Symptoms:

    • Feelings of numbness or lessened sensation in the area served by the nerve
    • Pain-sharp or dull-that radiates outward
    • Muscle weakness
    • Increasing immobility

    Treatment:

    The goal of treatment is to intervene before permanent nerve damage occurs. In such cases, symptoms generally are relieved. Several neurosurgical procedures are used to resolve the problem. If the problem is a herniated disk, surgery may be performed to remove bone spurs or part of the disk. 

    Contact CHPG Neuroscience & Spine at 720-321-8040 for more information about pinched spinal nerve treatment in the Denver, Colorado area.

    Spinal Stenosis (Cervical)

    Cervical spinal stenosis occurs when an abnormal narrowing of the spinal column in the neck puts pressure on the spinal cord and surrounding nerves. This can result in pain or numbness in the neck, back, shoulders, arms, or legs. While spinal stenosis is often the result of an injury or illness, changes associated with aging are common causes, as well. 

    Symptoms:

    • Difficulty with coordination when walking
    • Loss of hand function
    • Feeling of numbness or muscle weakness

    Treatment:

    In less severe instances of cervical spinal stenosis, physicians generally recommend a minimally invasive course of action. Cervical Spinal Stenosis treatment might include physical therapy, over-the-counter pain medication, periodic steroid shots, or less traditional options, including acupuncture and massage.

    In more serious cases, surgical possibilities include laminectomy, which involves removing a portion of the vertebrae in order reduce pressure and restore blood flow. Spinal fusion-the surgical joining together of at least two vertebrae-is another option.

    Contact CHPG Neuroscience & Spine at 720-321-8040 for more information about cervical spinal stenosis treatment in the Denver, Colorado area.

    Spinal Stenosis (Lumbar)

    Lumbar (lower back) spinal stenosis occurs when the spinal canal narrows and compresses the nerves of the lumbar vertebrae. While the cause may be congenital or trauma, it is more often the result of spinal degeneration that occurs with aging. Other causes may be osteoporosis, a tumor or spinal disc herniation.

    Symptoms:

    • Low back pain
    • Pain down the back of the legs
    • Loss of bladder and bowel control

    Treatment:

    In less severe instances of lumbar spinal stenosis, physicians generally recommend a minimally invasive course of action. Treatment might include physical therapy, over-the-counter pain medication, periodic steroid shots, or less traditional options, including acupuncture and massage.

    In more serious cases, surgical possibilities include laminectomy , which involves removing a portion of the vertebrae in order reduce pressure and restore blood flow. Spinal fusion-the surgical joining together of at least two vertebrae-is another option.

    Contact CHPG Neuroscience & Spine at 720-321-8040 for more information about lumbar spinal stenosis treatment in the Denver, Colorado area.

    Spinal Tumors

    A spinal tumor is an irregular mass located on (or close to) the spinal cord. This type of growth, whether cancerous or not, can put pressure on nearby nerves and tissues, causing pain, discomfort, or paralysis.

    Symptoms:

    • Muscle weakness
    • Pain in the back, hips, arms, or legs
    • Impaired walking ability
    • Bowel/bladder problems

    Treatment:

    If the tumor is benign and isn't posing other problems, a doctor might opt to simply watch and wait. If the growth is exerting pressure on surrounding tissues or is painful, or if the tumor is found to be cancerous, surgery is often the best choice for spinal tumor treatment.

    Today's high-tech surgical tools make it easier for doctors to remove spinal tumors while minimizing damage to surrounding nerves and tissues. If it is impossible to remove the tumor entirely, surgery may be used in combination with chemotherapy or radiation therapy, which help destroy cancer cells.

    Contact CHPG Neuroscience & Spine at 720-321-8040 for more information about spinal tumor treatment in the Denver, Colorado area.

    Degenerative Spinal Conditions

    "Degenerative spinal conditions" refers to a group of spinal disorders most often caused by age-related wear-and-tear (although arthritis, trauma, infections, and tumors are common culprits, as well), and puts pressure on the nearby nerves and tissues. Associated conditions include spinal stenosis, an abnormal narrowing of the spine; osteoarthritis, the breakdown of cartilage within the spinal column; and disc herniations.

    Symptoms:

    • Pain that is chronic or sudden
    • Loss of strength
    • Limited range of motion
    • Sensory loss
    • Bowel and bladder problems
    • Sexual dysfunction 

    Treatment:

    If less-invasive treatments, including the use of pain relievers, anti-inflammatory medications, physical therapy, and rest, are ineffective for problems, which may include, cervical spinal stenosis, lumbar spinal stenosis or herniated disc, then surgery is often necessary. 

    Contact CHPG Neuroscience & Spine at 720-321-8040 for more information about degenerative spinal conditions or degenerative spine treatment in the Denver, Colorado area.

    Spinal Fusion

    Instability of the spine or recurrent disc ruptures at the same site may require spinal fusion-the process of using bone grafts to connect two or more vertebrae.

    Symptoms or Conditions Leading to Spinal Fusion:

    Broken vertebrae, spinal deformities (including scoliosis), spinal instability, and chronic pain often precipitate spinal fusion.

    Spinal Fusion Procedure:

    Extra bone is used in place of a missing disc to connect vertebrae. Screws, plates, cages, and rods help to stabilize the site until it heals.

    Contact CHPG Neuroscience & Spine at 720-321-8040 about spinal fusion surgery for recurrent ruptured discs in the Denver, Colorado area.

    Spinal Trauma / Fractures

    Spinal trauma refers to an injury that damages the spine. A spinal fracture is a break in one of the bones contained in the spinal column.

    Symptoms:

    • Paralysis
    • Severe pain in head, neck or back
    • Difficulty breathing
    • Impaired movement
    • Weakness, tingling, or numbness in extremities
    • Nerve pain
    • Loss of bowel and/or bladder control
    • Loss of sexual function

    Treating Spinal Trauma / Fractures:

    The extent of the injuries will determine the spinal trauma or spinal fracture treatment that is necessary. However, if you think that someone has sustained trauma to the spinal cord, a quick response is essential.

    Contact CHPG Neuroscience & Spine at 720-321-8040 about spinal trauma or fracture treatment in the Denver, Colorado area.

    Peripheral Nerve Entrapment

    Peripheral nerve entrapment occurs when the surrounding bone or tissue causes too much pressure on the nerve. As the nerve becomes inflamed, its normal function is disrupted. One example of this is carpal tunnel syndrome, caused by repetitive stress of the arm and/or wrist. 

    Symptoms:

    • Feelings of numbness or lessened sensation in the area served by the nerve
    • Pain-burning or sharp-that radiates outward
    • Twitching or muscle weakness in the area affected
    • Tingling or paresthesia , more commonly known as "pins and needles"
    • Feeling as though a hand or foot has "fallen asleep"

    Treatment:

    If the entrapped nerve is released relatively quickly, permanent damage is unlikely to occur and symptoms generally are relieved. Several neurosurgical procedures are used to resolve peripheral nerve entrapment, depending on the area of the body affected. In the case of carpal tunnel syndrome, the carpal ligament may be severed to create more space for the nerve to pass through the wrist.

    Contact CHPG Neuroscience & Spine at 720-321-8040 about peripheral nerve entrapment treatment in the Denver, Colorado area.

    Herniated Disc

    Discs are the ligament-like cushions composed of water, fibrous tissue, and cartilage that sit between each vertebra. When gradual, age-related degeneration (or, rarely, trauma) causes the relatively soft, middle part of the disc to push through a tear in the tougher outer portion, the disc is said to be herniated, slipped, or ruptured. While the majority of herniated discs occur in the lumbar, or lower, spine, this condition can also affect the central (thoracic) portion of the spine, as well as the cervical vertebrae (located in the neck).

    Symptoms:

    • Pain in the limbs
    • Numbness, tingling, and muscle weakness
    • Sometimes, a herniated disc causes no symptoms at all

    Treatment:

    If the herniated disc causes pain, over-the-counter medications, including ibuprofen and acetaminophen, are often recommended, sometimes in combination with physical therapy. In more serious cases, narcotics, medications specifically indicated for muscular or nerve pain, or cortisone injections are prescribed.

    If it is determined that surgery is necessary, doctors will first attempt to remove the affected portion of the disc. Sometimes, however, the whole disc requires removal. This necessitates vertebral fusion or, alternatively, the surgical placement of an artificial disc.

    Contact CHPG Neuroscience & Spine at 720-321-8040 about herniated disc treatment in the Denver, Colorado area.
  • Neurointerventional Surgery

    Technology now allows us to treat many neurological disorders that once required open neurosurgery, through minimally invasive procedures.

    Using extremely small microcatheters and computer-based angiography with 3-D reconstruction, we have the ability to open and close abnormal vessels with less risk and faster recovery times. Our Neuro-interventional specialists use non-invasive interventional techniques to treat brain aneurysms, open blocked arteries in the brain and remove clots in brain arteries. 

    Neuro-interventional treatments include:
    • Administering tPA Directly into a Clot - this alternative therapy is targeted for patients who arrive more than three and within six hours from the start of stroke symptoms. If a clot is found blocking a large brain artery, a small catheter can be placed within the blockage to deliver tPA directly into the clot and dissolve it, restoring normal blood flow to the brain.
    • Penumbra® - an interventional system for removing large clots in the brain when treatment with tPA is not appropriate or appears to be ineffective.  The Penumbra®Stroke System uses aspiration and catheterization techniques to rapidly restore blood flow in the brain and limit damage caused by stroke.  Unlike clot dissolving drugs which must be administered within a short three-hour treatment window, the Penumbra can be used within eight hours of symptom onset.
    • Merci® Retriever - when IV tPA cannot be used, the Merci® Retriever is an option for some stroke patients. The FDA approved the device in 2004 to remove clots from blocked brain arteries, and it is approved for use up to eight hours after the onset of stroke symptoms. The retriever is guided through a catheter to the brain artery where the clot is lodged. The tip of the retriever has a series of loops, like a corkscrew, which the physician maneuvers to grab the clot and slowly pull it out of the artery. The Merci device can be effective in treating large blood clots - the kind that cause a major and fatal stroke.
    • WingspanTM stent - approved by the FDA in 2005, the Wingspan stent (a small tube) is designed to treat brain arteries narrowed by atherosclerosis. Patients who have had a stroke caused by narrowed arteries within the brain are at a very high risk of having more strokes. Treatment with the Wingspan stent is a new option for these patients, in addition to treatment with standard medical therapies. Initial clinical trials suggest the Wingspan stent may be particularly effective in lowering the risk of recurrent stroke in patients who have greater than 70 percent blockage of an artery within the brain.
    • Carotid stenting - patients with carotid artery stenosis (narrowing of the carotid arteries, the arteries that supply the head and neck with oxygenated blood) are at an increased risk of stroke. Carotid artery angioplasty with stenting is a new alternative treatment for patients with carotid stenosis who previously could only be treated with open surgery. Carotid stenting is less invasive, has a shorter recovery time and appears to be safer than surgery for patients with heart disease, lung disease, uncontrolled diabetes, end stage renal disease, advanced age, blockage of the opposite carotid artery, previous carotid surgery, previous neck surgery or prior radiation to the neck.
    • Intracranial angioplasty - an interventional procedure that uses a balloon-tipped catheter to enlarge a narrowed artery in the brain. Angioplasty may be used to open narrowed brain arteries, preventing strokes in patients for whom standard medication had failed. Angioplasty uses a tiny balloon threaded through a catheter to the blockage in a brain artery. Once in this area, the balloon is inflated. As it expands, it forces the plaque against the artery wall, opening the vessel. In some cases, a stent (a thin wire tube) also is inserted in the artery to keep it propped open.
    • PFO Closure - a Patent Foramen Ovale (PFO) is a small hole in the heart that can permit blood clots to cross through the heart and into the brain causing a stroke or TIA.  In some patients, closure of the PFO is necessary to prevent further strokes.  Interventional cardiologists at St. Anthony Central Hospital perform the minimally invasive procedure using a device inserted via a leg blood vessel to close the hole. 
  • Neuropsychology

    CHPG Neuroscience & Spine offers expert neuropsychology treatment.

    Neuropsychologists are psychologists with special training in how the brain and nervous system affect an individual’s behavior and cognition, particularly when a brain injury or illness has occurred.

    Our board-certified neuropsychologist has the training and experience to assist patients with:

    • Alzheimer’s disease
    • Attention deficit disorders, such as ADHD or ADD
    • Brain trauma, including concussion
    • Cognitive changes following surgery
    • Dementia
    • Developmental learning disorders
    • Dyslexia
    • Effects of toxins or chronic substance abuse
    • Language disturbance
    • Parkinson’s disease
    • Psychiatric or neuropsychiatric disorders
    • Seizure disorder
    • Stroke and other cardiovascular disorders