Cranial Procedures

Our Expertise

We provide compassionate surgical services for patients diagnosed with primary and metastatic brain tumors. With radiation oncologists, we can offer a minimally invasive alternative for treating many brain tumors. Caring for patients following traumatic injuries is also a part of our practice and we provide a range of services related to treating traumatic cranial injuries.
  • Brain tumor biopsy or resection (gliomas and metastatic tumors)
  • Pituitary Tumor removal
  • Meningioma removal
  • Posterior fossa decompression (Chiari and others)
  • Microvascular decompression for Trigeminal Neuralgia or Hemifacial Spasm
  • Epidural hematoma evacuation
  • Subdural hematoma evacuation
  • Intracerebral hemorrhage evacuation
  • Skull fracture repair/reconstruction
  • Intracranial pressure monitoring
  • Focused radiation treatment

Educational Information

Dr. Spence believes in educating patients on their diagnosis and procedure. If you have any questions, please let us know! 

Biopsy Procedures
Biopsies are used to remove a small piece of nerve or a tumor for examination. Typically a biopsy is performed by creating a small incision for the removal of the samples. The samples are then examined to determine the presence or extent of any diseases.
Tumor Removals
Surgery is the most commonly used method to remove tumors. Depending on the situation a biopsy may be necessary to examine the tumor and determine the treatment necessary such as radiation or chemotherapy. After surgery a follow up is necessary along with plenty of rest.
Evacuation Procedures
Evacuation Procedures, such as a Subdural Hematoma Evacuation, are surgeries used to remove a pooling of blood on the brain. A Subdural Hematoma can be caused by trauma but can also be spontaneous or caused by another procedure.

Educational Information

Dr. Spence believes in educating patients on their diagnosis and procedure. If you have any questions, please let us know! 

Biopsies are used to remove a small piece of nerve or a tumor for examination. Typically a biopsy is performed by creating a small incision for the removal of the samples. The samples are then examined to determine the presence or extent of any diseases.
Surgery is the most commonly used method to remove tumors. Depending on the situation a biopsy may be necessary to examine the tumor and determine the treatment necessary such as radiation or chemotherapy. After surgery a follow up is necessary along with plenty of rest.
Evacuation Procedures, such as a Subdural Hematoma Evacuation, are surgeries used to remove a pooling of blood on the brain. A Subdural Hematoma can be caused by trauma but can also be spontaneous or caused by another procedure.

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