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UTHSCSA
                                                                           DEAN’S MESSAGE

NEUROSURGERY’S FUTURE                                                      graduated from the Uniformed Services University of Health Sciences
  Neuromodulation for relief of epilepsy, Parkinson’s and intractable      and has an interest in PTSD. Using rodent models, they have prelim-
                                                                           inary results that suggest that this approach will be useful in humans.
chronic pain symptoms is another area where the department has been        The department also conducts research focused on brain and spine
participating in the leading edge of care. Informally known as a “pace-    trauma, as well as many aspects of stroke treatment.
maker for the brain,” the treatment involves a stimulation device (typ-
ically implanted in the same location as a pacemaker) that has electrical    Endovascular neurosurgery has been a game-changer in the treat-
leads going into the spine/nerves, or has leads in the brain for deep      ment of many conditions and diseases, and our department, along
brain stimulation (DBS) or vagal nerve stimulation (VNS).                  with its extensive residency program, is at the forefront of this move-
                                                                           ment, as well as advancing the standard of more traditional methods.
  Department of Neurosurgery faculty also are actively involved in         Offering specialization in all aspects of adult and pediatric care – and
the care of epilepsy patients who come to the Level 4-designated           leading the world in the treatment of craniosynostosis – we are very
Epilepsy Center in partnership with the Department of Neurology            fortunate to have Dr. Jimenez and his team at the School of Medicine.
and the University Health System. This is the highest accreditation        To read more about our neurosurgery programs and people, visit
from the National Association of Epilepsy Centers. Using VNS and           http://neurosurgery.uthscsa.edu. To discuss a case with Dr. Jimenez,
other interventions, patients can receive surgical treatment that can      please call him directly at 210-567-5625.
dramatically reduce the occurrence of seizures associated with the
condition.                                                                                     Francisco González-Scarano, MD, is dean of the
                                                                                            School of Medicine, vice president for medical affairs,
  Additionally, there are a number of psychiatric disorders where DBS                       professor of neurology, and the John P. Howe III, MD,
or VNS may offer some relief, and Drs. Jean-Louis Caron, professor,                         Distinguished Chair in Health Policy at the University
and Alexander Papanastassiou, assistant professor, both in the Depart-                      of Texas Health Science Center at San Antonio. His
ment of Neurosurgery, have begun promising research that involves                           email address is scarano@uthscsa.edu.
DBS for post-traumatic stress disorder (PTSD). They are collaborat-
ing with Bradley Dengler, MD, a current neurosurgery resident who

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