Advanced, Efficient Brain Surgery Treatment

Advancements in modern medicine have greatly enhanced our understanding of the human brain, its function, and the diseases that affect it. Diseases and conditions that were once considered inoperable can now be addressed using highly sophisticated brain surgery techniques. Serving Phoenix, Scottsdale, and surrounding communities, Dr. Peter Nakaji is a respected neurosurgeon practicing at the Barrow Neurological Institute. Dr. Nakaji specializes in "keyhole" surgery for rare and complex diseases of the brain and spinal cord, and exercises a treatment approach that is aggressive, yet minimally invasive. To learn more about brain disease and your treatment options during a consultation with Dr. Nakaji, contact us today.


Minimally Invasive Surgery

Dr. Nakaji is a pioneer in the field of neuroendoscopy, a minimally invasive approach to treating a variety of brain conditions. This form of neurosurgery is performed using tiny incisions in the skull and brain, and uses advanced imaging and video aids to guide surgical instruments. This technique allows for an exacting degree of precision, preserving surrounding healthy tissue while safely targeting abnormal growths and lesions. Benefits of minimally invasive surgery include minimized trauma, faster recovery, and minimized scarring.

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Endoscopic Endonasal Surgery

Endoscopic endonasal neurosurgery is performed through a patient's nasal cavity. During surgery, small endoscopic tools are guided within the brain using real-time video and advanced imaging technologies. When treating brain tumors, Dr. Nakaji is also able to remove damaged or abnormal tissue through the nose. Endoscopic endonasal surgery can address a variety of brain diseases including pituitary tumors, cerebrospinal leaks, and meningiomas. 

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Thermal Laser Ablation

Thermal laser ablation is used to treat diseased brain cells that are not easily accessible without damaging surrounding healthy brain tissue. During the procedure, a long, thin laser probe is inserted into the brain through a small incision created in the skull. The probe is directed to exact coordinates in the brain, and is able to precisely target brain lesions and abnormal growths. Laser light travels through the probe to the treatment area, where it is used to destroy damaged brain cells. Dr. Nakaji monitors the procedure throughout treatment using magnetic resonance imaging (MRI).

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Radiosurgery

Radiosurgery targets diseased brain cells using hundreds of radiation beams that converge upon a lesion area. Individually, these beams are too weak to damage healthy brain tissue, but when they converge, they are able to safely and efficiently destroy damaged cells. The Barrow Neurological Institute is equipped with cutting-edge radiosurgery tools, including the Gamma Knife and CyberKnife. Radiation therapy does not require physical surgery on the brain, and requires little to no recovery time. This type of surgery can be used to treat meningiomas, arteriovenous malformations (AVFs), and other conditions of the brain.

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Craniotomy 

Traditional craniotomy, or removal of a portion of the skull to permit access to the brain, may be the best way to treat certain brain conditions. Dr. Nakaji uses the most advanced tools and techniques when taking this approach, ensuring expedited healing and minimized scarring.

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Keyhole Brain Surgery

Keyhole brain surgery, or keyhole craniotomy, is a minimally-invasive surgical procedure to remove brain tumors. Through a small incision behind the ear that provides access to the cerebellum and brainstem, Dr. Nakaji can remove skull base tumors. This procedure has a number of benefits compared to open craniotomies, including reduced pain, faster recovery, and minimal scarring.

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Clipping an Aneurysm

Clipping is a well established surgical procedure to treat an aneurysm. During this procedure, Dr. Nakaji places a small metallic clip on the neck of the aneurysm to prevent blood from entering. The aneurysm will permanently shrink and become scar tissue. Dr Nakaji performs this procedure as an open craniotomy. Patients can rest assured that he uses advanced techniques to ensure scarring is minimal and concealed as much as possible, and that healing is comfortable and fast. 

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Endovascular Coiling

Endovascular coiling blocks blood flow to an aneurysm to prevent its rupturing or re-rupturing. This procedure can also treat arteriovenous malformation (AVM), a condition involving the abnormal connections between arteries and veins. During this procedure, a special imagining system helps Dr. Nakaji guide a microcatheter through an artery in the leg to access the affected blood vessels. Dr. Nakaji inserts soft platinum coils shaped like springs through the microcatheter into the aneurysm or abnormal vascular structure.

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Cerebral Artery Bypass Surgery

When the arteries in the brain become too narrow to supply sufficient oxygen to the brain, it can result in a stroke and other harmful conditions. Dr. Nakaji has the precision and and expertise to successfully perform cerebral artery bypass surgery at his Phoenix, AZ, office for patients who currently have poor circulation in the brain. 

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