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Pediatric neurosurgery

A pediatric neurosurgeon specializes in diagnosis, treatment and management of head and spinal deformities and conditions of children’s nervous systems. They treat children from infancy to young adulthood.

When to see a pediatric neurosurgeon

How is a pediatric neurosurgeon different from other specialists? 

For children with serious neurological conditions, choosing a specialist with experience caring for children will provide the best treatment option. Whether it is a minimally invasive technique or a therapeutic treatment, our providers will choose the path suited for your child’s condition. 

When should you see a pediatric neurosurgeon and do I need a referral? 

If your primary care provider sees a problem, they will refer you to a specialist.  

Icon_brain_orange boxBrain conditions

Brain tumor 

  • Medulloblastoma 
  • Ependymoa 
  • Astrocytoma 
  • Glioma 
  • Embryonal tumor 
  • Germ cell brain tumor 
  • Spinal cord tumor 
  • Craniopharyngioma 
  • Pineoblastoma 

Chiari malformation type 1 (tissue extends into spinal canal) appears in childhood or adulthood. A few of the symptoms can include: 

  • Severe headache 
  • Poor hand coordination 
  • Trouble swallowing 

Chiari malformation type 2 (head shape); almost always occurs with myelomeningocele, a form of spina bifida. A few of the symptoms can include: 

  • Changes in breathing patters 
  • Trouble swallowing 
  • Quick downward eye movements 
  • Craniosynostosis – premature fusion of cranial seams 
  • Sagital Synostosis 
  • Metopic  
  • Multiple sutures 
  • Plagiocephaly – flat spot on baby’s head 

Hydrocephalus 

  • Ventriculoperitoneal  
  • Ventriculoatrial 
  • Ventriculopleural  
  • Endoscopic third ventriculostomy 
  • Hydrocephalus due to  
  • Tumor: colloid cyst; tectal glioma 
  • IVH of prematurity  
  • Infection  

Congenital disorders

Inherited conditions: 

  • Spina bifida – spine/spinal cord of fetus do not form properly 
  • Tethered cord 
  • Skull lesions or cysts 
  • Pseudotumor cerebri or idiopathic intracranial hypertension 

Icon_spine_orange box Spinal conditions

Spinal column abnormalities or injuries: 

  • Congenital conditions (tethered spinal cord) 
  • Congenital lesions (sacral dimple, hemivertebra, dermal sinus tract) 
  • Back pain 
  • Spondylolisthesis 
  • Pars defects 
  • Sciatica 
  • Herniated discs 

Scoliosis is a curvature of the spine, usually to the side, and occurs typically during growth spurt before puberty. Symptoms can include: 

  • Uneven shoulders 
  • Uneven hip or waist 
  • Shoulder blade prominence not the same 

Spinal cord tumors:  

  • Intramedullary – develop from cells of the spinal cord 
  • Intradural – develop inside the covering of the spinal cord 
  • Extradural (primary bone tumor, metastatic tumor) – develop outside that membranes surrounding the spinal cord 

Trauma of head or spine

Conditions of the head or spine due to an injury or accident: 

  • Fractures 
  • Concussion 
  • Skull fractures 
  • Spinal Fractures 
  • Burst Fracture 
  • Chance Fracture 
  • Ligamentous injury  
  • Occpital Cervical Fixation 

Icon_vascular_orange boxVascular malformation

Conditions affecting vascular system: 

  • Arteriovenous malformation 
  • Pediatric aneurysm