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Clinical Practice

My clinical practice focuses on all neurosurgical diseases to help in diagnosis and decisions about treatment.  I no longer do major surgery, but I do perform minimally-invasive treatments, injections and block treatments, and can provide advice about need for surgery, and I can help with choice of surgeons and institutions.  I can refer any patient needing surgery to an appropriate surgeon.  The information in this section and the Diagnostic Center will help you decide if my practice is right for you. I focus on the following health problems:

  • Spinal Pain
  • Chronic Pain
  • Tarlov and other Cysts
  • Skull Base Tumor
  • Chiari Malformation
  • Spinal Tumors
  • Failed Back Syndrome

My major clinical interest is diagnosing and treating spinal pain.  Most patients with spine pain do not need surgery.  My goals are to diagnose problems causing spine pain and to treat them promptly with the least invasive techniques possible which will obtain the best results.  Simple injections help many patients quickly.

I retired from active surgical practice January 2010 and from neurosurgical practice at Johns Hopkins Hospital at the end of June 2010.  In July I opened a private practice at Joppa Green, near the Greenspring Station, in Baltimore County. 

A few patients need surgery.  Surgeons differ in their approaches.  I also counsel patients about the pros and cons of different recommendations through a second opinion appointment.  “ Is surgery the best option?” is a common question.  If it is, what kind of surgery?  What are the risks and what can I expect?  I am happy to share my experience with you.

Tarlov cysts and other cysts of the spine are a controversial topic currently.  Many doctors have been taught that these cysts are not symptomatic.  Some believe they are.  I have a program devoted to these cysts to determine when they are symptomatic and when they need treatment.  We have been exploring treatments for the past 6 years.  I am happy to see patients from the area in the clinic.  I maintain a telephone clinic for brief consultations to determine if patients who live in areas further away should come to Baltimore for examination.  Aspiration of cysts is available here, and I will refer those who need surgery.

I also continue to do diagnostic evaluations for all neurosurgery problems.

There is a special program to discuss management of acoustic neuromas and other skull base tumors.  Observation, surgery, and radiation are all options.  I am happy to share my experience with some 3000 skull base tumors to help guide you.

Appointments can be made by contacting me at my clinical office.