TAMPA GENERAL HOSPITAL
RANKED AMONG THE TOP 10% OF HOSPITALS IN THE NATION FOR NEUROLOGY & NEUROSURGERY BY U.S. NEWS & WORLD REPORT 2021-22
Tampa General Hospital provides more neurological services than anyone in the region. Our 32-bed neuro ICU is one of the largest on the west coast of Florida, with a team of physicians who specialize in treating neurological conditions, supported by a robust staff of specially trained and certified nurses, technicians and other medical team members.
KNOWLEDGE
EXPERIENCE
RECOGNITION
The only nationally accredited comprehensive stroke center in Hillsborough County, Tampa General provides multidisciplinary emergency intervention and follow-up treatment for stroke patients in accordance with all guidelines set forth by the American Heart Association. As a result, TGH earned the STROKE Target Stroke Honor Roll ELITE PLUS recognition. TGH is also the first hospital on Florida’s west coast to receive Comprehensive Stroke Certification from the Healthcare Facilities Accreditation Program.
OUR STROKE CARE
A stroke occurs when the brain is deprived of sufficient blood flow, leading to an interruption in necessary oxygen and nutrients. Because a prolonged disruption to normal blood flow can cause long-term damage to brain tissue, receiving prompt care at a comprehensive stroke center like Tampa General Hospital is critical. Our highly trained stroke team includes board-certified stroke physicians, interventional neuro-radiologists and other stroke care specialists. We evaluate patients on a case-by-case basis and determine the most appropriate treatment, tailored to each individual’s unique needs. We also offer specialized inpatient and outpatient rehabilitation programs to help individuals recover from the effects of a stroke. Common stroke symptoms include:
- Facial drooping
- Arm weakness
- Slurred speech
- Confusion or difficulty comprehending speech
- Severe headache
- Blurred or dimmed vision
- Numbness
- Confusion and dizziness
These symptoms typically come on suddenly and require immediate medical attention. If this happens, choose Tampa General Hospital.
If you or someone you know is experiencing stroke symptoms, dial 9-1-1 right away and ask to be taken to your nearest comprehensive stroke center.
Tampa General Hospital’s Epilepsy Program is accredited by the National Association of Epilepsy Centers (NAEC) as a Level 4 epilepsy center, which means we offer the highest possible level of medical and surgical services for patients with seizures. The program is also the first in the nation to receive disease-specific certification from The Joint Commission.
TREATMENTS:
Our team of neurologists, neurosurgeons, neuropsychologists, nurses and technicians are specialists in the diagnosis and treatment of seizures in both adults and children. Treatment options include:
- Surgery that removes the part of the brain that is responsible for causing seizures
- Laser ablation for minimally invasive neurosurgery — using light energy to destroy the portion of the brain where seizures originate
- Vagus nerve stimulation — implanting a device to send mild electrical pulses through the vagus nerve at regular intervals to control the symptoms of epilepsy
CONDITIONS:
"Movement disorders" is a term used to describe a group of neurological conditions. Depending on the specific disorder, its stage and severity, a patient may experience a range of movement difficulties, including a lack of fluency and/or speed, loss of and/or slowed voluntary movement, and involuntary movements. Conditions treated include:
- Parkinson’s disease – a degenerative disorder caused by the loss of dopamine-producing brain cells.
- Essential tremor – a progressive disease that causes tremors when a patient’s hands are being used for activities.
- Dystonia – a condition caused by over-activity in the main muscles, the involuntary activation of muscles that work against each other, and over-activity in muscles that are not required for movement.
- Ataxia – a lack of muscle control in the arms and legs that may affect a patient’s balance and coordination. This disorder may also affect eye movement, speech and hands.
- Huntington’s disease – a progressive, inherited disease that most commonly presents in the patient’s 30s or 40s. It causes degeneration of nerve cells in the brain and has a broad effect on a patient’s movement and cognitive abilities.
TREATMENT:
Deep brain stimulation is a well-established treatment option for patients who are dealing with a range of movement disorders, such as essential tremor, Parkinson’s disease, epilepsy, and dystonia. It involves implanting specific areas of the brain with electrodes, which produce mild electrical pulses that may block the brain signals responsible for certain movement disorder symptoms. Though not a cure for any movement disorder, deep brain stimulation has been proven to significantly reduce tremors and ease other symptoms in many patients, thereby improving their quality of life.
Because deep brain stimulation is a surgical procedure, it is not without risks and is typically only considered when other treatment options, such as medication, have not achieved desired results. The treatment includes:
- Brain surgery – using magnetic resonance imaging (MRI), physicians first determine which areas of the brain should be implanted with electrodes. During surgery, electrodes are inserted into specific areas of the brain. Patients will typically remain awake during the procedure to provide feedback that the surgical team can use to correctly place the electrodes.
- Chest wall surgery – this portion of the procedure involves implanting the pulse generator, which is programmed to send continuous electrical pulses, and connecting it via a wire to the electrodes in the brain.
Tampa General Hospital is committed to providing patients with the best treatment outcomes for their movement disorders. To ensure the greatest likelihood of success, we utilize the most advanced imaging and surgical tools and provide patients with individualized attention from a team of highly experienced physicians.
CONDITIONS
Spine disorders generally develop due to an injury or the repeated stress placed on the spinal column over time. Disorders of the spine often impair an individual’s ability to function painlessly.
There are a vast number of spine disorders. Some of the most common ones include:
- Degenerative spine disease – the degeneration of parts of the spine that happen naturally as part of the aging process.
- Scoliosis – the abnormal curvature of the spine, usually in an S or C shape. Scoliosis is most common among children and adolescents.
- Bulging disc – when an intervertebral disc protrudes out of its intended space in the spinal column, the condition is called a bulging disc, and can lead to painful nerve compression.
- Sciatica – the symptoms of leg pain due to compression of the sciatic nerve.
- Arthritis of the spine – natural wear and tear of the spine can cause the cartilage between the spine’s joints to thin, often resulting in inflammation and joint pain.
- Spinal cord injury – spinal cord injuries can occur by playing high-impact sports, motor vehicle accidents, falls, or diseases like polio or spina bifida.
TREATMENTS:
Our neurosurgeons perform the following spine surgery procedures, many of which are minimally invasive:
- Percutaneous vertebroplasty – When one or more vertebrae are fractured, this minimally invasive procedure fills in the fractures with medical-grade cement to strengthen the bone and help prevent further damage.
- Kyphoplasty – When a vertebra has fractured and collapsed, this procedure restores height and support to the spinal bone by lifting it back up with a balloon-like device and filling in the space with medical-grade cement.
- Laminectomy – In cases of spinal stenosis (spinal narrowing), this procedure trims or removes some of the vertebrae to widen the spinal canal and relieve any pressure on the spinal cord.
- Spinal fusion – This procedure grafts two vertebrae together to immobilize them in cases where the movement of the vertebrae causes pain.
In addition to these spine surgery procedures, Tampa General Hospital provides spinal cord injury rehabilitation services. Our program is designated as a provider of rehabilitation for both adult and pediatric spinal cord injury patients by the Florida Department of Health, Brain and Spinal Cord Injury Program. This means our facility has the highest level of expertise and experience to address the medical, rehabilitation, therapeutic, and case management needs of patients of all ages who sustain traumatic spinal cord injuries.
Harry van Loveren, M.D.
His clinical and research interests include pain, functional neurosurgery, trauma, vascular neurosurgery, and skull-base surgery.
Clifton Gooch, M.D.
CO-MEDICAL DIRECTOR
His clinical research is focused on motor neuron diseases and ALS, neurodegenerative diseases, neuropathies, neuroimmunological disorders of nerve and muscle, myasthenia gravis and neuromuscular junction disorders, nerve injury and entrapment.
MEET OUR MEDICAL DIRECTORS
Harry van Loveren, M.D.
His clinical and research interests include pain, functional neurosurgery, trauma, vascular neurosurgery, and skull-base surgery.
Clifton Gooch, M.D.
CO-MEDICAL DIRECTOR
His clinical research is focused on motor neuron diseases and ALS, neurodegenerative diseases, neuropathies, neuroimmunological disorders of nerve and muscle, myasthenia gravis and neuromuscular junction disorders, nerve injury and entrapment.