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Neuroscience Institute

The Neuroscience Institute at JFK Medical Center

Nationally recognized for our neuroscience services, JFK Medical Center is a leading treatment and resource center for people affected by complex neurological conditions.

Our team of multi-disciplinary neuroscience specialists uses the latest technology and treatments to diagnose and treat diverse and challenging problems involving the brain, spine, cerebrovascular system and nervous system.

At the forefront of stroke diagnosis, treatment and prevention, The Neuroscience Institute at JFK Medical Center is proud to state:

  • Our stroke program has been certified by the Joint Commission and given its "Gold Seal of Approval" for providing the greatest breadth and depth of specialists and advanced services for stroke patients.
  • We were the first in Palm Beach County to achieve the distinction of Comprehensive Stroke Center by AHCA in 2006 and we are proud to provide care to stroke patients throughout Palm Beach, Martin, and St. Lucie Counties.
  • Our 36-bed nursing Neuroscience unit and our highly specialized 18-bed Neuro-ICU are dedicated to patients recovering after neurological or neurosurgical procedures. Both are staffed with nurses who are uniquely trained and focused on the specific needs of neuroscience patients.
  • We offer minimally invasive technologies and treatments, including coils and stents for treating brain aneurysms and stents for blocked carotid arteries.

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The clinical staff at JFK Medical Center work closely with their colleagues in neurology, neurosurgery and spine surgery as well as healthcare providers from other hospitals and community clinics to provide superior care to patients. Our interdisciplinary care teams truly exemplify JFK Medical Center’s commitment to offering the best care possible for your patients.

The Neuroscience Institute at JFK Medical Center specializes in:

At JFK Medical Center, we are a comprehensive and advanced primary stroke center. A comprehensive stroke center offers care for the complex neurological and neurosurgical patients beyond the scope of the primary stroke center.

Minimizing delays is a crucial step in improving outcomes with acute stroke therapies whose efficacy is clearly time dependent. Logistic and human barriers to rapid stroke care can be overcome with a systematic “Stroke Alert Team” approach provided by a structured multi-disciplinary acute stroke response team.

In Palm Beach County, the most advanced interventions are available at JFK Medical Center – the county’s 1st AHCA recognized Comprehensive Stroke Center.

Patients who have suffered a stroke will receive specialized care in our Neuroscience Intensive Care Unit. Nurses in these units have expertise in neurological assessments and provide comprehensive care and education to patients and their families.

Ischemic Stroke

  • IV tPA
  • Intra-arterial tPA
  • Mechanical thrombectomy (clot removal)
  • Cerebral stenting

Hemorrhagic Stroke

  • Coiling and clipping of aneurysms
  • Ventricular drainage (acute and chronic)

Since time is of the essence, recognizing stroke symptoms early on is critical. JFK’s emergency department staff is skilled at immediately determining the best treatment plan through rapid diagnosis and treatment. Diagnostic services, including CT (computed tomography) scans MRI (magnetic resonance imaging), as well clot-busting medication.

Quick diagnosis is made through expedited CT scans and/or MRI and neurological consultations. The best treatment choice is then determined and managed, which could be clot busting drugs (tPA) or interventional removal of the clot.

Our Acute Stroke Team includes:

  • EMS providers
  • Emergency Physicians
  • Neurologists
  • Neurosurgeons
  • NeuroInterventionalist
  • Neuroradiologists
  • Diagnostic and Interventional Radiologists
  • Intensivists and Hospitalists

The Neurointerventionalist specializes in the minimally invasive, endovascular approach of navigating microcatheters through the blood vessels under continuous x-ray guidance. Diseases treated with these techniques include stroke, cerebral aneurysm, brain and spine arteriovenous malformations (AVM’s).

As part of the multidisciplinary and patient-centered neuroscience team, our experts in cerebral vascular and spine diseases work together to provide you and your loved ones access to a range of advanced treatment options for complex, challenging, and often life-threatening neurological conditions.

Neurointerventional surgery provides a complete spectrum of minimally invasive services for the diagnosis and treatment of patients with vascular problems related to the brain and spinal cord. Historically, certain conditions that would have required open surgery such as aneurysms, carotid artery disease, vascular malformations, and tumors of the head, brain, neck, and spine can now be considered for a minimally invasive treatment using a neurointerventional surgery approach to reach the problem.

JFK Medical Center’s comprehensive diagnostic and interventional radiology department offers advanced imaging services of the brain and spine that are interpreted by a team of board-certified radiologists, which include neuroradiologists, who have additional years of training in neuroimaging techniques. The images are generated on cutting-edge equipment that has been accredited by the American College of Radiology.

The JFK Medical Center Spine Institute consists of a team of experts that use the latest advancements in diagnosis and treatment to help patients conquer their pain and regain their life. The causes of pain are many, but help is available. In consultation with your physician, treatment options discussed may include surgical and/or non-surgical (medical) options.

JFK Medical Center has Neurosurgical and Orthopedic fellowship-trained spine specialists. We have pain management consultants for the management of acute and chronic pain who work closely with their colleagues of physicians, nurses, physical therapists, and occupational therapists to help determine an accurate diagnosis and develop a plan of care that is designed specifically for you.

Our goal is quicker recovery with less pain and complications. We also offer interventional pain management techniques such as implantable pumps that dispense medication or stimulate the spinal cord to relieve back spasms.

Our multidisciplinary team of professionals focus on treating patients with spinal injuries using state-of-the-art technology:

If surgery is necessary, our surgical team may perform conventional as well as minimally invasive spine techniques.

Endoscopic Skull Base Surgery Program

The anterior skull base is the bone in the head that divides the nose from the brain. The skull base is the area of bone on which the brain rests. It is surrounded by blood vessels, nerves and other delicate structures that can affect speech, smell and eyesight. The skull base also includes the inside of the skull where the eye sockets, nasal cavities and ears meet the brain.

A skull base tumor is defined by 3 things:

  • Its location
  • What type of cells make up the tumor
  • The method used to remove the tumor

There are many conditions that can arise in the region of the anterior skull base including but not limited to benign tumors, malignant tumors, and leakage of fluid from the brain into the nose.

Diagnosing and treating anterior skull base conditions and tumors requires the expertise of a multi-disciplinary team of specialists in the fields of Neurosurgery, Otolaryngology and Neuroradiology. This team meets to consider each patient’s unique needs before recommending a treatment plan. At JFK, this team includes:

  • Dr. John Cantando, Neurosurgeon Fellowship Trained in Cerebrovascular/Skull-base Surgery
  • Dr. Alfredo Archilla, Otolaryngologist Head and Neck Surgeon Fellowship Trained in Rhinology and Endoscopic Skull-base Surgery
  • Dr. Abe Obuchowski, Interventional Neuroradiologist

Diagnosis and Treatment

At JFK Medical Center we offer the most advanced care for pituitary and skull base tumors. Our physicians use the most sophisticated diagnostic and treatment techniques including:

Advanced Imaging Techniques:

  • Magnetic Resonance Imaging (MRI)
  • CT Scan
  • Endoscopic Instruments and High Resolution Cameras
  • Image Guided Computers

Surgery:

  • Image guided/computer assisted endoscopic sinus and nasal surgery
  • Minimally invasive endoscopic anterior skull base surgery
  • Minimally invasive microscopic anterior skull base surgery

Surgical options will vary depending on the type of tumor. Whenever possible, endoscopic surgery is done.

Benefits of Endoscope:

  • Better Visualization of the Surgical Field
  • Increased Ability to Remove Entire Tumor
  • Less Surgical Time
  • Faster Recovery, Shorter Hospital Stay
  • No Nasal Packing

Common Skull Base Lesions We Treat

  • Pituitary Tumors (adenomas)
  • Crainopharyngeoma
  • Meningioma
  • Encephalocele
  • Cerebrospinal Fluid Leaks
  • Esthesioneuroblastoma
  • Angiofibroma
  • Chordoma

Pituitary Tumors

Pituitary tumors are abnormal growths that develop in the pituitary gland. Some pituitary tumors result in secretion of too many of the hormones that regulate important functions of your body. Some pituitary tumors can cause your pituitary glands to produce lower levels of hormones.

Most pituitary tumors are adenomas. Adenomas are noncancerous (benign) growths that may grow in size causing compression and potential damage to nearby structures in the brain. They may cause increased pressure in the head and loss of vision.