Neurosurgeons in Southeast Idaho
Neurosurgery at Portneuf Medical Center offers advanced brain, spine and neurovascular care. Our specialists provide evaluation and treatment for a wide range of conditions, including back and neck pain, spinal disorders, brain tumors, stroke, aneurysms, traumatic brain injuries (TBI) and other complex neurological conditions. From routine consultations to emergency neurosurgical care, our team is committed to delivering expert, coordinated treatment so patients receive the specialized care they need.
General neurosurgery services
At Portneuf, we provide care for a wide range of neurological conditions, including:
- Degenerative spine disease: Our treatments include lumbar disc herniation and radiculopathy, lumbar stenosis, spondylolisthesis, cervical radiculopathy and myelopathy (discectomy, laminectomy and fusion).
- Osteoporotic vertebral compression fractures: Our treatments include kyphoplasty and nonoperative management.
- Brain tumors: We offer metastatic and primary tumor evaluation and craniotomy, with preoperative embolization capability.
- Chronic subdural hematoma: Our treatments include surgical evacuation and middle meningeal artery embolization.
- Hydrocephalus and normal pressure hydrocephalus: We offer evaluation, shunt placement and shunt revision.
Emergent Neurosurgery
Our emergent neurosurgery services include:
- Cranial trauma: We offer acute treatment for epidural and subdural hematoma, depressed skull fracture, severe TBI with increased intracranial pressure (ICP) monitoring and decompressive surgery.
- Spinal trauma: We provide care for unstable cervical and thoracolumbar fractures, acute spinal cord and cauda equina compression, decompression and stabilization.
- Ruptured intracranial aneurysm and subarachnoid hemorrhage: Our treatments include emergent angiography with endovascular treatment (coiling, flow diversion) and vasospasm management.
- Acute ischemic stroke: We provide mechanical thrombectomy for large vessel occlusion, medium vessel occlusions, tandem occlusion and transient ischemic attack (TIA) emergent work up.
- Intraparenchymal hemorrhage: We offer surgical evacuation when indicated, external ventricular drain (EVD) placement and angiographic workup for underlying vascular causes.
- Spinal infection and epidural abscess: We provide emergent decompression and stabilization.
Ambulatory Endovascular Service
We offer elective, catheter-based diagnosis and treatment of cerebrovascular disease, performed locally.
Our services also include:
- Diagnostic cerebral angiography for the treatment of:
- Cervical and intracranial atherosclerotic disease (carotid and vertebral stenosis evaluation), hemodynamic steal syndromes work up
- Intracranial aneurysm characterization, evaluation treatment and surveillance
- Pulsatile tinnitus and idiopathic intracranial hypertension (IIH) workup, including venous manometry and stenting
- Vascular malformations (brain arteriovenous malformation, dural arteriovenous fistula) and unexplained hemorrhage work up and treatment
- Preoperative planning for tumor and vascular surgery
- Carotid angioplasty and stenting for symptomatic and high-grade carotid stenosis, including patients at elevated surgical risk.
- Middle meningeal artery (MMA) embolization for chronic subdural hematoma, a minimally invasive option that reduces recurrence and can avoid or complement surgery, particularly in elderly and anticoagulated patients.
- Venous sinus stenting for pulsatile tinnitus and medically refractory IIH, previously unavailable in Idaho.
- Kyphoplasty for painful osteoporotic compression fractures, typically outpatient.
Orthopedic Spine Care
Portneuf Medical Center has orthopedic surgeons specializing in spine care. Whether you’re suffering from a spinal fracture or chronic pain, our team is here to help.