The LSU Health Shreveport Department of Neurosurgery builds upon a proud and distinguished tradition of training future leaders and innovators in the field of neurosurgery by fostering excellence in both clinical neurosurgery and research. The curriculum fosters an environment in which residents build upon skills that enable them to care for patients from evaluation to post-operative care. Our institution is fully equipped with state-of-the-art facilities including Gamma Knife, the Skull Base Lab, the Interventional Neuroradiology Suite, Neuro ICU, and PET Scan facilities. 

"The Neurosurgery Residency Training Program at LSU Health Shreveport provides an academic environment that fosters excellence in both clinical neurosurgery and research. At the completion of the program, residents are expected to be outstanding clinicians, active investigators, and experienced educators."

~ Dr. Christina Notarianni, Residency Program Director

CONFERENCE SCHEDULE

Formal educational conferences are presented regularly by the Department of Neurosurgery. Providing teaching opportunities to fellows, residents and medical students is an integral, daily activity for the faculty. Below is the standard conference schedule but may be subject to change.

First Wednesday of Each Month 5:00 p.m. -
6:00 p.m. 

  Skull Base Lab   

The Department of Neurosurgery has pioneered a skull base surgical skills laboratory for teaching and simulation of operative cases. Medical students and residents are taught the nuances of surgical approaches, technique, and microsurgical skills necessary to be successful in practice. The Skull Base Lab is directed by Bharat Guthikonda, MD, FACS, FAANS. He is the Director of Skull Base Surgery in the LSU Health Shreveport Department of Neurosurgery. 

Second Wednesday of Each Month 3:00 p.m. -
4:00 p.m.

Epilepsy Conference

Held monthly on a Wednesday, this is a multidisciplinary conference conducted by members of the Neurology and Neurosurgery Departments.

Second Wednesday of Each Month 4:00 p.m. -
5:00 p.m.

Case Conference

Held every second Wednesday evening to discuss background information, decision making, surgical approaches and advanced techniques regarding recent neurosurgical cases performed by the faculty and residents of the LSU Health Shreveport Department of Neurosurgery.

Third Wednesday of Each Month 4:00 p.m. - 5:00 p.m.

Tumor Board

This monthly conference brings together experts from multiple specialties, including neurosurgery, neuro-oncology, radiation oncology, otolaryngology, pathology, and medical oncology. Together, these brain tumor specialists seek the best possible treatment path for the individual patient. They examine the patient’s scans, pathology reports, and medical history. Discussions are thoughtful and empathetic.

Fourth Wednesday of Each Month 4:00 p.m. - 5:00 p.m.

Service M&M (Morbidity and Mortality) Conference

Morbidity and mortality (M&M) conferences are critical for the ongoing education of physicians, resident, nurses, physician assistants, and other adjunctive health care personnel. This forum allows for discussin between disciplines, and facilitates an environment for cumulative learning and experiences. The aim of M&M Conferences is to both maintain and improve the quality of patient care, by enabling physicians and colleagues to acknowledge adverse events (AE)/medical errors that result in morbidity or mortality in order to limit and/or eliminate some of these events in the future.

Fourth Wednesday of Each Month 5:00 p.m. - 5:30 p.m.

Neuro-Imaging Conference

This course is designed as a state-of-the-art imaging review of diseases that affect the brain, spine, and head and neck.

Fourth Wednesday of Each Month 5:30 p.m. - 6:00 p.m.

Stroke M&M (Morbidity and Mortality) Conference

Stroke M&M conferences involve the analysis of adverse outcomes in stroke patient care, through peer review. The objectives are to identify adverse outcomes associated with medical error, to modify behavior and judgment, and to prevent repetition of errors leading to complications.

 

Curriculum Areas

Faculty members typically confine their practice to a specific area of neurosurgery, enabling them to obtain a depth of clinical experience and expertise that results in superior patient care. During residency training, residents get full exposure to each of these sub-specialty areas including skull base surgery, spinal deformities, endovascular, pediatric, and epilepsy.

Sub-Specialties

Pediatric Neurosurgery

Neurosurgical problems in the pediatric age group are often difficult and complex. Our Pediatric Neurosurgery service offers comprehensive care and a multi-disciplinary approach for the full range of brain, spine, peripheral nerve, and craniofacial disorders in children and adolescents. Common conditions treated by our neurosurgeons are brain tumors, cerebral palsy, Chiari malformations, congenital malformations of the brain and spine, hydrocephalus, and traumatic brain and spinal injuries.


Spine

Our spinal neurosurgeons strive to provide state-of–the-art management and an individualized treatment strategy for every patient incorporating a multidisciplinary approach that includes orthopedic surgeons, physical medicine and rehabilitation, pain management, physical therapy and neurologists. Common conditions treated by our neurosurgeons are degenerative lumbar and cervical disc disease, herniated discs, spinal fractures, scoliosis, spinal tumors, spinal stenosis, and spinal trauma.


Epilepsy

While most patients’ seizures can be adequately controlled with anti-epileptic medication, around 30% are resistant to such therapy and may benefit from surgical removal of the epileptic focus within the brain. Our Epilepsy Surgery Program is part of a collaborative partnership between our neurosurgeons and neurological colleagues, working together to provide hope to adults and children with epilepsy.


Endovascular

The program is one of a select few which offer both open surgical and endovascular treatment. Surgeons in the program have been nationally recognized for their expertise in endovascular and open surgical approaches to endovascular disease, most recently receiving the American Heart Association/American Stroke Association’s Get With The Guidelines® Stroke Silver Quality Achievement Award.

Our endovascular neurosurgeons manage all aspects of stroke and cerebrovascular disorders as well as the coordination of subsequent therapeutic strategies including surgery, interventional neuroradiology, stereotactic radiosurgery and rehabilitation.


Skull Base Surgery

The removal of tumors and the treatment of vascular lesions that occur at the base of the skull can be some of the most technically challenging surgeries performed by neurosurgery services. We offer the most advanced techniques and technologies in surgical approaches such as cranial nerve monitoring, endoscopic visualization, intraoperative imaging and navigation, neuroendovascular techniques, as well as intraoperative and stereotactic radiation that dramatically improve patient outcomes and quality of life.

Skull base disorders can impact many body functions in addition to the nervous system. Depending upon the structures involved, we will obtain full preoperative evaluations by Ophthalmology, Endocrinology, Audiology and Neurology. We are also supported by comprehensive interdisciplinary efforts in Neuro-Oncology, Oncology, Radiation-Oncology, Radiology, Physical Therapy and Rehabilitation Services, as well as Advanced Neuroscience Nursing during surgery and in our Neuro Intensive Care Unit.


Training Sites

Our residency training program in clinical neurosurgery utilizes three medical institutions, all located in close geographical proximity to LSU Health Shreveport Medical School. 

The primary training site is located at our training hospital, Ochsner LSU Health Shreveport Academic Medical Center, connected to the medical school with additional training sites at Willis-Knighton Health System and Overton Brooks VA Medical Center. 

Ochsner LSU Health Shreveport Academic Medical Center

Willis-Knighton Health System

Overton Brooks VA Hospital

Overton Brooks VA Hospital

Our Neurosurgery Clinic

The State of Louisiana, the Louisiana State University and Agricultural and Mechanical College Board of Supervisors on behalf of LSU Health Sciences Center Shreveport and the LSU Health Shreveport Faculty Group Practice, and Ochsner Health System joined a Public Private Partnership Agreement in Shreveport and Monroe beginning October 1, 2018.

Ochsner and LSU Health Shreveport jointly forms Ochsner LSU Health Shreveport to oversee and coordinate activities between the health sciences center and the healthcare delivery system. Under the new structure, Ochsner brings their nationally-recognized expertise to the management of operations for their partner hospitals in Shreveport and Monroe, clinics and the clinical activity of the LSU Health Shreveport Faculty Group Practice.

As part of the partnership, one of the first initiatives set forth is the creation of a neurosciences hub for northern Louisiana located in the former Schumpert Hospital at 1 Saint Mary Place, Shreveport. This new healthcare campus offers state-of-the-art patient care through its multiple clinics, operating rooms, laboratory, and diagnostic imaging services. 

The neurosurgery clinic moved into the 75,000 square-foot facility in May 2019. The neurosurgery clinic features 15 exam rooms, conference space, and patient waiting. 

Alongside the neurosurgery clinic will be:

  • A neurology clinic with 15 exam rooms and a procedure/infusion room;
  • An outpatient laboratory with services to support the clinics onsite including two drawing stations and two collection rooms;
  • A comprehensive diagnostic imaging center offering MRI, CT scan, x-ray, ultrasound, and bone density scans with a dedicated reception and waiting areas; and
  • An ambulatory surgery center that includes reception and waiting areas, consultation room, and 12 private patient rooms with ensuite bathrooms for patients that require overnight recovery time.

SKULL BASE LAB

The Department of Neurosurgery has pioneered a skull base surgical skills laboratory for teaching and simulation of operative cases. Medical students and residents are taught the nuances of surgical approaches, technique, and microsurgical skills necessary to be successful in practice.

Didactic lectures are followed by hands-on cadaveric exposures in small groups. Faculty and senior resident guidance is present at each laboratory session.

The Skull Base Lab is directed by Bharat Guthikonda, MD, FACS, FAANS. He is the Director of Skull Base Surgery in the LSU Health Shreveport Department of Neurosurgery.

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