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Pediatric Neurosurgery The physicians affiliated with the Pediatric Neurosurgery department at Children’s Memorial Hermann Hospital specialize in the evaluation, diagnosis and treatment of children with a broad range of neurological disorders, including brain tumors, epilepsy, hydrocephalus, spasticity, spina bifida and head injury. Through a collaboration with UTHealth Medical School and Mischer Neuroscience Institute, the team approach combines the expertise of pediatric specialists and subspecialists to ensure that young patients receive coordinated, evidence-based care and the best possible clinical outcomes. Traditional and Minimally Invasive Surgery By utilizing the most advanced imaging technologies designed specifically for pediatric patients – including MRI, CT, MEG and stereo-electroen- cephalography – neurosurgeons are able to identify and treat specific areas of the brain and significantly lower the risk of complications. When traditional surgery is required, endoscopic techniques are often used to reduce incision size and scarring for patients who are candidates. The expert team is recognized for performing state-of-the-art, minimally invasive procedures, including neuroendoscopy and stereotactic radio- surgery. These groundbreaking procedures result in less pain and a much quicker recovery time, allowing patients to return to school, family life and daily activities sooner than traditional open surgeries. Research Together with UTHealth Medical School, investigators at Children’s Memorial Hermann Hospital and Mischer Neuroscience Institute are shaping the future of pediatric neurosurgery through clinical discovery and the development of new, breakthrough treatments. The team’s research interests include focusing on innovative means of delivering therapeutic agents into the brain for the treatment of childhood brain tumors, including a pilot study, Methotrexate Infusion into the Fourth Ventricle in Children with Malignant Fourth Ventricular Brain Tumors. Other research areas involve brain mapping with functional MRI, electrical stimulation and diffusion tractography as well as intracranial electrophysiology. Qualified patients are able to enroll in a range of clinical trials for both investigational drugs and procedures. For more information on specific clinical trials, please contact us at 832.325.7234 or visit childrens.memorialhermann.org/researchtrials. CHILDREN’S MEMORIAL HERMANN HOSPITAL (over) Scope of Expertise The affiliated, board-certified pediatric neurosurgeons are leaders in providing the most advanced treatments for a full spectrum of conditions, including: • Arachnoid cysts • Arteriovenous malformation (AVM) • Brain tumors • Cerebral palsy • Chiari malformation • Congenital malformations • Craniofacial disorders, including craniosynostosis • Epilepsy surgery • Head and spine trauma • Hydrocephalus • Moyamoya disease • Myelomeningocele and other congenital spinal anomalies (spina bifida) • Pediatric stroke • Peripheral nerve disorders (brachial plexus disorders) • Spasticity • Spinal cord tumors • Tethered spinal cord • Tuberous sclerosis complex • Vascular malformations

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Pediatric NeurosurgeryThe physicians affiliated with the Pediatric Neurosurgery department at Children’s Memorial Hermann Hospital specialize in the evaluation, diagnosis and treatment of children with a broad range of neurological disorders, including brain tumors, epilepsy, hydrocephalus, spasticity, spina bifida and head injury. Through a collaboration with UTHealth Medical School and Mischer Neuroscience Institute, the team approach combines the expertise of pediatric specialists and subspecialists to ensure that young patients receive coordinated, evidence-based care and the best possible clinical outcomes.

Traditional and Minimally Invasive SurgeryBy utilizing the most advanced imaging technologies designed specifically for pediatric patients – including MRI, CT, MEG and stereo-electroen-cephalography – neurosurgeons are able to identify and treat specificareas of the brain and significantly lower the risk of complications. When traditional surgery is required, endoscopic techniques are often used to reduce incision size and scarring for patients who are candidates. The expert team is recognized for performing state-of-the-art, minimally invasive procedures, including neuroendoscopy and stereotactic radio-surgery. These groundbreaking procedures result in less pain and a much quicker recovery time, allowing patients to return to school, family life and daily activities sooner than traditional open surgeries. Research Together with UTHealth Medical School, investigators at Children’s Memorial Hermann Hospital and Mischer Neuroscience Institute are shaping the future of pediatric neurosurgery through clinical discovery and the development of new, breakthrough treatments. The team’s research interests include focusing on innovative means of delivering therapeutic agents into the brain for the treatment of childhood brain tumors, including a pilot study, Methotrexate Infusion into the Fourth Ventricle in Children with Malignant Fourth Ventricular Brain Tumors. Other research areas involve brain mapping with functional MRI, electrical stimulation and diffusion tractography as well as intracranial electrophysiology.

Qualified patients are able to enroll in a range of clinical trials for both investigational drugs and procedures. For more information on specific clinical trials, please contact us at 832.325.7234 or visit childrens.memorialhermann.org/researchtrials.

C H I L D R E N ’ S M E M O R I A L H E R M A N N H O S P I T A L

(over)

Scope of Expertise

The affiliated, board-certified pediatric neurosurgeons are leaders in providing the most advanced treatments for a full spectrum of conditions, including:

• Arachnoid cysts• Arteriovenous malformation (AVM)• Brain tumors• Cerebral palsy• Chiari malformation• Congenital malformations• Craniofacial disorders, including craniosynostosis• Epilepsy surgery• Head and spine trauma• Hydrocephalus• Moyamoya disease• Myelomeningocele and other congenital spinal anomalies (spina bifida)• Pediatric stroke• Peripheral nerve disorders (brachial plexus disorders)• Spasticity• Spinal cord tumors• Tethered spinal cord• Tuberous sclerosis complex• Vascular malformations

C H I L D R E N ’ S M E M O R I A L H E R M A N N H O S P I T A L

4405177-6/14

6411 FanninHouston, TX 77030

713.704.KIDS (5437)

childrens.memorialhermann.org713.222.CARE

David I. Sandberg, M.D., FACS, FAAP Director of Pediatric NeurosurgeryMischer Neuroscience InstituteAssociate ProfessorThe Vivian L. Smith Department of Neurosurgery Associate Professor and Chief Department of Pediatric Surgery Division of Pediatric Neurosurgery UTHealth Medical School

Nitin Tandon, M.D.Associate Professor The Vivian L. Smith Department of Neurosurgery Associate ProfessorDepartment of Pediatric SurgeryDivision of Pediatric NeurosurgeryUTHealth Medical School

Lee Ann Conrad, PA-C Physician AssistantDepartment of Pediatric Surgery Division of Pediatric NeurosurgeryUTHealth Medical School

Lillian Sprague, PA-CPhysician AssistantDepartment of Pediatric Surgery Division of Pediatric NeurosurgeryUTHealth Medical School

CollaborationReferring physicians are kept fully informed about patient progress throughout the entire evaluation and treatment process. After a patient’s office visit, referring physicians will receive a summary that includes the initial diagnosis, pending tests and treatment options.

To refer a patient or speak to a physician, call 832.325.7234. For urgent consultations, please contact the page operator at 713.704.4000 and ask to page the pediatric neurosurgeon on call.

Meet the Pediatric Neurosurgery Team

Stephen Fletcher, D.O.Associate Professor Department of Pediatric SurgeryDivision of Pediatric NeurosurgeryUTHealth Medical School

Manish Shah, M.D.Assistant ProfessorDepartment of Pediatric SurgeryDivision of Pediatric Neurosurgery UTHealth Medical School

Jacklyn Eyre, PA-CPhysician AssistantDepartment of Pediatric Surgery Division of Pediatric NeurosurgeryUTHealth Medical School