Neuroscience expertise expands in Everett
The leadership of Providence Regional Medical Center (PRMCE) is focused on growing the Neurosciences Institute to meet the expanding needs of our patients. Its evolution continues this year, with the addition of new, advanced technology and expertise.
The Structure
The PRMCE Neuroscience Program is made up of four clinical services (neuroendovascular, neurology, neurosurgery and physiatry) supporting five clinical programs (cerebrovascular disease, epilepsy, musculospinal disease, neuro-oncology and neurotrauma).
Martin C. Holland, M.D., chief of neurosurgery and medical director of neurosciences development, says, “The multidisciplinary neurosciences team works with other medical disciplines to provide coordinated treatment for patients across the continuum of care: from prevention, diagnosis and treatment through recovery, rehabilitation and community reintegration,” Dr. Holland says. “The idea is to get all involved clinicians on the same page, using clinical protocols and guidelines as a roadmap to optimize patient care.”
Cranial Surgeries and Neuro-Oncology
In 2020 PRMCE’s neurosurgeons performed 186 cranial procedures with most of the procedures related to tumors. A neuro-oncology tumor board reviews cases with a team of specialists from medical oncology, neuro-oncology, neurosurgery, pathology, radiation oncology and radiology. “We have also developed the capability to manage complex skull base tumors such as pituitary and inner ear tumors,” Dr. Holland says.
Neuroendovascular Advancements
Starting 2021, establishment of a neuroendovascular program has 24/7 thrombectomy capability to our already strong stroke program. “This capability allows our physicians to provide rapid, life-saving care to patients with large vessel blockage that cause devasting strokes. Prior to this, urgent treatment was delayed due to the need to transfer these patients to Seattle for thrombectomy.
Dr. Holland says, “Endovascular capabilities also allow for the comprehensive diagnosis and treatment of aneurysms, vascular malformations and blood vessel disorders, and allow for the embolization of certain tumors – making tumor removal safer.
New Technology for Spinal Procedures
PRMCE recently purchased the revolutionary Mazor XTM Stealth Edition robotic guidance platform for spinal surgery. This unique technology (the first in the state of WA) combines advanced software, robotic technology navigation and instrumentation to provide precise spinal screw placement during fusion procedures.
Dr. Holland says the robot’s arm moves around the surgical table and holds an instrument guide, allowing the surgeon to place screws with millimeter-precision, thus avoiding critical structures like nerves and blood vessels.” This precision eliminates the need for repeat intervention, while the technology also allows for shorter surgical times and less radiation exposure to the patient, surgeon and entire OR team.
