Department of  Neurosurgery
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Residency

The Department of Neurosurgery at Washington University School of Medicine offers clinical neurosurgical training in a seven-year residency program accredited by the Accreditation Council for Graduate Medical Education (ACGME).

The aim of our program is to provide trainees with the skills for lifetime excellence in the clinical practice of neurosurgery, either in an academic or community practice career. To accomplish this, the program integrates extensive practical exposure to all aspects of current clinical neurosurgery with a firm grounding in underlying scientific principles and the methods of clinical investigation.

The challenges of neurosurgery practice in the next century will require familiarity with a rapidly expanding body of neuroscience information, sound clinical judgment, technical excellence in the operating room, communication skills and an appreciation for the ethical and compassionate side of medicine.

Neurosurgery faculty comprises both full-time clinicians and basic scientists. In addition, the training program benefits from the availability of an internationally renowned community of neuroscientists throughout Washington University, as well as from a long tradition of close ties with clinical colleagues in the departments of neurology and surgery.

All residents benefit from comprehensive instruction and experience in caring for patients in the following areas:

Cerebrovascular/Endovascular

  • Aneurysms
  • Vascular Malformations
  • Arteriorvenous Fistulas (AVFs)
  • Arteriorvenous Malformations (AVMs)
  • Cavernous Malformations
  • Carotid Disease
  • Bypass Surgery
  • Endovascular Treatment

Neuro-Oncology

  • Primary Tumors including High and Low Grade Glioma, Meningioma, and Ganglioglioma
  • Metastatic Tumors including Lung, Breast, Melanoma, Renal, and GI

Skull Base Surgery

  • Cavernous Sinus Lesions
  • CP Angle Lesions
  • Clival Lesions
  • Craniofacial Lesions
  • Skull Base Approaches include Craniofacial, Petrosal, Middle Cranial Fossa, and Endonasal/Endoscopic

Transsphenoidal Surgery

  • Stellar and Suprasellar Lesions, including Pituitary Adenoma, Rathke's Cleft Cysts, and Craniopharyngioma
  • Transsphenoidal Approaches include Microsurgical and Endonasal/Endoscopic

Epilepsy

  • Intraoperative and Extraoperative Functional Mapping
  • Congenital and Acquired Lesions, including Hemispherotomy,Temporal Lobectomy and Lesionectomy
  • Non-Lesional Epilepsy including Temporal Lobectomy

Stereotactic Neurosurgery

  • Biopsy/Aspiration
  • Radiosurgery including Tumor, AVM, and Pain
  • Functional including DBS

Pain and Functional Surgery

  • Trigeminal Neuralgia
  • Hemifacial Spasm
  • Intrathecal Pumps
  • Spinal Cord Stimulators
  • Rhizotomy
  • Cordotomy/Myelotomy
  • Sympathetic Ganglionectomy

Spine Surgery

  • Degenerative Disease
  • Spine Trauma
  • Spine Tumors

Pediatric Neurosurgery

  • Tumors
  • Developmental Anomalies
  • Myelomeningocele
  • Dorsal Rhizotomy
  • Peripheral Nerve
  • Hydrocephalus
  • Epilepsy
  • DBS
  • Spine
  • Trauma

Peripheral Nerve

  • Neurolysis/Transposition
  • Nerve Repair
  • Sympathectomy
  • Peripheral Nerve Stimulation
  • Rhizotomy and Excision Tumor
  • Neuroma/Agent/Other

Residents also attend an Annual Neurosurgery Research Symposium hosted by Washington University, as well as annual Spine, Cerebrovascular and Skull-Base courses. Residents may also attend up to six national meetings and up to four Cadaver courses at the department's expense.