Neuroscience Update - Summer 2011

IN THIS ISSUE

Epilepsy Clinic opens at Royal Oak

New multidisciplinary clinic brings together

specialists in one location for integrated brain and

spine cancer care

Cane and Able Stroke Recovery Group

Ian Jackson Craniofacial and Cleft Palate Clinic

Meet the Team: Neuroscience Center

of Excellence

Grosse Pointe’s Epilepsy Monitoring Unit expands

seizure treatment

N E W S F R O M T H E N E U R O S C I E N C E P R O G R A MSummer 2011

continued on page 2

Development of Neuroscience Center of ExcellenceFernando G. Diaz, M.D., Ph.D., System Lead, Neuroscience Center of Excellence

Beaumont Health System has embarked onto development of Centers of Excellence to focus in the areas that currently represent the greatest concentration in our institutions’ efforts and resources.

The Centers of Excellence created are:

• Children’s Hospital• Cancer• Digestive Health• Heart and Vascular• Neuroscience• Orthopedics• Women’s Health

The purpose of the Centers of Excellence is to concentrate the institutional efforts on improving patient care and service by focusing in quality outcomes, decreased length of stay, increased

patient and family satisfaction and education and cost containment.

The Beaumont Neuroscience Center is now formed by a multidisciplinary team of highly specialized neuroscientists that can be found in any of our three hospitals.

The multidisciplinary team includes:

• neurologists• neuro-otologists• neuro-oncologists• neuroradiologists• neurosurgeons• craniofacial and skull base surgeons• ophthalmologists

The care of patients of all ages is one of the missions at Beaumont and is one we take seriously in the Neuroscience Center. We are able to provide care for neurological patients of any age including newborns and elderly adults. The technical and intellectual resources available at Beaumont allow us to care for any level of complexity of problems in the neurological patients, and we are glad to bring these services to the community we proudly serve.

Problems such as back/neck pain, headaches and dizziness present in the large majority of the US population and are commonly seen in emergency centers and primary care physician’s offices. Diagnostic evaluations frequently identify these common symptoms to be caused by degenerative conditions of the spine or disc problems, carotid artery disease leading to strokes, hemorrhages into the brain or on its surface, brain tumors, or

updateNeuroscience

2 • NEUROSCIENCE UPDATE • SUMMER 2011

Development of Neuroscience COE continued from page 1

subdural hematomas, visual loss, hearing problems and degenerative conditions or birth defects. Many of these conditions can be solved with interventional procedures that often are minimally invasive and performed by a collaborative neuroscience team.

Our support team includes specialty trained clinical nurse specialists, physician assistants, nurse practitioners, neuroscience nurses, neuroscience certified nurse anesthetists, ophthalmology and neurosurgery residents. Our neuroscience support facilities include dedicated Neuro Intensive Care Units, fully equipped Neuroscience Operating Rooms, a Gamma Radiosurgery Unit, a Neuro-Progressive Care Unit, Epilepsy Monitoring Units and dedicated Neuroscience Nursing Care floors.

Specialty outpatient clinic services have been established to assist the Beaumont Neuroscience Center team including dedicated Neurology, Neuro-otology, Neurosurgery and Ophthalmology clinics. Furthermore, highly specialized clinics have

been formed dedicated to pediatric neurology, pediatric neurosurgery, epilepsy care, Ian Jackson Craniofacial clinic, multidisciplinary neuro oncology, back pain, concussion and dizziness clinics.

The members of the Beaumont Neuroscience Center are committed to improve the health of our community by also providing community education programs in head and spinal cord injury prevention, stroke education and support, back pain care, eye care, dizziness, and Parkinson’s disease, aneurysm and cancer support groups.

The members of the Beaumont Neuroscience Center take pride in being willing to do whatever it takes to make the care of the patients we serve our first and foremost concern. So when you or your family needs care in any neurological condition such as back or neck pain, loss of vision, stroke, headache or dizziness, you should think of Beaumont Health System and then you should THINK NEURO FIRST.

Neuroscience Center of Excellence Mission StatementThe Beaumont Neuroscience Center of Excellence will be a dynamic and responsive group of neuroscientists dedicated to provide the best available patient care, value, and service to any of the patients and their families that come to Beaumont hospitals. Our patients and their families will be treated in a compassionate manner with our attention centered on the patient, while being careful to uphold our fiscal responsibilities for their care.

Neuroscience Center of Excellence Vision StatementThe Beaumont Neuroscience Center of Excellence will be established as the leading center for the Neurosciences in Michigan, and will be one of the leading Centers for Neuroscience in the United States, setting the pace for innovative and state of the art growth through the cooperation of a multidisciplinary group of highly specialized physicians and neuroscience personnel.

Grosse Pointe COE

Royal Oak COE

Troy COE

Center of Excellence teams

If you would like to learn more about how you can support the life-changing treatments, programs and research taking place each day through the Beaumont Health System Neuroscience Center of Excellence, please contact the Beaumont Foundation at 248-551-4512 or online at foundation.beaumont.edu.

donate to Neuroscience

SUMMER 2011 • NEUROSCIENCE UPDATE • 3

Physician Spotlight:

Fernando G. Diaz, M.D., Ph.D. Dr. Fernando Diaz is the system lead of the Neuroscience Center of Excellence for Beaumont Health System as well as the physician lead for Beaumont Royal Oak. Establishing and implementing a Neuroscience Center of Excellence has always been

a professional goal of Dr. Diaz, and the creation of the Beaumont Neuroscience Center has been a truly rewarding experience for him.

Aside from his administrative roles, Dr. Diaz is board certified in neurological surgery and spine surgery and is the chief of the division of neurosurgery at Beaumont Royal Oak.

Dr. Diaz attended medical school at the National University of Mexico and did his neurosurgical residency training at the University of Kansas in Kansas City and the University of Minnesota in Minneapolis. After his residency graduation, he went on to complete a Fellowship in Vascular Neurosurgery at the University of Minnesota as well as earn his Gamma Knife certification.

In addition to his medical training, Dr. Diaz also earned his law degree from Wayne State University and his Physician Executive in Medical Management Certification from the American College of Physician Executives.

Dr. Diaz specializes in vascular surgery for aneurysms and minimally invasive spine surgery. He performs procedures like spinal XLIF and ILIF, which require minimal exposure, and allow a patient to return to activity faster. In addition, Dr. Diaz’s techniques have less risk, employ the use of navigational equipment and allow the reconstruction of multiple spine levels using limited access.

Dr. Diaz has outpatient offices in Royal Oak, Pontiac and Southfield. For more information or to make an appointment, please 800-633-7377.Royal Oak COE

Epilepsy Clinic opens at Royal Oak to offer comprehensive treatment for intractable seizuresShaila Gowda, M.D., Director, Intraoperative Monitoring and Epilepsy Clinic

The Epilepsy Clinic at Beaumont Hospital, Royal Oak opened as a neurology sub-specialty clinic in the Department of Clinical Neurophysiology. The clinic is under the medical direction of epileptologist, Shaila Gowda, M.D., who completed her formal training in Clinical Neurophysiology and Epilepsy at the Cleveland Clinic Foundation. Dr. Gowda specializes in the pre-surgical evaluation and medical treatment of

epilepsy in both pediatric and adult patients.

This sub-specialty clinic offers collaborative treatment for patients suffering from intractable epilepsy, women of child bearing age with epilepsy and other complex forms of the disorder. The Epilepsy Clinic has a comprehensive care approach to treatment, offering evaluation and epilepsy management options from epileptologists, neurologists, neurosurgeons, psychiatrists, neuropsychologists and social workers to create an environment of physicians with exceptional expertise and knowledge in the field of epilepsy. Patients and their families will benefit from this multidisciplinary approach to care because it combines the knowledge of our experienced physician network with a wide array of epilepsy management options, both medical and surgical.

If further evaluation is necessary, patients evaluated in the Epilepsy Clinic will be directly referred to the Epilepsy Monitoring Units at Beaumont. The EMUs are specialized inpatient units designed to evaluate, diagnose and treat adult and pediatric patients with seizures of unknown origin. Experienced technologists from the EMU Control Room provide patients with monitoring 24 hours a day and perform neurological testing as events occur. Our EEG technologists and nurses are specially trained in recognizing and responding to seizures to maximize your safety. EMUs are available at Royal Oak and Grosse Pointe.

In addition to evaluation and management of their epilepsy, patients and their families receive thorough educational material about their condition and tips for managing their epilepsy more effectively through the clinic coordinator and network of physicians. To make an appointment with the Epilepsy Clinic or to refer a patient, please contact 248-551-1967.

Dr. Gowda and clinical coordinator, Sue Turner meet with a patient in the Epilepsy Clinic.


Beaumont has teamed up with neurosurgeons, radiation oncologists and neuro-oncologists to open a Brain and Spinal Cord Tumor Clinic at Beaumont Royal

Oak. This new clinic offers expedited, multidisciplinary care for diagnosing and treating brain and spinal cord tumors.

“The expertise of our medical team and rich resources, make our clinic one of the most comprehensive and experienced in Michigan,” says Daniel Pieper, M.D., director of Neuro Oncology, Beaumont Hospital, Royal Oak and the clinic’s medical director. “Beaumont is a National Cancer Institute-designated Community Clinical Oncology Program. Our specialists use state-of-the-art neuro imaging techniques, such as positron emission tomography and magnetic resonance imaging. Our Gamma Knife® radiosurgery program for brain tumors is one of the nation’s largest, and we offer advanced spinal radiosurgery treatments.” Neuro Oncology directors at Troy and

Grosse Pointe are Rick Olson, M.D., and Chaim Colen, M.D., respectively.

Beaumont’s multidisciplinary clinic takes advantage of adjunctive therapies, like integrative medicine, one of the many services offered that cannot be found at smaller institutions.

The clinic’s team of specialists includes:

• neuroradiologists• neuropathologists• neuro-oncologists• neurosurgeons• physical medicine and rehabilitation

specialists• social workers• psychologists• nurses• dietitians• integrative medicine specialists

All of these specialists come together to evaluate a patient’s condition and recommend the best medical or surgical treatment option in one visit. A nurse navigator guides each patient and their family through the entire treatment process.

Dr. Pieper wants area physicians to use the clinic as a referral center working with local oncologists. “Our aim is to enhance

their practices too. We can draw from the collective expertise of our neuroscience department, Beaumont Cancer Institute, Beaumont Oncology Network, along with the Oakland University William Beaumont School of Medicine.”

Along with serving as a referral center, the clinic will partner with faculty across North America to offer a broad spectrum of treatment strategies. This partnership includes participating in clinical research trials with universities and hospital systems like MD Anderson Cancer Center, Duke University and Case Western Reserve University.

The clinic can be accessed through any Beaumont hospital - Grosse Pointe, Royal Oak and Troy.

Appointments at the clinic can be scheduled by calling toll-free 855-551-9909. The clinic is located in Suite 402 of Beaumont’s Cancer Center on the Royal Oak campus.

New multidisciplinary clinic brings together specialists in one location for integrated brain and spine cancer careDaniel R. Pieper, M.D., FACS, Medical Director, Brain & Spinal Cord Tumor Clinic, Chief, Skullbase Surgery

This multidisciplinary clinic is accompanied by a collaborative neuroscience tumor board that allows a panel of physicians in many different specialties to discuss difficult cases and review numerous treatment options for patients. Since the clinic opened, the bi-monthly tumor conference has seen a surplus of cases discussed; including those from other institutions who recognize the talent Beaumont’s team has to offer.

SUMMER 2011 • NEUROSCIENCE UPDATE

Cane and Able Recovery Group offers support and guidance for stroke recovery

“Life After Stroke… Journey to Recovery”

Beaumont Health System’s Third Annual Community

Stroke Conference

Wednesday, Sept. 21

9 a.m. – 3 p.m.

Best Western Sterling Inn

Sterling Heights, Michigan

A program for stroke survivors, families, caregivers, friends and clinicians interested in learning more about stroke prevention,

treatment and recovery

Topics will focus on all aspects of clinical intervention, as well as community based support.

Look for more information about agenda topics and poster sessions

within the next few months.

We look forward to seeing you there!

Registration fee includes breakfast, lunch, materials and exhibits.

$10 for stroke survivors and caregivers

$30 for Beaumont clinicians

$50 for non-Beaumont clinicians

Register by calling the Beaumont Physician Referral Service toll-free

at 800-633-7377. Space is limited so register early.

The Cane and Able Stroke Recovery Group is a non-profit support organization designed to offer guidance and assistance to recovering stroke patients and their families. This free group was established in 1982, has members with more than 20 years of involvement and is the largest and longest running stroke club in the state of

Michigan. The group was started when its two founders, Joyce Fluegge, OTR, and Robert Dale, MSW, wondered what happened to their stroke patients when they left the hospital. “We didn’t know if they had therapy at home or if they knew how to continue their recovery, both physically and emotionally,” says Joyce.

Members of Cane and Able are not only people who have had strokes and are in the process of recovery, but also their family members and friends who participate in the stroke recovery process as much as the patient. The group is also open to any patient and family of the Beaumont Hospital community. The focus of the group from the beginning has been to provide support and encouragement, education about stroke and stroke recovery, education about

community related issues and a source of recreation and socialization.

Joyce, an occupational therapist and one of the coordinators of the group says, “This isn’t your typical support group. Members celebrate their recovery and the plentiful lives they are going to continue to lead with our help and support.” Joyce is joined by Gwen Doolan, retired physical therapist, and Polly McIlrath, speech pathologist, as the volunteer co-coordinators of the recovery and support group, its activities and membership.

Over the years, the group has evolved and changed into whatever forum its members want it to be. “Members wanted a more hands on approach to support and recovery, and that’s what we gave them,” explains Joyce. “We even have a split group philosophy with stroke recovery patients in one room and their family members and friends in another for separate support techniques relative to their different situations. We welcome new members at any time and look forward to having newcomers join us.”

The Cane and Able Stroke Recovery Group meets the second and fourth Tuesday of every month from 2 – 4 p.m. in classrooms A and B in the Outpatient Services Center and Family Medicine Building across from Beaumont Hospital Troy. To attend the next class, become a member or join the mailing list, please call 248-964-0660.


Members of the Ian Jackson Craniofacial and Cleft Palate Team

Ian Jackson Craniofacial and Cleft Palate ClinicBeaumont Health System has teamed up with plastic and craniofacial surgeons to develop the Craniofacial and Cleft Palate Clinic at Beaumont Hospital, Royal Oak. The clinic honors Ian Jackson, M.D., a pioneer in pediatric plastic surgery.

The clinic offers expedited, multidisciplinary care for children born with craniofacial conditions, such cleft lip or palate, as well as adults with facial deformities from various causes.

“We’ve assembled a highly trained team of experts from many disciplines to treat patients of all ages,” says Kenneth Shaheen, M.D., one of the clinic’s medical directors and director, Plastic Surgery, Beaumont, Royal Oak. “Assessing and treating patients with craniofacial conditions is a complex process. From evaluation to testing, we’ll make treatment recommendations and coordinate care based upon input from our team.”

Along with Dr. Shaheen, Jeffrey Topf, D.D.S., division chief, Oral and Maxillofacial Surgery, and Daniel Pieper, M.D., chief of Skullbase Surgery and director, Neuro Oncology, serve as the clinic’s medical directors.

The medical team includes:

• plastic and craniofacial surgeons• oral and maxillofacial surgeons• neurosurgeons• otolaryngologists• otologists• ophthalmologists• orthodontists• prosthodontists• pediatric dentists• pediatricians• genetic counselors• speech-language pathologists• dietitians

• social workers• psychologists• audiologists• occupational therapists• nurses

The team evaluates a patient’s condition and recommends the best medical or surgical treatment option.

The clinic staff treats a full range of disorders, including:

• cleft lip and palate • velopharyngeal insufficiency • Pierre Robin syndrome • Treacher Collins syndrome • Apert syndrome • Crouzon’s disease • craniosynostosis • hemifacial microsomia • acquired facial deformities • skull base tumors • facial paralysis

What make’s Beaumont’s clinic unique, is that it treats patients of all ages, not just children. In addition, patients have the convenience of meeting and consulting with multiple services regarding their condition at the same appointment.

Appointments at the clinic can be scheduled by calling 248-898-0181. The clinic is located in Suite 206 of Beaumont’s Cancer Center on the Royal Oak campus.

Dr. Jackson, for whom the clinic is named, is an innovator in reconstructive surgery for deformities of the face and skull. Retired from active surgical practice, he will assist the team as a medical educator. Dr. Jackson and his wife, Marjorie, have founded the Ian Jackson Craniofacial and Cleft Palate Clinic Fund to provide treatment scholarships and aid in the education of future craniofacial specialists. A former head of the department of Plastic Surgery at the Mayo Clinic, he is the author of many books and publications.


Physician Spotlight:

John L. Zinkel, M.D., Ph.D., FACS

Dr. John Zinkel is chief of neurosurgery and physician leader of the Neuroscience Center of Excellence at Beaumont Grosse Pointe.

Dr. Zinkel is board certified in neurosurgery and is also a Harvard graduate who attended medical school at the University

of Cincinnati. After graduation, he completed his neurosurgical residency training at the Detroit Medical Center. He then went on to obtain two different fellowship trainings in Spine Reconstruction and Cerebrovascular Disorders. In addition, he also obtained his PhD in microsurgical techniques in brain research and stroke microsurgery.

He is an active member of several professional societies including membership as a Fellow in the American College of Surgeons. Dr. Zinkel has authored scientific and research abstracts that have appeared in numerous professional journals and publications.

Dr. Zinkel specializes in minimally invasive surgery of the adult brain and spine, has performed more than 6,000 major surgeries and holds 3 patents in microsurgery. He established the Grosse Pointe neurosurgical program in 1993 and has turned it into a comprehensive, state-of-the-art program that was ranked #34 in the country by US News and World Report in 2009. This program emphasizes minimally invasive microscopic, endoscopic and stereotactic approaches, and has been first in Michigan to introduce 12 major new brain and spine surgeries.

Dr. Zinkel has an outpatient clinic in St. Clair Shores. For more information or to make an appointment, please call 800-633-7377.

Plastic & Craniofacial SurgeryIan T. Jackson, M.D., FRCS, FACSKenneth W. Shaheen, M.D.Robert A. Forte, M.D., D.D.S.

Oral Maxillofacial SurgeryJeffrey S. Topf, D.D.S., FACDNicholas Bournias, D.D.S.Brian Murphy, D.D.S.Gregg Bobier, DMD

OrthodonticsSteven M. Lash, D.D.S., MSJohn L. Spolyar, D.D.S., MSJennifer K. Mertz, D.D.S., MSRodney D. Hyduk, D.D.S., MSD

ProsthodonticsRichard J. Persiani, D.D.S., MSJonathan P. Wiens, D.D.S., MSD

Otolaryngology & Craniofacial SurgeryMatthew L. Rontal, M.D.Esmael Amjad, M.D.

NeurosurgeryDaniel R. Pieper, M.D., FACS

OphthalmologyLawrence Handler, M.D.

OtologyDennis Bojrab, M.D.

Pediatric DentistryDaniel Briskie, D.D.S.Michelle Tiberia, D.D.S. MSLisa Goldberg, D.D.S.Arnold Tracht, D.D.S. MS

PediatricsBeaumont Pediatric Clinic

PsychiatryRuth M. Anan, Ph.D., BCBA

GeneticsDavid J. Aughton, M.D.Cheryl Harper, MS, CGC

Speech-Language PathologyRichard M. Merson, Ph.D.

AudiologyShelly Schindler, Au.D.

DietarySue Tyson Blackman, RD, CDE

Occupational TherapySuzanne K. Piepszowski, MS, OTR

NursingJennifer Brabant, RN, BSN

Social WorkHeather McKnight, LLMSW

Medical DirectorsKenneth W. Shaheen, M.D.Jeffrey S. Topf, D.D.S.Daniel R. Pieper, M.D., FACS

Office ManagerGretchen Hofmann

Craniofacial and Cleft Palate Team


Meet the team: Neuroscience Center of Excellence Royal OakVickie Hollingsworth, MA, MSA Administrative Lead

Vickie Hollingsworth is the administrative lead for the Neuroscience

Center of Excellence and VP of Heart & Vascular, Neuroscience and Imaging Services at Royal Oak. In her role, Vickie manages the administrative component and promotes growth and optimization of each service named. Vickie is also a driving force in the operational enhancements of the Neuroscience Center through implementation and coordination of quality and safety initiatives, technology advancements, and managing the symbiotic relationship of the three Beaumont campuses along with their commitment to the grow and develop the Neuroscience COE.

Holly Weissman, RN, CNRN, MS, NP-C Nursing Lead

Holly Weissman is the nursing lead for Royal Oak where her focus is process

improvement, specifically with patient order sets and education for nurses and patients. She played a vital role in opening our dedicated Neuroscience Inpatient Rehabilitation Unit, a primary function of which is to decrease length of stay and increase recovery for patients. Additionally, Holly is a neurosurgery nurse practitioner and actively takes care of patients, allowing her to identify patient areas in most need of care improvement. As chief, Holly manages the team of nurse practitioners and physician assistants for Neurosurgery and Physical Medicine & Rehabilitation.

TroyDebbie Guido-Allen, MBA, BSN, RN, NE-BC Administrative Lead

Debbie Guido-Allen is

the administrative lead for the Neuroscience COE as well as the VP of Nursing and Nursing Support at Troy. Debbie is responsible for the administrative oversight of nursing services of critical care, med/surg nursing and women and children’s health departments as well as nursing quality, emergency service line, pharmacy and ambulatory infusion center, respiratory care, among others. Debbie is the primary point of interface with the medical staff while facilitating all aspects of nursing and nursing support services. She is also an integral part of the team currently obtaining Primary Stroke Certifications for Beaumont Troy.

Kathy Evans, APRN, NP Nursing Lead

Kathy Evans is one of the nursing leads and is also part of the chronic disease service at Troy

that includes stroke care and education. As stroke coordinator, her team’s current focus is obtaining Primary Stroke Certification. She has been working collaboratively with Royal Oak and Grosse Pointe on numerous stroke initiatives such as a patient stroke education booklet, stroke discharge instructions, swallow screens and the community program Life after Stroke: Journey to Recovery. A stroke webpage has been developed as a reference for all employees that include professional links for stroke, support groups, discharge instructions, goals and nursing/physician education.

Peggy Tweedie, MS, BSN, RN NE-BC Nursing Lead

Peggy Tweedie is one of the nursing leads for Troy and is also the Director of Nursing for 3 critical care and

4 progressive care units. In the hospital’s pursual of Primary Stroke Certification, Peggy is responsible for nursing practice on the units under her domain and has oversight

on the two units where the placement of stroke patients is most concentrated. Currently, she is supporting and helping to lead the implementation of the many different initiatives the stroke team is launching.

Grosse PointeChristine Stesney-Ridenour, BBA, MBA Administrative Lead

Chris Stesney-Ridenour is the administrative lead for both the

Neuroscience and Cardiovascular Services Center of Excellence, Grosse Pointe division as well as the VP of Operations. Those responsibilities include developing and implementing strategy for operations including Surgical Services, Cardiovascular Services, Imaging, Emergency Center and several other hospital departments. Her role is to work with divisional leadership to set annual goals and objectives to support and drive outcomes for quality, patient and employee satisfaction, growth and financial performance for the hospital.”

Cathleen Solecki, MSN-Ed, RN Nursing Lead

Cathleen Solecki is the nursing lead for both the Grosse Pointe and system-wide

Neuroscience Center. Cathleen ensures adoption of best practices throughout the system, coordinates with team members to develop action plans for the nursing component of the COE and facilitates implementation of desired changes at the division and system level. Cathleen is also the Stroke Coordinator and leads the Stroke Team to develop, implement, and evaluate the care for stroke patients and ensures compliance with specific quality care core measures. She was instrumental in the Grosse Pointe hospital achieving certification as a Primary Stroke Center.


Grosse Pointe’s Epilepsy Monitoring Unit expands seizure treatment across Beaumont Health SystemChaim B. Colen, M.D., Ph.D.

Recently, Beaumont Hospital, Grosse Pointe opened a new Epilepsy Monitoring Unit to observe and treat people who experience recurrent seizures. This initiative has been immediately successful through the collaboration of referring neurologists.

“We have currently expanded the abilities of our EEG monitoring to allow this testing within our intensive care unit,” says Chaim Colen, M.D., Ph.D., neurosurgeon and director of Beaumont, Grosse Pointe’s Epilepsy Program. “This allows us to monitor patients with intractable seizures, head injury or coma that require video EEG

monitoring within an intensive care setting.”

Recently, a 17-year-old patient, with intractable generalized tonic clonic seizures since he was six months old, was seen at Grosse Pointe’s EMU after initial evaluation at another area hospital. A more in-depth evaluation at Beaumont revealed a more specialized diagnosis and cause of the patient’s seizures allowing his medical team to agree upon a treatment regimen.

The patient’s team proceeded with surgery that involved EEG monitoring with special electrodes placed directly onto the surface of the brain. This extremely accurate recording of brain activity revealed the patient’s seizure focus, which was removed. After surgery, the patient experienced a 90% reduction in his seizure activity.

“Seizures are caused by the abnormal signaling of nerve cells in the brain,” says Dr. Colen. “Having a patient spend a few days being monitored in a specialized unit like the EMU provides us with a complete picture of what’s causing the patient’s seizures so that we are able to determine the most effective course of treatment to reduce or eliminate seizure activity.”

Patients receive 24-hour-monitoring using video and electroencephalograms, an electrical tracing of the electrical activity in the brain. The video and EEG tracings provide a comprehensive account of exactly what happens during a seizure and what part of the brain is affected, allowing Dr. Colen and his team to determine individualized treatment.

Identifying and correcting the underlying cause of the seizures can sometimes be enough to prevent them from happening. Epilepsy treatment options include:

• emergency and elective neurosurgery, such as biopsy and removal of lesions that cause seizures• treatment of cerebral complications of epileptic seizures• placement of intracranial electrodes and vagus nerve stimulators

Patients must be referred to the EMU by an epileptologist, neurologist or neurosurgeon.

Physician Spotlight

Esther Young, DODr. Esther Young is a board certified neurologist in Neurology and Psychiatry at Beaumont Troy.

Dr. Young graduated from the Arizona

College of Osteopathic Medicine and later did her residency training in Neurology at Botsford General Hospital in Farmington Hills, Michigan.

As a board certified neurologist, Dr. Young treats the full gamut of neurological diseases and conditions in both pediatric and adult patients. Conditions diagnosed and treated include stroke, headache, seizures and dizziness among many other complex diseases like Alzheimer’s, dementia and multiple sclerosis.

In addition to Dr. Young’s clinical practice, she is also the physician lead of the Neuroscience Center of Excellence at Beaumont Troy. Her expertise in the field of neurology and collaboration with other members of the neuroscience team allows her to apply the most cutting edge clinical applications and administrative management techniques to her philosophy in treating the neuroscience patient.

Through her work with the Neuroscience Center and her role as Stroke Director, Dr. Young is currently working towards Primary Stroke Certification at Beaumont Troy.

Dr. Young has an outpatient office in Rochester Hills. For more information or to make an appointment, please call 800-633-7377.

Members of the Grosse Pointe EMU team


Neuroscience program overview

Traumatic Brain and Spinal Cord Injuries – When an accident results in brain or spinal cord injury, treatment often begins at one of Beaumont’s Emergency Centers. Our EC’s offer leading edge imaging and advanced telemetry for fast, accurate diagnosis of injuries. Our multidisciplinary team of EC staff, trauma surgeons, neurosurgeons and rehab specialists work together to begin immediate treatment, which is essential for best outcomes.

Gamma Knife® – Beaumont’s Gamma Knife® treats brain tumors and neurological conditions with pinpoint accuracy. Gamma Knife® delivers a highly therapeutic dose of radiation to the brain accurately and without the risks of open surgery like general anesthesia, infection and bleeding. Only the target tissue receives a significant radiation dose and no incision is required. Recovery is quick and treatment is generally done on an outpatient basis.

In addition to tumors, Gamma Knife® can be used for arteriovenous malformations, trigeminal neuralgia, Parkinson’s disease, essential tremors, epilepsy and obsessive-compulsive disorder.

Neuro Oncology – Our specialists diagnose and treat malignant brain and spine tumors in children and adults using neuroimaging techniques like positron emission tomography, magnetic resonance spectroscopy imaging, Gamma Knife® and spinal radiosurgery. The team includes neuro oncologists, neurosurgeons, radiation therapists and neuroradiologists.

Craniofacial and Skull Base – Beaumont’s Craniofacial program brings together specialists to provide integrated care for children with a range of craniofacial disorders, such as cleft lip or palate. The multidisciplinary team includes plastic surgeons, otolaryngologists, maxillo facial surgeons and neurosurgeons.

Pediatric Neurosurgery – At Beaumont Children’s Hospital, pediatric neurologists, neurosurgeons and interventional

neuroradiologists are available to treat a variety of neurological conditions in infants and children. Our experts are skilled and equipped to handle the most severe head and spine trauma issues in children. As the only hospital in SE Michigan providing pediatric interventional treatment of brain aneurysms, arteriovenous malformations and vascular tumors, we reduce or eliminate the need for traditional surgery methods.

Epilepsy and Movement Disorders – Our team treats a broad grouping of neurological conditions like epilepsy, Parkinson’s disease, dystonia, spasticity, Huntington’s disease and movement disorders caused by brain injury.

Epilepsy Monitoring Units at Beaumont, Royal Oak and Grosse Pointe serve as specialized inpatient units designed to evaluate, diagnose and treat children and adults with seizures. The EMU offers leading diagnostic capabilities and physician consultation.

Beaumont is also a leader in using deep brain stimulation (DBS) to treat various neurological and movement disorders like Parkinson’s disease, essential tremor, dystonia, tremor due to multiple sclerosis and chronic pain.

Pain Management – Safe and effective pain management is an integral part of treatment. Beaumont’s neuroscience team works in conjunction with anesthesiologists on a variety of treatments and procedures. Physicians have innovative options for treating pain including dorsal column stimulators that can be adjusted for varying levels of pain as well as an implantable intrathecal drug pump. Beaumont’s advanced radiosurgery equipment is helpful in treating focal pain conditions because it’s less invasive than surgery and can be repeated if symptoms recur.

Spine – Our team performs minimally invasive surgeries on complex spinal conditions including spinal trauma, spinal deformities, and spinal oncology. This approach significantly improves patient outcomes with less blood loss, less pain, lower infection rates and shorter hospital stays.

Interventional Neuroradiology and Stroke – Beaumont, Royal Oak is designated a Primary Stroke Center by the Joint Commission affirming the success of our comprehensive stroke care. Our team includes specially trained and certified nursing staff, more interventional stroke specialists than any other hospital in Michigan, dedicated ICU beds for stroke patients, interventional neurosurgeons and neuroradiologists who can administer intra-arterial TPA and remove blood clots from the brain, and a dedicated neuroscience unit. A minimally-invasive approach is provided by our team to treat vascular diseases of the central nervous system and spine including aneurysms, vascular malformations, arterial/venous stenosis, and tumors of the brain, head and neck requiring surgical intervention.

Intraoperative Monitoring – Intraoperative monitoring allows surgeons to check the functionality and integrity of the nervous system during surgery. The use of electrophysiological methods measures brain, nerve and spinal cord activity and has shown to improve patient safety and surgical outcomes. Beaumont’s IOM team has training and experience exceeding many programs in the nation in the surgical areas of neurosurgery, orthopedics, otolaryngology/head and neck and urology.

Ophthalmology – Beaumont Ophthalmol- ogists provide everything from routine eye care to specialized treatment and surgery. Leading edge research conducted allows our doctors to offer state-of-the-art technology including lasers and ultrasounds to diagnose and treat a variety of vision problems.

Neuro-Otology – As a regional referral center, Beaumont has a host of ear, nose and throat specialists who can provide treatments for many neuro-otology conditions. Common conditions such as having tubes put into ears to more complex issues dealing with head and neck cancers and craniofacial deformities can be treated with the latest technologies.


NeurosurgeryFernando G. Diaz, M.D., Ph.D.¥

Chief, NeurosurgeryMick J. Perez-Cruet, M.D., M.S.¥

Vice-Chief, NeurosurgeryHolly S. Gilmer, M.D.¥£

Chief, Pediatric NeurosurgeryDaniel B. Michael, M.D., Ph.D.§¥

Chief, NeurotraumaRyan J. Barrett, D.O.¥

Stephen E. Boodin, M.D.¥Chaim Ben-Joseph Colen,

M.D., Ph.D.§Daniel K. Fahim, M.D.¥Phillip Friedman, M.D.¥

Murali Guthikonda, M.D.¥Bradley T. Hall, D.O.¥£

Steven D. Ham, D.O.¥Robert R. Johnson, M.D.¥Fredrick S. Junn, M.D.¥Steven Kalkanis, M.D.¥ß

Todd Y. Nida, M.D.¥£

Manouchehr Nikpour, M.D.§Rick E. Olson, M.D.¥£

Omar M. Qahwash, D.O.¥Boyd Richards, DO¥

Teck M. Soo, M.D.¥Sandeep Sood, M.D.¥Richard Veyna, MD¥

Karol Zakalik, M.D.¥Lucia J. Zamorano, M.D.¥ß

John L. Zinkel, M.D., Ph.D.§

Stroke ProgramSusan Catto, M.D.¥

Medical Stroke Director

Physician ExtendersHolly Weissman, N.P.

ChiefKim Cameron, P.A.

Megan Clippard, N.P.Becky Doherty, N.P.

Amanda Griffith, N.P.Lauren Gurski, P.A.Justin Hugelier, P.A.Jennifer Jehle, N.P.Megan Keiser, N.P.

Rosie Mannina, N.P.Kristen McGrath, N.P.Jamie Peysakhov, P.A.

Hospital AdministrationVictoria Hollingsworth-Schuler,

M.S., M.S.A.Vice President, Neuroscience

Dorothy Bernard, B.S.N., M.S.ADirector, Specialty Nursing

Neuroscience AdministrationLori Sheridan

Administrative ManagerRachael Wade

Operations Support SpecialistAdministrative Office

248-551-2300

NeurologyAmer G. Aboukasm, M.D.§

Gyula Acsadi, M.D.§Mazen M. Al-Hakim, M.D.¥£

Kheir M. Al-Zouhayli, M.D.¥£

Malaz Almsaddi, M.D.£Steven S. Beall, M.D.§

Martin I. Belkin, D.O.¥£

William D. Boudouris, D.O.¥Julie A Burnham, D.O.£

Norman M. Burns, M.D.¥Nancy Jingyang Cao, M.D. Ph.D.¥£

Paul A. Cullis, M.D.§Sarih Dalati, M.D.§

Lawrence M. Eilender, M.D.¥Mitchell L. Elkiss, D.O.¥

Aaron L. Ellenbogen, D.O.¥£

Anthony A. Emmer, D.O.¥Raina M. Ernstoff, M.D.¥£

Jonathan Fellows, D.O.¥£

Sonia G. Fernando, M.D.¥Martha Frankowski, M.D.£Michelle L. Furmaga, M.D.¥

Jodi A. Ganley, D.O.¥Thomas Giancarlo, M.D.§

Neil J. Gilbert, M.D.¥Shaila Gowda, M.D.¥Rashmi Gupta, M.D.¥

Cesar D. Hidalgo, M.D.£Matthew Holtzman, D.O.¥Agnes Jani-Acsadi, M.D.§Nancy K. Juopperi, D.O.§

Mark A. Kachadurian, D.O.¥Brian N. Kirschner, M.D.¥

Muhammad A. Khan, M.D.£Lawrence W. Konst, D.O.§

Boris J. Leheta, M.D.§Elizabeth A. Leleszi, M.D.¥William Leuchter, M.D.¥Zef Lucaj, M.D. Ph.D.¥£

Alicia G. Lumley, M.D.§John Manica, M.D.¥£

M. Eileen McCormick, D.O.¥Tracey T. Morson, M.D.§Shyam S. Moudgil, M.D.§Sami Mounayer, M.D.¥£

Steven E. Newman, M.D.¥Thomas J. O’Neil, M.D.£

Haranath Policherla, M.D.§Chakrapani Ranganathan, M.D.£

Ayman Rayes, M.D.£Andrea M. Rossi, D.O.¥£

Howard S. Rossman, D.O.¥Leonard Sahn, M.D.¥Vijay Samuel, M.D.¥

Steven H. Schecter, M.D.¥Manaf Seidarabi, M.D.§

Alka Y. Shah, M.D.¥Vaqar K. Siddiqui, M.D.§Mark B. Silverman, D.O.¥Bruce M. Silverman, D.O.¥Lalitha Sivaswamy, M.D.¥Susan L. Smietana, D.O.¥Elizabeth C. Smith, M.D.¥

Alexander R. Spitzer, M.D.¥Alex M. Steinbock, D.O.¥

Yi Chul Sul, M.D.§Danette C. Taylor, D.O.¥

Gary L. Trock, M.D.¥£

Richard M. Trosch, M.D.¥Narayan P. Verma, M.D.¥

James Matthew Voci, M.D.§Nader S. Warra, D.O.¥

Danny F. Watson, M.D.¥Esther L. Young, D.O.¥£

Nadia F. Zaki, M.D.£

NeuroradiologyChris D. Kazmierczak, M.D.¥

Anant Krishnan, M.D.¥James Mick, M.D.¥

Samir E. Noujaim, M.D.¥Sneha R. Patel, M.D.¥

Richard Silbergleit, M.D.¥Kurt E. Tech, M.D.¥

Ay-Ming Wang, M.D.¥Jeffrey M. Wilseck, D.O.¥

OphthalmologyGary W. Abrams, M.D.¥William C. Albert, M.D.¥

Arezo Amirikia, M.D.¥Martin I. Apple, M.D.¥

Robert C. Arends, M.D.¥John D. Baker, M.D.¥

John P. Barletta, M.D.¥Robert D. Beitman, M.D.¥Adrea R. Benkoff, M.D.¥

Ronald H. Bergman, M.D.¥Thomas W. Biggs, D.O.¥

Evan H. Black, M.D.¥Robert Blau, M.D.¥Lisa I. Bohra, M.D.¥

Gerald J. Burke, M.D.¥Antonio Capone, M.D.¥

Mariann Channell, M.D.§Christopher Y. Chow, M.D.¥Matthew E. Citron, D.O.¥

Robert T. Clark, M.D.¥Carl F. Clavenna, M.D.¥Michael J. Clune, M.D.§

Aaron Cohn, M.D.¥Edward M. Cohn, M.D.¥

Charles G. Colombo, M.D.£Megan J. Cowsill, M.D.£

Walter J. Cukrowski, M.D.¥Marshall N. Cyrlin, M.D.¥

Ashvani B. Dass, M.D.¥Patrick J. Dennehy, M.D.§

Frank N. Derr, M.D.£Avninder S. Dhaliwal, M.D.¥A Luisa DiLorenzo, M.D.¥£

Ray Dixon, M.D.§Kimberly A. Dresner, M.D.¥

Steven P. Dunn, M.D.¥Mary Jo Elnick, M.D.¥

Robert C. Erickson, M.D.¥Lisa J. Faia, M.D.¥

David L. Falconer, M.D.£Alice M. Fecko, M.D.¥£

Paul Fecko, M.D.¥£

Gregory Fitzgerald, M.D.¥£

Arlin H. French, D.O.¥Bruce R. Garretson, M.D.¥Tobias V. George, M.D.¥

Conrad Giles, M.D.¥Geoffrey J. Gladstone, M.D.¥Darryl T. Goldberg, M.D.¥

William S. Goldstein, M.D.£Sheldon L. Gonte, M.D.¥£

Robert J. Granadier, M.D.¥Stanley C. Grandon, M.D.¥Charles Greenberg, M.D.¥

Dana J. Greenberg, M.D.¥Michael Y. Greenley, M.D.¥

David Scott Grey, M.D.¥Leslie D. Grosinger, M.D.¥

Kamal Gupta, M.D.¥Daniel S. Haddad, M.D.¥

Roxana Hakimzadeh, M.D.¥£

Lawrence F. Handler, M.D.¥John C. Hart, M.D.¥

Carlotte Liioi Hartzell, M.D.¥Tarek S. Hassan, M.D.¥

David G. Heidemann, M.D.¥Thomas P. Hessburg, M.D.§

Holly S. Holm, M.D.¥Maria Jancevski, M.D.¥Jeffrey C. Kalt, M.D.¥

James W. Klein, M.D.§John Y. Koh, M.D.¥

Daniel B. Kozlow, M.D.¥Alaina L. Kronenberg, M.D.¥

Barbara M. Kuczynski, M.D.¥£

George R. Lesser, M.D.¥Darrin S. Levin, M.D.¥

Sue Lim, M.D.¥£

Caesar Lou, M.D.¥Jeffrey R. Lupovitch, M.D.¥

Susan M. Malinowski, M.D.¥Michael A. Mandell, M.D.¥

David L. Manzo, M.D.¥Brian J. Mazey, D.O.¥

Thomas I. Millman, M.D.¥Robert G. Mobley, M.D.£Donald B. Muenk, M.D.¥Gerald J. Mullan, M.D.§Patrick Murphy, M.D.¥

Anne M. Nachazel, M.D.¥§

Frank A. Nesi, M.D.¥§

Francesca Nesi-Eloff, M.D.¥Melissa Neuwelt, M.D.¥Michael D. Ober, M.D.¥Tom Obertynski, M.D.¥Timothy P. Page, M.D.¥Alan C. Parent, M.D.¥Rahul K. Patel, M.D.¥£

James E. Puklin, M.D.¥Rajesh C. Rao, M.D.¥

E. Mike Raphtis, M.D.¥Karina Richani-Reveroll, M.D.¥

John D. Roarty, M.D.¥Mark A. Rolain, M.D.¥£

Mark H. Rubinstein, M.D.¥Alan J. Ruby, M.D.¥

Dianne M. Schlacter, M.D.¥Juan Javier Servat, M.D.¥

Steven S. Shanbom, M.D.¥David M. Shepherd, M.D.¥Michael S. Sherman, D.O.¥Shirley T. Sherrod, M.D.¥

Marc J. Siegel, M.D.¥Les I. Siegel, M.D.¥

Piero A. Simone, M.D.¥£

Snigdha Singh, M.D.£Robert A. Sklar, M.D.¥Amy L. Smith, M.D.§

Alan W. Solway, M.D.¥Alan V. Spigelman, M.D.¥

Lori A. Stec, M.D.¥Robert Stephenson, M.D.¥Marilynn Sultana, M.D.¥Anil U. Swami, M.D.¥£

Brian R. Sygiel, M.D.¥

Stephen M. Tait, M.D.£Michael Trese, M.D.¥

Patrick M. Verb, M.D.¥§

Stephen P. Verb, M.D.¥§

RaShawn W. Venerable, D.O.£Patrick A. Villani, M.D.§

Max T. Walsh, M.D.¥Richard Lee Watnick, M.D.¥Mark D. Weingarten, M.D.¥

Jane C. Werner, M.D.¥William S. Wilkinson, M.D.¥George A. Williams, M.D.¥

Jeremy Wolfe, M.D.¥Sunita Yedavally, D.O.¥Steven S. Zeldes, M.D.¥

Neuro-OtologySeilesh C. Babu, M.D.¥Dennis I. Bojrab, M.D.¥Eleanor Y. Chan, M.D.¥Jack M. Kartush, M.D.¥

Michael J. LaRouere, M.D.¥Eric W. Sargent, M.D.¥

John Zappia, M.D.¥

§ - Grosse Pointe¥ – Royal Oak

£ – Troyß – Gamma Knife only

Neuroscience Center of Excellence

Royal OakFernando G. Diaz, M.D., Ph.D.*

Physician LeadHolly Weissman, N.P.

Nursing LeadVickie Hollingsworth, M.S., M.S.A.

Administrative Lead

TroyEsther Young, M.D.

Physician LeadKathy Evans, N.P.

Peggy Tweedie, R.N.Nursing Leads

Debbie Guido-Allen, R.N.Administrative Lead

Grosse PointeJohn Zinkel, M.D., Ph.D.

Physician LeadCathleen Solecki*, R.N.

Nursing LeadChris Stesney-Ridenour, B.B.A,

M.B.A.Administrative Lead

Shane CeroneHospital President

Donna Hoban, M.D.Physician-in-Chief

*indicates system lead

NeuroscienceFaculty and Staff

3711 West 13 Mile RoadRoyal Oak, Michigan 48073

Neuroscience update is published quarterly in support of the Neuroscience Program at Beaumont Hospitals.

For comments or suggestions, please call Rachael Wade at 248-551-2300

Congratulations to Mick Perez-Cruet, M.D., MS, and his co-authors on the publishing of their textbook entitled “Minimally Invasive Spine Fusion: Techniques and Operative Nuances” printed through Quality Medical Publishing.

Daniel Michael, M.D., Ph.D., Chief of Neurotrauma and Critical Care at Royal Oak, has been voted the Chair-Elect of the National ThinkFirst Injury Prevention Foundation beginning in 2012.

Congratulations to several faculty members of both Neuroscience and Radiation Oncology for their three recent abstract poster presentation submissions and acceptance to the 2011

American Society for Therapeutic Radiology and Oncology Annual

Meeting in October. The abstracts selected were:

• Clinical Outcomes & Toxicities following Gamma Knife Radiosurgery for Arteriovenous Malformations

• Quality of Life & Audiologic Changes in Patients treated with Gamma Knife Stereotactic Radiosurgery for Vestibular Schwannoma

• Outcomes & Toxicities Following Gamma Knife Radiosurgery with or without Surgical Resection for Glomus Tumors

Recently, Beaumont Hospital, Grosse Pointe Stroke Program received the “Get With The Guidelines” Bronze Award from The Joint Commission.

Institutions receiving this award have reached an aggressive goal of treating stroke patients with 85 percent or higher compliance with standards of care as outlined by the American Heart Association/American Stroke Association for 90 consecutive days.

“With a stroke, quick diagnosis and treatment reduces the risk of brain function loss,” says Matthew Voci, M.D., chief, Neurology at Beaumont, Grosse Pointe. “This award recognizes our commitment and success in achieving a higher standard of stroke care that provides quick, efficient diagnosis and treatment.”

Congratulations to Steven Newman, M.D., a neurologist at Beaumont Hospital, Royal Oak, who was recently installed as the 146th president of the Michigan State Medical Society

Neuroscience announcements

Documents

Neuroscience Update - Summer 2011