Hi all, Ramin Rak here with another blog post about the complex neurosurgical procedures I complete at Neurological Surgery, P.C.

I specialize in the completion of surgeries meant to treat ailments affecting the brain and spine. In previous blog posts I have discussed my work with the NSPC Brain Tumor Center and spinal procedures such as Spinal Fusion and the X-Stop Procedure. One spinal procedure that I have not written about is a microdiscectomy.

When a patient complains of leg pain I can use magnetic resource imaging (MRI) or a computer tomography (CT) scan to determine if the patient has a herniated disc.

Using these results, I then decide whether or not a microdiscectomy will relieve the patient’s symptoms.

This spinal procedure is primarily used to treat leg pain, specifically leg pain arising from a herniated lumbar disc. Compression or impingement on the nerve root, defined as bone colliding with or striking the nerve root, will cause considerable leg pain. A microdiscectomy is used to relieve leg pain, and in many cases the patient will feel relief immediately after completion of surgery.

When completing a microdiscectomy, I examine the disc and nerves under a high powered microscope so that I only need to make a small incision.

By using this microneurosurgical technique instead of performing a discectomy, patients experience a much smaller recovery time because there is less tissue damage.

After the incision is made, I move the back muscles off of the bony arch (lamina) of the spine. I am then able to enter the spine by removing a membrane over the nerve roots and visualize the nerve using operating glasses. Once herniated disc material is removed, the procedure is complete.

For more information about the types of spinal procedures I have completed, take a look at my other blog posts or view some of the surgical videos I have uploaded to Vimeo by clicking here.

Thanks for reading,

Ramin Rak


PS For more information on the completion of a microdiscectomy, visit this link.

NSPC Brain Tumor Center

NSPC Brain Tumor Center with Ramin Rak

Hi all, Ramin Rak here with another blog post about my work as a neurosurgeon.

I am affiliated with Neurological Surgery, P.C., New York’s private largest neurosurgical group. One of the resources that Neurological Surgery, P.C. uses to provide better treatment is the Long Island Brain Tumor Center (their official website is located here).

I am one of the neurosurgeons who is part of the Neurosurgeon Brain Tumor Team, along with:

  • Dr. Michael H. Brisman, M.D., F.A.C.S.
  • Dr. Jeffrey A. Brown, M.D., F.A.C.S.
  • Dr. Lee Eric Tessler, M.D., F.A.A.N.S.
  • Dr. Alan Mechanic, M.D., F.A.C.S.
  • Dr. Robert N. Holtzman, M.D.
  • Dr. Vladimir Dadashev, M.D.
  • Dr. Gerald M. Zupruk, M.D., F.A.A.N.S.

The Brain Tumor Team also includes an Endovascular Neuroradiologist (Dr. John Pile-Spellman, M.D.), a Neuropsychologist (Dr. Gad E. Klein, Ph. D.), and two neuro-oncologists (Dr. Paul Duic, M.D. and Dr. Jai Grewal, M.D.).

The Long Island Brain Tumor Center focuses on treating conditions like acoustic neuroma, schwannoma, ependymoma, astrocytoma, and other ailments related to brain tumors.

A brain tumor occurs as a result of uncontrolled cell division in the brain itself, glial cells, lymphatic tissue, the cranial nerves, brain envelopes, the skull, pituitary and pineal gland, or can even be spread from cancer located in other areas. Symptoms of a brain tumor include phantom odors and tastes, while onset symptoms like an epileptic seizure in a patient with no history of epilepsy or sudden intracranial hypertension have also been observed.

The team of neurosurgeons within the Long Island Brain Tumor Center diagnoses tumors using computed tomography (CT) and magnetic resonance imaging (MRI) mapping techniques.

Tumors must be investigated before a diagnosis and treatment options can be determined, but the good news is that not all brain tumors are cancerous.

Take a look at my other blog posts to find out how I use techniques like Gamma Knife, and CyberKnife procedures to treat brain tumors without surgery.

Thanks for reading,

Ramin Rak