Neurosurgeries take place in our BrainSUITE, which offers the most sophisticated equipment available for pediatric neurosurgery. Here, surgeons use advanced technology to create precise, three-dimensional maps of the brain and tailor their approach to each patient, minimizing trauma to surrounding areas of the brain that control speech, movement and other vital functions. As a result, we’re able to treat patients whose conditions were previously considered inoperable.

Baclofen Pump Implantation

Baclofen is a medication that acts on the central nervous system to relax muscles. A device called a baclofen pump delivers the medicine directly to the target site in the spinal cord.

Decompression Surgery

For children having symptoms of and who have been diagnosed with Chiari malformations, the treatment is decompression surgery to create more space for the brain and spinal cord.

Deep Brain Stimulation

Deep brain stimulation (DBS) is used to treat tremors and dystonia (movement disorders) that sometimes occur when a child has a cerebrovascular disease such as chronic stroke or arteriovenous malformation.

Performed by a neurosurgeon, this minimally invasive procedure involves placing a stimulation electrode on abnormal brain tissue in order to alter its function, control tremors and improve movement. DBS is reversible and adjustable, and does not destroy the area of brain tissue but stimulates it instead. Our neurosurgeons perform this procedure using intra-operative magnetic resonance imaging, which provides real-time guidance during surgery.

Only a small number of medical centers specialize in providing a comprehensive DBS program for children and adolescents. Our team collaborates with specialists at the Cincinnati Children’s Movement Disorders Clinic to ensure that children receive comprehensive care before and after the implant surgery.

Endoscopic Third Ventriculostomy

Endoscopic third ventriculostomy is a surgical procedure offered to children and adults diagnosed with obstructive or non-communicating hydrocephalus.


A reservoir (rez-er-vwar) is a tube used to remove extra fluid from the ventricles in the brain.

Selective Dorsal Rhizotomy (SDR)

Selective Dorsal Rhizotomy (SDR) involves identifying the small nerve roots (“nerve rootlets”) coming into the spinal cord from the leg muscles, and severing the ones that are contributing to spasticity. This interrupts the abnormal circuit of nerve impulses that are keeping the muscles tight.


A shunt is a tube that drains the cerebrospinal fluid (CSF) from the ventricles in the brain to another space in the body, which reabsorbs the fluid.

Shunt Malfunction Signs

Shunt malfunction signs include headaches, vomiting, sleepiness and more.