15. A Delicate Surgery That Cures Debilitating Facial Spasms  | Dr. Neil A. Martin
Think Neuro21 Huhti 2021

15. A Delicate Surgery That Cures Debilitating Facial Spasms | Dr. Neil A. Martin

Imagine a twitch that won’t go away. Worse yet, imagine that twitch is in your face. That’s what sufferers of hemifacial spasms experience, day in and day out. The spasms originate deep in the brain, where it connects with the spinal cord. In this crowded channel, the nerves that control facial muscles ride close by blood vessels. As those vessels age, they can sag and come into contact with one of the facial nerves. The pulsing of blood compresses the nerve, 70 times a minute, 24-hours a day, eventually wearing down the insulation on the nerve, causing it to misfire and creating uncontrollable contractions in the face. Dr. Neil Martin, a neurosurgeon, treats hemifacial spasm by creating a nickel-sized opening in the back of the skull and separating the nerve and the intruding vessel. The procedure takes about 90 minutes, and many patients get immediate relief. Listen to this episode to learn how the procedure works and how Dr. Martin uses minimally invasive techniques at PNI to treat other, related conditions. For more information: pacificneuro.org | (310) 582-7640

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60. What Personalized Medicine Really Is |  Santosh Kesari, MD, PhD - Guest Podcast

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Think Neuro Mini: The Impact of Stress on Memory with Dr. Shannel Elhelou

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Stress can significantly impact the brain and body. Cortisol production in the brain increases. It is a stress hormone regulated by the hypothalamus which is responsible for our fight or flight respon...

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Think Neuro Mini: What is Bell's Palsy? with Dr. Amit Kochhar

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Bell’s palsy is a paralysis or weakness of the muscles on one side of the face. The facial nerves control muscle activity so when damaged it can cause the face to droop. Fortunately, for the majority ...

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Think Neuro Mini: Retinal Changes In The Eye As An Indicator of Cognitive Decline with Dr. Michelle Holmes

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Michelle Holmes, OD, is a full-scope optometrist at the Pacific Neuroscience Institute®. She sees patients at both the Eye, Ear and Skull Base Center as well as at the Brain Health Center. She is boar...

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59. Plastic Surgery for the Vocal Cords │Dr. Omid B. Mehdizadeh

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Strange though it may seem, our vocal cords are among our most vital organs. Not only do they allow us to communicate, but they make it possible to swallow without letting food or fluids into our lung...

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Think Neuro Mini: Normal Pressure Hydrocephalus with Dr. Garni Barkhoudarian

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Normal Pressure Hydrocephalus is one of a few reversible causes of dementia. Dr. Garni Barkhoudarian, director of the Pacific Adult Hydrocephalus Center, briefly describes the symptoms, diagnosis and...

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Think Neuro Mini: What is Cervical Dystonia? with Dr. Natalie Diaz

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Cervical dystonia (sometimes called neck dystonia) is the abnormal position of the muscles of the neck, causing a twisted, turned, flexed or extended neck position. Abnormal signals coming from the de...

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Think Neuro Mini: Ketamine-Assisted Psychotherapy with Juliana Hudson, LCSW

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