Overview
The skull base is the most demanding anatomical area of the human body, representing the base of the brain and the passage of the cranial nerves and the carotid arteries. Lesions of this area are some of the most difficult to treat because of the proximity to these vital structures. Removing tumors of the skull base requires advanced surgical skills and experience. Our team at UofL Physicians provides excellence in the surgical approach to these lesions, incorporating a multi-disciplinary approach and the most up to date research available.
A team of neurosurgeons, endocrinologists, ophthalmologists, otolaryngologists, radiation oncologists, pathologists, and neuro-radiologists join together once a month for Pituitary Conference to discuss cases and determine best treatment options for the patients. Patients are then updated as indicated based on the consensus of the entire team in order to proceed with the recommended treatment.
Diseases & Conditions
Pituitary Lesions
- Acromegaly
- Cushing’s Disease
- Pituitary Cyst
- Prolactinoma
- Rathke’s Cleft Cyst
- TSH Secreting Tumor
Skull Based Center
- Acoustic neuroma/Vestibular schwannoma
- Cholesteatoma/Cholesterol granuloma
- Chordoma
- Craniopharyngioma
- Esthesioneuroblastoma
- Fibrous Dysplasia
- Meningioma
- Neurofibroma
Treatments & Services
Each patient undergoes a multispecialty evaluation in order to determine the best treatment plan. Our goal is to provide the most effective care using minimally invasive techniques as indicated. Management of pituitary and skull-based lesions varies based on each individual case. Our specialists offer the following:
- Endoscopic endonasal approach for biopsy
- Endoscopic endonasal approach for resection
- Stereotactic guidance for tumor biopsy
- Stereotactic guidance for craniotomy for resection
- Intraoperative neuro-monitoring of the brain and cranial nerves
- Radiotherapy and Cyberknife
- Chemotherapy
- Medical management with hormones
Providers
See All 11 Providers
Emily P. Sieg, M.D.
Areas of Interest: Neurotrauma Care | Neurocritical Care | Minimally Invasive & Complex Spine Surgery | Advanced Neuromonitoring
Primary Practice Location
UofL Physicians – NeurosurgeryUofL Health - Frazier Rehabilitation Institute
220 Abraham Flexner Way, 12th Floor
Louisville, KY 40202
Megan Nelson, M.D.
Areas of Interest: Cancer Rehabilitation Medicine
Primary Practice Location
UofL Physicians – NeurosurgeryUofL Health - Frazier Rehabilitation Institute
220 Abraham Flexner Way, 12th Floor
Louisville, KY 40202
Maxwell Boakye, M.D., MPH, MBA, FACS, FAANS
Areas of Interest: General Neurosurgery | Complex Spinal Surgery | Spinal Radiosurgery | Minimally Invasive Spinal Surgery
Primary Practice Location
UofL Physicians – NeurosurgeryUofL Health - Frazier Rehabilitation Institute
220 Abraham Flexner Way, 12th Floor
Louisville, KY 40202
Joseph Neimat, M.D., M.S.
Areas of Interest: Functional Neurosurgery | Movement Disorders | Epilepsy Surgery | General Neurosurgery
Primary Practice Location
UofL Physicians – NeurosurgeryUofL Health - Frazier Rehabilitation Institute
220 Abraham Flexner Way, 12th Floor
Louisville, KY 40202
Sathya S. Krishnasamy, M.D.
Areas of Interest: Diabetes and Hypoglycemia | Bone and Calcium Disorders | Thyroid Diseases | Comprehensive Endocrinology
Primary Practice Location
UofL Physicians – EndocrinologyUofL Health - Chestnut Street Outpatient Center
401 East Chestnut Street, Suite 310
Louisville, KY 40202
Alexandra S. Schaber, APRN
Areas of Interest: Neuro-Oncology
Primary Practice Location
UofL Physicians – NeurosurgeryUofL Health - Frazier Rehabilitation Institute
220 Abraham Flexner Way, 12th Floor
Louisville, KY 40202
Accepted Insurance
UofL Physicians participates in most major health plans in Kentucky. Coverage may vary by specialty. Coverage limitations are dependent on the terms of your personal health plan. This is not a guarantee that all services you receive will be covered by your health plan. Review your health plan provider directory and/or consult with your plan to confirm coverage.
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