Skull Base Surgery in New York, NY

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What is Skull Base Surgery?

Dr. Raymond Sekula performs skull base surgery to address abnormalities at the bony surface beneath the brain. The skull base, housing many vital structures and separating the brain from facial features, is divided into three regions: the anterior cranial fossa, the middle cranial fossa, and the posterior cranial fossa, each at different levels. This region is critical as it contains the brainstem, which connects the brain and spinal cord and controls vital functions, and the cerebellum, which is responsible for coordination and balance. Historically challenging to access, surgical advances and improved neuroimaging now allow for effective treatment of skull base abnormalities with ongoing advancements leading to less invasive procedures. Techniques include traditional craniotomy, which can now be performed minimally invasively, and transsphenoidal surgery, a procedure done through the nostrils or inside of the mouth with an endoscope, allowing for small and usually invisible incisions. To learn more about skull base surgery, contact Dr. Raymond Sekula at his office inside The Neurological Institute of New York in New York, NY.

What Can I Expect after Skull Base Surgery?

Skull base surgery may be performed by Dr. Sekula when a brain abnormality is found near the skull base. Conservative options, such as medication, are usually considered first, but surgery usually becomes the primary treatment to address the abnormality. Patients who undergo transsphenoidal surgery typically stay in the hospital for 1 – 2 days while those who undergo a craniotomy may stay around one week. After surgery, Dr. Sekula provides specific instructions to aid recovery, including prescribed medications, activity restrictions, and scheduling follow-up appointments to assess the patient's progress and determine if further treatment is needed.

I had a wonderful follow-up visit with Dr. Sekula. He was able to spend time with me explaining more about my surgery and what made it unique. He has been a wonderful and supportive care provider.

K.W. Google

I suffer from trigeminal neuralgia since 2012. I seen many surgeons, some in New York and CT which truly never gave me a straight forward answer about my condition. Unfortunately, I did not tolerated meds for it and I suffer w it for many years. Last year it aggravated to a point that life stop making sense. While searching for a surgeon I read a story of a young man on his page w a similar story of feeling no way out but Dr. Sekula change his life. I can say the same, the surgery he did took away the trigeminal pain. I am in disbelief of how I don’t have any pain whatsoever. Dr. Sekula changed my life. my family as myself have so much gratitude. I highly recommend Dr. Sekula to anyone who is suffering from trigeminal neuralgia. Now I can enjoy life to the fullest w the people I love.

E.C. Google

Dr. Sekula performed MVD on my mother who has been suffering ftom trigeminal neuralgia for several years now. Quick surgery and a recovery with no complications. Knowledgable and passionate doctor.

K.C. Google

Dr. Sekula did surgery on my wife and he was caring, understanding and came by before and after surgery which does not always happen. He is a wonderful surgeon and he is a compassionate doctor. We don’t know the results of the surgery yet, but he made my wife feel as if he will keep on trying until we get the issue corrected. Caroline is great and supports you every step of the way. I can’t speak highly enough about Dr. Sekula and his team.

M.Z. Google

I suffered from Trigeminal Neuralgia 8 years ago. Prior to diagnosis my dentist thought it was because I needed a root canal. 1 Root canal and tooth extraction later, it seemed to have gone, but then returned. I begin to see a neurologist and I was then treated with drugs. It seemed to mitigate, but I would get intense flare ups periodically. Life relocated us to Pittsburgh, where upon I did some research on the UPMC website. I was quickly pointed to Dr. Sekula and an appointment was made. Dr. Sekula met with me and quickly and recommended the vascular decompression. I was quickly set for surgery. The result was immediate. No flareups, or anything in the last 5 years. This was life changing surgery for me. Dr. Sekula has subsequently moved on to Columbia University and wish him the best. You could not be in better hands for this condition.

M.M. Google


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If you are facing a brain abnormality near the skull base, trust in the skill and compassionate care of Dr. Raymond Sekula in New York, NY. Whether it's exploring conservative treatment options or moving forward with surgery, Dr. Sekula ensures personalized care every step of the way. Don't let uncertainty loom over your health; schedule a consultation today at his office in The Neurological Institute of New York to better understand your options.

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