We deliver superior outcomes

Strokes, brain aneurysms and arteriovenous malformations (AVMs) are often life-threatening conditions that require urgent, subspecialized care. Fortunately, as one of the highest-volume, most sophisticated neurovascular centers in the mid-Atlantic, New Jersey Brain and Spine provides 24/7 evaluation and treatment of well over 700 patients with these conditions each year.

When we do determine our patients need to undergo a procedure, over 90% of the time we are able to treat them using minimally invasive techniques, allowing them to have a shorter hospital stay and a faster return to work and their normal way of life.

We perform approximately 250 major surgical or endovascular procedures each year for strokes, aneurysms, AVMs and vascular tumors. Studies show that high volumes of procedures are linked to better outcomes, and our patient results are consistent with those findings. For example, 88% of the patients we treat for ruptured brain aneurysms completely recover without disability, compared to only 62% of patients reported nationally.

Our Neurovascular (Aneurysm, AVM and Stroke) Center Experts

We bring together the best medical minds to care for you

Daniel E. Walzman, MD

Reza J. Karimi, MD

Ugo Paolucci, MD

We collaborate with a multi-disciplinary team

We work closely with other top specialists to ensure you receive consistently superb, coordinated care. Our multi-disciplinary neurovascular team includes vascular and endovascular neurosurgeons, vascular neurologists, neuro critical care specialists, neuroradiologists, pediatric neurosurgeons and radiation oncologists.

Hear more from the
Neurovascular team

Having a physician who is an expert in all three neurovascular modalities—surgery, embolization and radiosurgery—provides more tailored therapies and improves care quality.

- Reza J. Karimi, MD

Conditions and Treatments

We make sure you understand your condition and treatment options

Common Conditions

Our neurovascular experts treat a full range of conditions affecting the arteries and veins of the nervous system.

Brain aneurysms
Arteriovenous Malformation (AVM)
Carotid artery stenosis
Cavernous malformations
Ischemic stroke
Transient ischemic attacks (TIAs, mini-strokes)
Intracranial atherosclerosis
Moyamoya disease

Full list of conditions

Common Treatments

We offer a full range of state-of-the-art surgical and endovascular (minimally invasive) treatments. Fellowship-trained in both vascular neurosurgery and endovascular neurosurgery, our board-certified neurovascular surgeons ensure you receive the optimal treatment for your condition—whether that involves surgery, embolization and/or radiosurgery.

Angiography
Aneurysm coiling
Aneurysm clipping
Embolization of aneurysms
Embolization of AVM
Gamma knife radiosurgery for AVM
Embolization of intracranial tumors
Extracranial/intracranial bypass
Carotid or vertebral artery stenting

Full list of treatments

Clinical Trials

We have participated in over a dozen neurovascular clinical trials and humanitarian device exemption registries, enabling us to offer the most advanced treatments available to our patients. As a high volume tertiary neurovascular referral center, we perform more of these procedures than any center in the region. If any of these more advanced treatment options are optimal for your condition, we will thoroughly discuss it with you so you can make the best decision.

Cerebrovascular Program Clinical Trials

THERAPY Trial: A Phase IV Trial Assessing the Penumbra System in the Treatment of Acute Stroke (THERAPY): To assess the safety and effectiveness of the Penumbra System as adjunctive treatment to IV tPA in patients with acute ischemic stroke from large vessel occlusion in the anterior circulation.
EG-1962: A Phase 1/2a Safety and Tolerability Study of EG-1962 in Aneurysmal Subarachnoid Hemorrhage (NEWTON).
NANO Trial: EffectiveNess and SAfety of Small ANeurysm COiling Trial (NANO): To compare the safety and efficacy of treating small aneurysms with coils specially designed for small aneurysms to historically reported rates of safety and efficacy for the treatment of larger aneurysms.
Crest 2: Carotid Revascularization and Medical Management for Asymptomatic patients with Carotid Stenosis.

Cerebrovascular Humanitarian Device Exemption (HDE) registries

Wingspan Stent/Gateway Balloon: Device manufacturer: Boston Scientific
Codman/Enterprise Device & Delivery System: Device manufacturer: Codman & Shurtleff, Inc.
Onyx Liquid Embolic System: Device manufacturer: EV3, Medtronic.
Neuroform EZ Stent/Microdelivery System: Device manufacturer: Stryker Corp.
LVIS: Device manufacturer: Microvention Inc.

Click here for all up-to-date clinical trials