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Clinical Facilities : HMC | UWMC | CHRMC | VAPSHCS | AMHHarborview Medical Center (HMC)
HMC is the only Level 1 shock-trauma unit for the five state area of Washington, Wyoming, Alaska, Montana and Idaho which covers one-fifth the land mass of the United States. The hospital coordinates the operation of Airlift Northwest, tying this region and its patients to the 413 bed facility at HMC. The neurosurgery service is a mixture of acute trauma and acute vascular disease (e.g., 200-250 patients annually are treated for aneurysms who are treated via surgery or coiled via interventional radiology procedures), as well as other neurosurgical problems such as brain tumors and spinal disorders. For this reason, over 1300 operative neurosurgical cases are performed each year (not including radiosurgery). Facilities include the neurosurgical stroke and trauma ICU, a 30 bed neurosurgery ward and dedicated neurosurgical operating rooms with the most modern operating facilities, including intraoperative CT scanning, Stealth navigational systems and arteriography. The University of Washington Gamma Knife facility is based at HMC and houses a model C system (the most advanced Gamma Knife system available). The program performs over 200 Gamma Knife procedures each year. The Regional Epilepsy Center, located at Harborview, consists of an eight bed unit available for 24-hour continuous EEG and video monitoring. Neurosurgery research facilities include laboratories investigating molecular and cellular aspects of vascular and smooth muscle physiology, experimental brain injury, and stem cell research. A new 10-story $78 million dollar Research and Training Building was dedicated in 1999. Experimental and clinical analyses of blood flow, transcranial Doppler, intracranial pressure monitoring, and cerebral metabolism are actively used in both the laboratory and clinical settings. University of Washington Medical Center (UWMC) The UWMC is a 450-bed comprehensive care facility that is consistently ranked as one of the best hospitals in the nation. The emphasis in neurosurgery at the University Hospital is on neuro-oncology, neuro-endocrine disorders, skull base tumors, complex spinal disorders and the neurosurgical treatment of pain disorders and epilepsy. A dedicated interventional neuroradiology suite is available for the management of complex vascular malformations. Stereotactic radiosurgery is performed with a Linac Scalpel. UWMC is a partner in the Seattle Cancer Care Alliance which combines the clinical and research capabilities of the University Hospital with the Fred Hutchinson Cancer Research Center http://www.fhcrc.org/ and Children's Hospital & Regional Medical Center. Neurological Surgery facilities include an operating suite with Stealth navigational systems, five shielded electrophysiology research laboratories, brain tumor research laboratories, quarters for behavioral research on primates and an experimental neuro-histology unit with facilities for two electron microscopes. A cyclotron for therapy and PET scanning and two magnetic resonance imaging devices are in use. Approximately 800 neurosurgical cases are performed each year at the UWMC. Children's Hospital & Regional Medical Center
(CHRMC) CHRMC is a 220 bed pediatric hospital. It is the sole pediatric hospital for Seattle and the Pacific Northwest, which spans Washington, Wyoming, Alaska, Montana and Idaho. As such, the clinical service is extremely busy, with over 500 neurosurgical operations completed each year. All disciplines of pediatrics and its subspecialties are available. CHRMC is fully integrated into the University of Washington system. Neurosurgeons supervise the multidisciplinary care and treatment of pediatric brain tumors, craniofacial abnormalities, developmental disorders of spine and hydrocephalus. Visit the Children's Hospital & Regional Medical Center Neurological Surgery website for more information: http://neurosurgery.seattlechildrens.org/home/ Atkinson Morley's Hospital (AMH) AMH is located in Wimbledon, 20 minutes Southwest of the center of London, England. AMH is part of St. George's Medical School. A large number (1800 neurosurgical cases per year) and variety of cases are seen in this unit, the sole regional neurosurgical hospital for three million people. For example, more than 200 patients with subarachnoid hemorrhage are seen yearly. AMH also houses neurology, psychiatry and rehabilitation units. Clinical research is a critical element of AMH; in fact, the CT scanner was developed by Drs. Hounsfield and Ambrose at AMH in the early 1970's. The year spent at AMH emphasizes operative neurosurgery, preparing the resident for his/her future role as chief resident. HMC | UWMC | CHRMC | VAPSHCS | AMH Introduction | Program | Clinical Facilities | Conferences | Academics | Positions | UW & Seattle |
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