Columbia Neurosurgical is a small practice that offers each patient individualized attention and personalized treatment. We provide neurosurgical treatment for disorders of the brain, nerves and spine. Dr. David E. Adler and his office team work together with each patient and his or her physician to correctly diagnose neurosurgical conditions. We then conduct state-of-the-art neurosurgical procedures, using the latest techniques including image-guided neurosurgery and minimally invasive spine surgery. After surgery, we provide complete follow-up care in order thateach patient may recover as quickly as possible.
Listed below are some of the conditions we treat. Included are the symptoms, diagnostic techniques and treatment options patients experience and require for evaluation and treatment. These are guidelines only and do not replace a one-to-one consultation with Dr. Adler or your physician. Please feel free to call us for an appointment at 503-796-2743.
CRANIAL TUMORS AND CEREBROVASCULAR DISEASES
(including, but not limited to, meningiomas, gliomas, pituitary tumors, adenomas, arterovenous malformations, aneurysms)
Symptoms
- Headache, nausea, vomiting, visual disturbance, weakness, numbness, tingling
Diagnostic Techniques
- MRI
- CT Scan
- Angiogram
- PET Scan
Treatment Options
- Surgery
- Radiosurgery – one-dose high-energy radiation
Dr. Adler also collaborates with the Portland Neurovascular Center and Dr. David Siker to utilize state-of-the-art diagnostic procedures and to create the most effective treatment plan. www.portlandneurovascular.com
CERVICAL SPINE DISEASE
(including, but not limited to, degenerative discs, herniated discs, spondylosis)
Symptoms
- Neck and arm pain, weakness, numbness, tingling, electroshock sensations, bowel and bladder disturbances
Diagnostic Techniques
Treatment Options
- Surgery – including, but not limited to, discectomy and fusion.
- Non-surgical, non-steriodal – anti-inflammatory, steroids, cervical traction
THORACOLUMBAR CONDITIONS
Symptoms
- Sciatica/leg pain, back pain
Diagnostic Techniques
- MRI
- CT Scan
- Mylography
- Nerve Conduction studies
- Electrodiagnostic studies
Treatment Options
- Surgery – minimally invasive microdiscectomy or fusion
- Non-surgical – exercise, weight loss, smoking cessation
CARPAL TUNNEL
Symptoms
- Hand pain, numbness, tingling, pain at night – enough to wake the patient, hand weakness
Diagnostic Techniques
Treatment Options
- Surgery – Carpal Tunnel Release
CUBITAL TUNNEL SYNDROME, ULNAR NEUROPATHY
Symptoms
- Elbow pain, forearm pain, numbness, tingling, weakness in ring and fifth fingers
Diagnostic Techniques
Treatment Options
- Surgery – ulnar nerve transposition
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