Forms & Information

Ask An Expert

[VIDEO] Excruciating back pain gone immediately

Watch this KPTV report about a patient who was in the worst pain in his life. His minimally invasive spine surgery cured him "100 percent" and he was out on the town that evening.

Ask an expert: Managing migraines

What is “migraine brain”? Could some sinus headaches actually be migraines? Is there any way to head off chronic migraines? Providence neurologists answer questions about migraines.

Ask an Expert: Stroke vs. TIA

“Is a TIA truly a stroke, or is it caused by other problems? What is the process for finding a good specialist?"

Best practices in Parkinson's disease care

The American Academy of Neurology recommends 10 quality care measures for treating Parkinson’s disease, yet some aspects of care may be overlooked. Here are seven more that every provider who treats the disease should consider. – Richard Rosenbaum, M.D., neurologist

Booze and Brain: A Review of Alcohol in Memory Disorders

Many patients at the cognitive assessment clinic ask, “Can I drink alcohol?” It seems to be a simple question to answer. After all, either through the media or our own experiences, many of us know someone who drank too much and ended up with memory loss. So, alcohol must be bad for memory, right? 

Brain Watch Event - Twitter Highlights

Bringing science education to life, Providence School Outreach Program hosted more than 125 Portland-area high school students to watch a live “Brain Watch” surgery as Dr. Vivek Deshmukh, neurosurgeon with Providence Brain and Spine Institute, clamped a brain aneurysm in a 4-hour operation.

Eight ways to help your patients with MS

A range of therapies, from treating depression to prescribing exercise, can help patients maintain full lives free of devastating disability. – Stanley Cohan, M.D., Ph.D., medical director, Providence Multiple Sclerosis Center

Electromyography (EMG) Services Update

As part of the expansion of Providence Brain and Spine Institute (PBSI) over the past few years, a number of investments have been made to enhance electrodiagnostic (EMG/NCS) services. These improvements have come in the form of physician expertise, facilities and equipment. 

Practice tip: diagnosing tremors

Kresa-Reahl, Kiren, M.D., neurologist, Providence Center for Parkinson’s Disease, explains the difference between action tremors and rest tremors and what to look for.

Practice tip: MS warning signs

Kresa-Reahl, Kiren, M.D., neurologist, Providence Multiple Sclerosis Center, provides tips on diagnosing numbness and when to order testing to check for multiple sclerosis.

Providence offers the most advanced care for brain tumors

Learn about the warning signs and treatment options for brain tumors.

Providence Well Represented at ISC

The Providence presence at the 2017 International Stroke Conference (ISC) was outstanding this year! Submissions from Providence included research conducted using the Get with the Guidelines® (GWTG) system stroke registry data, as well as local research projects.

Forms Instructions

Brain tumor-free, a life rebounding

Two years after a Providence surgeon removed the tumor that disrupted her life, Carol Fichtner is thriving.

Neuro bi-plane technology gets even more precise

Providence Portland Medical Center now offers an advanced neuro procedure room with 3-D mapping and CT scan overlay.

Now surgeons can see scans through a microscope

Developed at Providence Brain and Spine Institute, microscope-integrated radiology lets surgeons instantly view pre-op images through the surgical microscope. – By Vivek Deshmukh, M.D., neurosurgeon

Program sheets: for medical professionals

Printable sheets with information on Providence Brain and Spine Institute specialty programs.

Program sheets: For patients, family and friends

Printable sheets describing Providence Brain and Spine Institute services.

Tell back pain: It's time to move on

More than 80 percent of painful low-back flare-ups get better on their own within six to eight weeks. Great to know – but what are you supposed to do in the meantime? How can you get past the pain, speed up the healing and tell back pain that it’s time to move on?

The surgical advantages of intraoperative MRI

New technology integrates the state-of-the-art neurosurgical operating room with advanced neuroimaging.

When should a patient be referred to Providence Cognitive Assessment Clinic?

Not all absentmindedness is dementia. Here's a handy chart to help you determine if your patient needs further testing.

Your complete guide to spine surgery

A pre- and post-operative guide for patients planning for spine surgery at Providence Portland, St. Vincent or Willamette Falls medical centers. 

Proprietary Health Article

A Brain Tumor Primer: Common Tumors and Presentation

How brain tumors present is significantly related to their location, size and rate of growth. Tumors associated with the pituitary gland can manifest endocrine effects related to pituitary hypofunction or hyperfunction, for example, while many slow-growing tumors, such as meningiomas and pituitary tumors, may be discovered incidentally upon unrelated cranial imaging.

A crash, a recovery, a brain aneurysm

Heath Munger's brain aneurysm was dangerous and complex. A skilled Providence neurosurgeon and a new device repaired the damage and gave this father a future.

A need for speed promotes neurointensive care

Studies find that the relatively new care model for critically ill neurological patients decreases mortality and shortens hospital stays. – By John Zurasky, M.D., neurointensivist

A pinched nerve brings agony; a surgeon brings relief

Rachel Frazier is a jogger, golfer and power walker. She’s used to the odd muscle and joint aches that come with being physically active. But the pain that came the winter of 2012 was something entirely different. It started in her upper left arm and radiated downward to her thumb, and it kept getting worse.

A reversible dementia

Normal pressure hydrocephalus can be mistaken for Parkinson’s and Alzheimer’s diseases, but with appropriate treatment, its symptoms can be relieved or even reversed. – Ann-Marie Yost, M.D., neurosurgeon, Providence Brain and Spine Institute

A treatment for “untreatable” back pain

For some patients with persistent pain, spinal cord stimulation provides relief when other options have failed. – Martin Baggenstos, M.D., neurosurgeon

An evidence-based guide to treating diabetic neuropathy pain

Recent guidelines provide evidence-based recommendations on the best (and worst) pain medications. – By Joshua Johnson, M.D., neurologist

Back pain: When it's time to call a specialist

Aging, lifestyle and heredity all play a role in back problems, but if pain persists despite home treatments, specialists can help diagnose and treat the cause. – By Gloria M. Dagenais, RN

Brain aneurysm: When to clip, when to coil

Clipping is favored in patients in otherwise good health, younger patients and those with a complete third-nerve palsy. Coiling is favored for older patients in poor health with multiple medical co-morbidities. This patient in this case study got both treatments. – By Vivek Deshmukh, M.D., neurosurgeon

Breaking the back pain cycle

Of all the reasons why people go to the doctor, back pain is second only to the common cold. Genetics, stressful jobs and lifestyles, poor posture and body mechanics, weak muscles, and extra pounds set most of us up for back problems sooner or later.

Case study: A rare brain tumor, a rare procedure

A young woman is diagnosed with a malignant cartilaginous tumor located deep in the skull base. In this case, a novel endoscopic endonasal approach proved superior to traditional techniques. – Pankaj Gore, M.D., neurosurgeon, and Edsel Kim, M.D., ear, nose and throat surgeon

Changing the Concept and Time Window for Acute Ischemic Stroke Treatment: Results of the DAWN and DEFUSE 3 Acute Stroke Treatment Trials

The words “revolutionary” and “ground breaking” are used frequently to announce apparent “therapeutic breakthroughs” only to have the medical community see these “game-changing” clinical trial results vanish from the practical therapeutic arena in the years that follow.

Deep Brain Stimulation, Expanding Treatment for Movement Disorders

Information for referring physicians about DBS at the Providence Brain and Spine Institute Seth Oliveria, M.D., Ph.D. Director, Functional...

Disk problems causing back pain? Think again

Facet joints may be the Rodney Dangerfield of the spine, but when it comes to causing back problems they deserve more respect. – By Jeffrey P. Johnson, M.D., neurosurgeon

Educational Grant Awarded for Multiple Sclerosis Patient Programs

Kyle Smoot, M.D., has been awarded an educational grant to develop two community patient programs that will be held in Portland, Oregon, on Jan....

Endoscopic approaches to the skull base

Gaining access to the interface between the brain and sinuses used to require a risky and often disfiguring craniotomy. But the past 10 years have brought dramatic advancements in minimally invasive surgical techniques. – Edsel U. Kim, head and neck surgeon

Evolution in Management of Acoustic Neuromas

The treatment of acoustic neuromas has evolved in recent years as stereotactic radiosurgery has become more prevalent and strategies to maximize facial nerve function in surgical resection have come to the fore.

Growing to Serve Your Patients: Providence Brain and Spine Institute expands neurology care in Marion, Yamhill, and southern Washington counties

Providence Brain and Spine Institute is pleased to welcome three new providers to our team of experts who provide general neurology services to the community. Each provider bring years of experience serving patients throughout Oregon.

How real is failed back surgery syndrome?

Further testing often reveals that persistent pain has a treatable cause. – By J. Rafe Sales, M.D., orthopedic spine surgeon

Introducing: Brain Academy

Provider and patient education from Providence Brain and Spine Institute – Mark Your Calendars for 2018 1/2 Day Symposia at Providence St....

Maximizing minimally invasive brain tumor surgery

Colloid cysts are rare and potentially deadly, but with special training, endoscopic resection can be done swiftly and easily. – By Pankaj A. Gore, M.D., neurosurgeon

My Patient’s MRI Shows a Pituitary Tumor … What Next?

Workup of the Pituitary “Incidentaloma”. Pituitary tumors are among the most common brain tumors. Autopsy and radiology studies have placed the incidence between 14% and 22%. The incidence increases with age, and overall they account for 13% of all brain tumors.

Neurocritical care unit treats the most challenging conditions

The new 12-bed neurocritical care unit at Providence St. Vincent Medical Center provides the highest level of care for patients with critical neurological illnesses. – John Zurasky, M.D., medical director

New “Brain Academy” Connects You to the Most Current Neurosciences Content

Brain Academy, part of Providence Brain and Spine Institute, offers a comprehensive suite of neuroscience education resources designed to inform and empower our provider and community partners, in an effort to build healthier communities together.

Parkinsons disease: When is deep brain stimulation an option

When medications no longer work, this surgical approach is easing symptoms for many patients with this degenerative disease. – Elise Anderson,M.D., neurologist

Providence inScope: Breaking melanoma's grip

The September issue of Providence inScope, our clinical news magazine, examines a combination therapy that may hold promise for people with advanced melanoma.

Providence inScope: Palliative care for the living

The March 2013 issue of our clinical news magazine highlights how palliative care is helping patients long before the end of life. Also, new surgical options for herniated disks, settling into a medical home and why one ED doc gets high patient-satisfaction scores.

Providence inScope: Treating brain aneurysms

The November issue of Providence inScope, our clinical news magazine, examines a new stent to repair complex brain aneurysms; plus, treating HPV-related oral cancers.

Questions and Answers About Stroke

Questions and answers about stroke with Ted Lowenkopf, M.D., and Lisa Yanase, M.D., Providence Brain and Spine Institute.

Recent publications from the Providence Brain and Spine Institute

Stroke Morrell K, Hyers M, Stuchiner T, Lucas L, Schwartz K, Mako J, Spinelli KJ, Yanase L. (2017) Telehealth Stroke Dysphagia Evaluation Is Safe...

Relieving the pain of a cervical herniated disk

Arm pain from a compressed nerve often can be controlled conservatively, but if the pain is severe and lasting, new surgical options can offer permanent relief with faster recovery times. – J. Rafe Sales, M.D., orthopedic spine surgeon

Research aims to limit the damaging effects of stroke

Providence is participating in several high-profile studies testing new interventions and combination therapies for acute ischemic, hemorrhagic stroke. – Ted J. Lowenkopf, M.D., medical director, Providence Stroke Center

Scientific Publications: PBSI presents on podium at ISC and other updates

The Providence Brain and Spine Institute had a strong presence at the 2018 International Stroke Conference in Anaheim this January, with 9 abstracts accepted and 2 presentations on podium.

The advantages and limits of electromyography

EMG exams are valuable for diagnosing peripheral neurological disorders in many cases, but not all. – By Steven A. Day, M.D., neurologist

The connection between neuropathy and IGM

A growing body of research suggests that impaired glucose metabolism is a factor. – By Joshua Johnson, M.D., neurologist

The next-generation brain aneurysm repair

Beyond coiling and clipping: a newly approved braided stent offers a solution for treating complicated brain aneurysms. – By Vivek Deshmukh, M.D., neurosurgeon

Treating motor impairment in Parkinson’s disease

In the past four decades pharmacological progress has been spectacular, so now physicians and patients may choose among multiple options. Providence Center for Parkinson’s Disease follows these decision-making guides. – Richard Rosenbaum, M.D., neurologist

Tumor Treating Fields Therapy, A Newly Approved Device to Treat Glioblastoma

Glioblastoma (GBM) is one of the most common and quickly fatal brain tumors with a survival of only about six months if left untreated.

Unruptured intracranial aneurysms: indications for treatment

Unruptured intracranial aneurysms are common incidental findings on brain imaging. The challenge is to determine which aneurysms pose the greatest risks … and why. – By Vivek Deshmukh, M.D., neurosurgeon

Use of Acute Stroke Registry to Improve Care Profile of Receptive Stroke Programs

Researchers surveyed hospitals to ask whether ongoing data completeness reports and monthly comparative quality reports were used to make changes in the acute care process. These self-reports were then confirmed by using the registry data to construct objective run-chart measures over 12 months. Results showed several programmatic characteristics that distinguished programs that used quality reports to make improvements.

Where doctors come to heal themselves

The significance of the Kleenex boxes placed on every tabletop isn’t apparent at first. But 15 minutes into this lunchtime gathering of doctors, nurses and a host of other health care workers, the reason becomes clear.

Recommended Resource

Recent Publications and Presentations in Multiple Sclerosis

Publications Results of sustained long-term use of interferon beta-1a in a community-based cohort of patients with relapsing multiple sclerosis....