Carilion Clinic provides the majority of emergency and acute care neurosurgical services to the western Virginia region (and a large portion of eastern West Virginia). Acute care neurosurgery covers a broad range of disorders and procedures all sharing in common an emergent or urgent nature. This type of service requires 24-7 coverage by a neurosurgery team. Carilion's neurosurgery team routinely covers urgent and emergent neurosurgical situations from the emergency room, the trauma center, and from outlying hospitals up to several hours away.
A significant proportion of neurosurgical emergencies are related to trauma. At Carilion, 50 percent of emergency consultations are related to traumatic head and spine injuries. The neurosurgery team offers full-service trauma coverage with extensive experience and expertise in the treatment of severe brain injuries, traumatic hemorrhages, skull and sinus fractures, spinal cord injuries, neck and back fractures, and peripheral nerve injuries. The team works with trauma surgery, critical care, invasive radiology, orthopaedics, otolaryngology, and others to provide the best care possible.
Acute care neurosurgery is not solely trauma-related. At Carilion, the remaining 50 percent of emergent and urgent neurosurgical consultations involve a broad scope of brain and spinal disorders such as intracranial hemorrhages (bleeding within the brain), ventriculo-peritoneal shunt failures, severe spinal cord compression from tumors and disc herniations, infections of the brain and spine, hemorrhage in the spine, rapid decline in brain function from tumors, cerebral aneurysm ruptures, pituitary gland strokes and hemorrhages, severe on-going pain from degenerative spine disease, and others.