Research & Development
Diabetes Research Offers Immediate and Long-Term Benefits
Adults with type 2 diabetes may benefit from new research based at Carilion and the Fralin Biomedical Research Institute at VTC (FBRI). In this articl...
- Acromegaly
- Adenoma
- Cerebrospinal fluid leak
- Craniopharyngiomas
- Cushing's syndrome
- Meningiomas
- Prolactinoma
- Rathke Cleft Cysts
- Sellar arachnoid cyst
Shining a light on excellence
John Jane, Jr. M.D.Senior Vice President and Chair, Neurosurgery
Provider Spotlight
John Jane, Jr. M.D.Senior Vice President and Chair, Neurosurgery"I believe that we should honor the trust that patients put in us by providing the highest quality of care."
Neurosurgical Excellence Close to Home
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Endoscopic Endonasal Surgery
Endoscopic sinus surgery is usually performed as an outpatient procedure with the patient under general anesthesia (asleep). During the surgery: The sinus surgeon inserts an endoscope — a thin camera rod with a light at the end — into one nostril and uses it to magnify and visualize the sinus tissues.
Endoscopic Pituitary Surgery
Endoscopic pituitary surgery is the most common way to remove pituitary tumors. Your pituitary gland sits at the bottom of your brain, just above the inside of your nose and controls most of the hormones in your body. During surgery an endoscope (a thin, stiff tube that has a microscope, light and camera inside) is put into your nose. The camera lets the surgeon see what's happening on a TV screen while using other special tools through the endoscope to take out the tumor.
Radiation Therapy
In radiation therapy, radiation is directed through the skin and skull to the tumour and surrounding tissue. It may be used to treat pituitary gland tumours that are not completely removed by surgery or when the tumour comes back after surgery. It can also be used when surgery isn't an option. External radiation therapy works slowly on pituitary gland tumours. It can take months or even years before tumour growth and hormone levels are completely controlled.
Hormone Replacement Therapy
Treatments may include pituitary hormone replacement, in which hormones are given to replace hormones not being produced by the pituitary gland. These include cortisol, thyroid hormone, vasopressin, sex hormones and growth hormone.
Stereotactic Radiosurgery/CyberKnife
CyberKnife uses stereotactic body radiation therapy, delivering precise doses of radiation with extreme accuracy—accounting for tumor or patient movement in real-time. The robot moves and bends around the patient to deliver radiation doses from thousands of unique beam angles, significantly expanding the possible positions to concentrate radiation to the tumor while minimizing dose to surrounding healthy tissue.
Endoscopic Endonasal Surgery
Endoscopic sinus surgery is usually performed as an outpatient procedure with the patient under general anesthesia (asleep). During the surgery: The sinus surgeon inserts an endoscope — a thin camera rod with a light at the end — into one nostril and uses it to magnify and visualize the sinus tissues.
Endoscopic Pituitary Surgery
Endoscopic pituitary surgery is the most common way to remove pituitary tumors. Your pituitary gland sits at the bottom of your brain, just above the inside of your nose and controls most of the hormones in your body. During surgery an endoscope (a thin, stiff tube that has a microscope, light and camera inside) is put into your nose. The camera lets the surgeon see what's happening on a TV screen while using other special tools through the endoscope to take out the tumor.
Radiation Therapy
In radiation therapy, radiation is directed through the skin and skull to the tumour and surrounding tissue. It may be used to treat pituitary gland tumours that are not completely removed by surgery or when the tumour comes back after surgery. It can also be used when surgery isn't an option. External radiation therapy works slowly on pituitary gland tumours. It can take months or even years before tumour growth and hormone levels are completely controlled.
Hormone Replacement Therapy
Treatments may include pituitary hormone replacement, in which hormones are given to replace hormones not being produced by the pituitary gland. These include cortisol, thyroid hormone, vasopressin, sex hormones and growth hormone.
Stereotactic Radiosurgery/CyberKnife
CyberKnife uses stereotactic body radiation therapy, delivering precise doses of radiation with extreme accuracy—accounting for tumor or patient movement in real-time. The robot moves and bends around the patient to deliver radiation doses from thousands of unique beam angles, significantly expanding the possible positions to concentrate radiation to the tumor while minimizing dose to surrounding healthy tissue.
Multidisciplinary Pituitary Tumor Clinic
Carilion Clinic offers comprehensive, multidisciplinary care for pediatric and adult patients with pituitary tumors. Patients have same-day access to expert endocrinology and neurosurgery consultations, advanced imaging, on-site laboratory services, and an integrated pharmacy. Care teams may also collaborate with specialists in ophthalmology, psychology, rehabilitation services, and pathology as needed.
Whether evaluating symptoms, managing long-term hormone imbalances, or planning surgical interventions, our team is here to support each patient through every step of their journey.
Established
Our skilled team of neurosurgeons, neurologists and other specialists work collaboratively to diagnose and treat patients of all ages.
Specialized
State-of-the-art expertise in treating brain tumors, spinal disorders, cancers, vascular issues and other complex neurological conditions.
Experienced
1st in VA to offer deep brain stimulation for epilepsy, and 1st in VA to implant a Vagal Nerve Stimulator for depression treatment.
Innovative
Regional leader in neurosurgical research and clinical trials.
Established
Our skilled team of neurosurgeons, neurologists and other specialists work collaboratively to diagnose and treat patients of all ages.
Specialized
State-of-the-art expertise in treating brain tumors, spinal disorders, cancers, vascular issues and other complex neurological conditions.
Experienced
1st in VA to offer deep brain stimulation for epilepsy, and 1st in VA to implant a Vagal Nerve Stimulator for depression treatment.
Innovative
Regional leader in neurosurgical research and clinical trials.
Learn about your diagnosis and symptoms
Patient Education
Carilion Clinic believes that education empowers patients to take an active role in their health. Patients and families can learn more about medical conditions and healthy living to better care for themselves.
Patient Stories
It never crossed my mind that it could be a brain tumor. After the initial shock wore off, I knew that I was in good hands here because I knew everybody. "
Elizabeth Lindsey
, Pituitary Tumor, Neurosurgery
Meet Our Team
Our Pituitary team includes specialists in neurosurgery, endocrinology, pediatric endocrinology, otolaryngology and ophthalmology. Nurse practitioners and other care team members carefully coordinate related tests and appointments to ensure seamless care for our patients.
Contact UsYour surgeon will talk to you about your diagnosis, surgical options and answer your questions.
Contact us for a consultation in a location near you!
3 Pituitary Locations
To schedule an appointment at a Pituitary location
Access to Care
Call 540-224-5170