Neurologists in San Antonio, Texas

Texas Neurosciences Institute

Methodist Healthcare's Texas Neurosciences Institute offers one of the most comprehensive neuroscience programs in the state. Our highly skilled neurological team and dedicated staff use the latest technological advancements and treatment programs, including deep brain stimulation, spinal canal exploration and lumbar fusion.

To learn more about our extensive neurological care services, please call Methodist Healthcare at (210) 575-0355.

The Texas Neurosciences Institute specializes in treating your neurological needs. Our top neurologists help our patients improve their quality of life and complete over 3,000 neurosurgeries at Methodist Healthcare hospitals in San Antonio each year, making us the busiest neurology program in South Texas.

Top choice for neurological and stroke care

According to the National Research Corporation, San Antonians prefer Methodist Healthcare's neurosurgeons for their neurology care over any other hospital in the region. We take care of more than 44 percent of the area’s neurological patients. Four of our adult hospitals maintain designations as Primary Stroke Centers by The Joint Commission, meaning we meet exceptional standards of care when administering stroke treatment.

We offer expert neurological care at the following locations:

Neurological treatments

At the Texas Neurosciences Institute at Methodist Healthcare, we’re dedicated to helping patients challenged with neurological disorders. Our nationally renowned doctors specialize in a range of treatments designed to address a variety of brain and spine disorders.

Our goal is to find the best possible solution using the latest technologies and treatments. Nothing satisfies us more than improving the lives of our patients.

Neurological rehabilitation

The Texas Neurosciences Institute offers a professional team of rehabilitation therapists specializing in helping patients with a variety of diagnoses. Our neurological rehabilitation program includes physical therapists, occupational therapists and speech therapists who treat adult and pediatric patients in outpatient and inpatient settings.

Deep brain stimulation (DBS)

Deep Brain Stimulation (DBS)

Deep brain stimulation, more commonly known as DBS, is a procedure in which electrical impulses are sent to certain parts of the brain to regulate abnormal impulses. These electrical impulses are carefully administered, so there is no permanent damage to healthy brain tissue.

DBS involves surgically placing electrodes in a specific region of the brain. These electrodes are attached to a neurostimulator—a pacemaker-like device the size of a stopwatch—that sends low-level electrical pulses to the brain, disrupting faulty signals that cause tremors or other movement symptoms. These electrical pulses alter the brain's circuitry, blocking the abnormal activity that causes movement disorders.

Usually, the device is implanted under the skin below the collarbone, but it could also be placed underneath other areas of the chest.

Some of the conditions deep brain stimulation can treat include:

  • Essential tremor
  • Dystonia
  • Parkinson's disease
  • Epilepsy

Currently, some studies suggest deep brain stimulation may be used to treat other conditions, like major depression and Tourette syndrome.

Although DBS comes with certain complications, some patients and doctors believe that regaining control of body movements outweighs potential risks, many of which are manageable. Only patients whose symptoms are not responding to medications are considered for deep brain stimulation.

Minimally invasive spine surgery

Traditionally open-back surgeries require up to a six-inch incision and can potentially cause damage to the tissue. This comes from dissecting and moving muscles aside to reach the spine, cauterizing blood vessels and removing the bone.

This invasive surgical approach can lead to an extended hospital stay, additional blood loss during surgery, higher risk for infection and a longer recovery period.

Minimally invasive spine surgery offers an advanced alternative that uses smaller incisions—less than one inch long—and reduces muscle damage.

In addition to minimally invasive surgery, our team offers comprehensive spine care.

Kyphoplasty

When small breaks or fractures occur in the spine, the collapse or compression of a vertebra shortens the spine and curves it forward. This can result in significant pain, immobility and a kyphotic (hunched-back) deformity. Most of the time, osteoporosis—or the thinning of bones—causes these fractures.

A kyphoplasty procedure is a type of spine surgery that helps stabilize the vertebra and reduce overall pain levels in individuals with a kyphotic deformity.

Skull base surgery

Skull base surgery is unique in that the surgical approach varies according to location and complexity. Often, the neurosurgeon can access the site through natural openings of the head. For example, pituitary tumors are commonly removed through the nasal passage using a narrow tube equipped with microscopic tools (endoscope).

This less invasive approach speeds recovery and decreases the risk of infection related to healing incisions.

Neuromodulation

Some patients experience extreme pain, immobility, weakness or disabilities that severely diminish their quality of life. They may have already had injections, physical therapy and surgeries that failed to relieve their chronic pain. For these patients and others for which surgery is not a viable solution, neuromodulation may be an ideal alternative.

Neuromodulation treatment involves applying low-level electrical impulses to nerves along the spinal cord to block pain signals to the brain.

Radiosurgery

The Gamma Knife® Center, located at Methodist Hospital, now offers the Leksell Gamma Knife® Perfexion, which dramatically increases the precision of radiation delivery to tumors in the brain and neck.

After locating tumors with the most powerful and accurate magnetic resonance imaging (MRI) technology available today, specially trained surgeons and radiation oncologists focus beams of radiation from the Gamma Knife® directly on the affected area—leaving surrounding tissue untouched.

Patients can return home the same day and resume their pre-surgical activities within days.

To learn more about this procedure, please call (210) 575-6575.

Gamma Knife® is a noninvasive treatment option for patients with:

  • Benign brain tumors
  • Malignant brain tumors
  • Metastatic tumors
  • Head and neck cancer
  • Vascular abnormalities, including arteriovenous malformations (AVMs)
  • Trigeminal neuralgia

Complete patient care before neurosurgery

Our physicians work collaboratively to handle every neurosurgical problem that patients encounter. The sub-specialization of our group of physicians provides a higher level of expertise from the benefit of multiple experts working together.

Your neurological care team is made up of a range of multidisciplinary healthcare professionals.

Before your neurosurgery, we ask that patients follow all preoperative instructions provided by your physician. You can also pre-register online for surgery.

During your stay, you may cross paths with a case manager. Case managers are vital members of our team that coordinate patient care from admission to discharge. You will be assigned a case manager before your surgery. He or she will focus on obtaining the resources to assist you during your recovery.

Your stay at Texas Neurosciences Institute begins in a private suite where registration is completed and clinical preparation is performed. This one-on-one experience allows you to be physically and mentally prepared for surgery.

Your surgeon may request a computed tomography (CT) scan or magnetic resonance imaging (MRI) be performed just before surgery.

During your surgery, we keep your loved ones in mind. We know they will be anxious to receive updates on your progress. Our surgical nurses are happy to provide information, with your consent, to the family representative of your choice.

After surgery, your postoperative care begins in the recovery room. You will be brought to the Post Acute Care Unit (PACU) or Intensive Care Unit (ICU), which allows for continuous monitoring of your vital signs. Once your surgeon determines that your condition is stable, you will be accompanied to the surgical floor.

Our surgical staff is focused on pain management and preparing you to transition home.

Follow-up care

Case managers will evaluate your needs to determine if you can return home independently or if you will need alternative living arrangements to continue your recovery. We will also evaluate your situation to see if you need assistive services and/or durable medical equipment.