Pediatric Neurosurgery

The Hackensack Meridian Health K. Hovnanian Children’s Hospital pediatric neurosurgery program is the most comprehensive in the region. Our experienced team is able to provide a wide range of advanced treatment options that offers hope to children who suffer from brain and spinal cord conditions. Whether a child is facing a common disorder or a rare condition, we are able to provide the latest and safest therapies.

Why Choose K. Hovnanian Children’s Hospital?

At K. Hovnanian Children’s Hospital, we recognize the importance of working with a multidisciplinary team of experts. Our team is led by Lawrence Daniels, M.D., medical director of pediatric neurosurgery at K. Hovnanian Children’s Hospital, who is fellowship-trained from the Children’s Hospital of Philadelphia where he specialized in pediatric neurosurgery. He has extensive training in all aspects of pediatric neurosurgery from spinal disorders to brain tumors to craniofacial malformations. Dr. Daniels works with our pediatricians, plastic surgeons, physician assistants, pediatric hematologist/oncologists, trauma surgeons specialized magnet nurses, child life specialists, pediatric intensivists and pediatric neurologists to provide children with exceptional care to manage the most complex disorders. Together, we work with local clinicians to provide world class pediatric neurosurgical care to our local community.

At K. Hovnanian Children’s Hospital, we specialize in treating: 

Hydrocephalus
Hydrocephalus, also known as “water on the brain,” is a disorder that involves the buildup of fluid in the brain. Under normal circumstances, the brain reabsorbs CSF as fast as it is created. When a child has hydrocephalus, the brain is unable to absorb for CSF properly. This causes cerebrospinal fluid (CSF) to build up and surrounds the brain and spinal cord. The liquid then widens the spaces in the brain and causes harmful pressure on the brain tissue.

The most common way to treat hydrocephalus is through surgery. The procedure would require the pediatric neurosurgeon to implant a shunt, which is a flexible tube that is placed to redirect the liquid to another place in the body where it can be absorbed and not cause any risk to the brain.

Craniofacial Surgery
Craniofacial Surgery is a type of plastic surgery performed by pediatric neurosurgeons and pediatric plastic surgeons to help correct or reconstruct any congenital or developed malformations of the face, head, neck, jaw or skull. Congenital treatments are conditions that a patient is born with while developed malformations arise as a result of an accident or trauma.

Congenital Treatments

Congenital conditions that are treated with craniofacial surgery consist of:

  • Isolated and syndromic craniosyntosis
  • Crouzon’s Syndrome
  • Apert’s Syndrome
  • Cleft lip and palate
  • Ear Reconstruction
  • Deformational plagiocephaly

Developed Malformations

Our specialized pediatric team also provides surgical, medical and dental treatment for children who have developed malformations that require craniofacial surgery. We perform reconstructive or craniofacial surgery, on children who have had a disease, accident or traumatic injury. Our specialized neuro and plastic surgeons work closely together to provide our smallest patients with the best care and provide exceptional results. At K. Hovnanian Children’s Hospital, care does not end after surgery. Our surgeons follow patients as they continue to grow, or until their facial growth is complete.

To learn more about our craniofacial surgery program, click here.

Pediatric Neuro-Oncology

Neuro-oncologists specialize in treating and removing tumors of the brain, spinal cord and peripheral nerves. Pediatric nervous system tumors are the most common form of solid pediatric tumors and often the most difficult pediatric tumors to treat. Our multidisciplinary care team is able to harness advances in surgical techniques, chemotherapy and radiotherapy to care for pediatric patients with complex tumors of the nervous system.

Our surgical team then works together with the only pediatric neuro-oncologist in Monmouth and Ocean counties, Rohini Singh, M.D., to develop a surgical plan to treat each child. Surgery is the most common form of treatment for children with benign spinal and brain tumors. Before and after surgery, the neurosurgeon will work with our multidisciplinary team including the pediatric hematologist/oncologists, radiologists, child life team, pediatricians, physician assistants, and magnet nurses to execute the most appropriate treatment plan.

Pediatric Spine Disorders
At K. Hovnanian Children’s Hospital, we are able to provide the most comprehensive evaluation and effective treatment options for pediatric patients with spine disorders such as congenital, developmental and traumatic disorders in Monmouth and Ocean counties. Our specialists recognize that pediatric spinal disorders require different medical approaches than that of an adult and are specially trained in providing children with the best medical approach for treatment.

We have access to the latest and most innovative treatments for all pediatric spinal conditions including spinal tumors, scoliosis, spina bifida and trauma incidents. Children will be able to receive the best care from our multidisciplinary team of specialists including pediatric neurosurgeons and complex spine surgeons. We are able to offer children and their families the most comprehensive care and support in the region.

Pediatric Neurovascular Surgery
As the Neuroscience Institute at Hackensack Meridian Health Jersey Shore University Medical Center our team works collaboratively with the specialists at K. Hovnanian Children’s Hospital to offer comprehensive care to pediatric patients with congenital and acquired vascular diseases of the brain and spinal cord. Pediatric patients who require neurovascular surgery suffer from:

  • Strokes
  • Cavernous malformation
  • Arterial venous malformations
  • Moya-moya (abnormalities in the blood vessels)

Our multidisciplinary team, including pediatric neurosurgeon, vascular neurosurgeons, pediatric intensivists, pediatric neurologists, pediatric emergency physicians, social workers, child life specialists, radiologists and rehab specialists work together to provides the full spectrum of care for patients suffering with neurovascular disease.

Our pediatric neurosurgical team is dedicated to providing our pediatric patients with the most optimal outcome for even the most complex conditions. We strive to provide each patient with a comprehensive evaluation and treatment plan often utilizing conservative care when appropriate.

Endoscopic and Minimally Invasive Surgery
While traditional approaches to pediatric neurosurgery are inherently invasive, we are able to provide minimally invasive approach to surgery including endoscopic surgery. Minimally invasive pediatric neurosurgery uses small endoscopes (or tubes) to show parts of the brain, skull or spinal cord through small openings.

The endoscopes act as small microscopes, making it easy for the surgeon to see the various critical or diseased areas that need to be repaired, removed, or replaced. By using endoscopes, it is much less invasive than conventional surgery that requires incision and the removal of the scalp, thus why endoscopic neurosurgery is also known as minimally invasive neurosurgery.

Pediatric endoscopic neurosurgery does not require large incisions on the scalp or skull or extensive probing through brain tissue. Because of this, neurosurgeons are able to perform a less invasive procedure while maintaining a successful outcome. This results in a faster recovery time, a reduced risk of injury, shortened hospital stay, and less pain and scarring for our pediatric patients.

About the Doctor

Lawrence Daniels, M.D.

Specialties
Pediatric Neurosurgery
Neurosurgery