EXPERT
Dr. James C. Robinson, M.D.
Neurosurgeon
Dr. James Robinson practices Neurological Surgery in Atlanta, GA. As a Neurological Surgeon, Dr. Robinson prevents, diagnoses, evaluates, and treats disorders of the autonomic, peripheral, and central nervous systems. Neurological Surgeons are trained to treat such disorders as spinal canal stenosis, herniated discs, tumors, fractures, and spinal deformities, among many others.
34 years
Experience
Dr. Jim Robinson, M.D.
- Atlanta, GA
- MCP HAHNEMANN UNIV (FORMERLY ALLEGHENY UNIV)
- Accepting new patients
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Lateral ventricle cyst
No type of radiation procedure will create a hole in the wall. It is however possible to do this Endo scopic Lee be quite easily, and I have done it if you don’t have a large lake READ MORE
No type of radiation procedure will create a hole in the wall. It is however possible to do this Endo scopic Lee be quite easily, and I have done it if you don’t have a large lake before. Typically would stay in the hospital one night and go home. Jim Robinson debris
Advice
In general, Myelopathy, which means symptomatic spinal cord compression will require surgery. A Hoffman sign is worrisome and would go along with that. Seeing your MRI would be READ MORE
In general, Myelopathy, which means symptomatic spinal cord compression will require surgery. A Hoffman sign is worrisome and would go along with that. Seeing your MRI would be very helpful, and I can tell all that much without doing so. If I were you get a second surgical opinion.
How many tests do brain tumor evaluations involve?
A CT scan is a good screening test. It is possible for it to miss something small. The test of choice depends on the symptoms necessitating the work up. MRIs show more detail within READ MORE
A CT scan is a good screening test. It is possible for it to miss something small. The test of choice depends on the symptoms necessitating the work up. MRIs show more detail within the brain that a CT. In addition, contrast administration during CT and MRI add further to the completeness of the examination.
Best to you.
Best to you.
How long should someone be on bed rest after a surgery for tumor removal?
Personally, I encourage people to be up and around doing normal light activity, just restraining from strenuous activity (like work out classes or lifting heavy things). I start READ MORE
Personally, I encourage people to be up and around doing normal light activity, just restraining from strenuous activity (like work out classes or lifting heavy things). I start people out of bed walking 4 hours post op as a norm. Activity reduces post operative risk of complications like deep venous thrombosis and pneumonia and prevents de-conditioning. It also helps psychologically. There can be instances in which less activity may be indicated, but the above is my routine for patients after brain tumor surgery. Best rest being "good" for your is a misunderstanding. Generally it is better to be active and living as normally as possible. If you are not exactly sure what your surgeon wants you doing and not doing, ASK!! All the best to you in your recovery.
What is the best treatment for epilepsy?
Sometimes surgery can be an option to remove the area of the brain that seizures come from (seizure focus). This needs to be assessed carefully and if deemed to be safe, generally READ MORE
Sometimes surgery can be an option to remove the area of the brain that seizures come from (seizure focus). This needs to be assessed carefully and if deemed to be safe, generally is in fact safe and has good results in most cases. Look for a Children's Hospital near you and see if the have an Epilepsy Surgery Program. Most large university hospitals do, and some good private practice centers exist also.
Why has my father's speech become so slow after a brain surgery?
It's impossible to predict, especially without seeing and examining him, and seeing his imaging studies. However, much like after a stroke, there is usually improvement that may READ MORE
It's impossible to predict, especially without seeing and examining him, and seeing his imaging studies. However, much like after a stroke, there is usually improvement that may continue for up to over a year. So, there is certainly hope for recovery.
Can a tumor be decreased in size?
In most cases medicines are not helpful for treating benign brain tumors. Sometimes focused radiation can be used and may shrink a tumor. Some require surgery. Some we only watch READ MORE
In most cases medicines are not helpful for treating benign brain tumors. Sometimes focused radiation can be used and may shrink a tumor. Some require surgery. Some we only watch and do not operate. It's important to be evaluated by a neurosurgeon who specializes in brain tumors.
Is an MRI of the brain safe for children?
MRIs are very safe and do NOT use radiation. CT scans do use radiation. The MRI would not be dangerous at all. I hope that all is well for your child.
Does a tumor always need surgery to be removed?
There are many types of tumors and there is no simple answer. Some we watch, some require surgery, some radiation and chemo. Some surgery followed by radiation and chemo! Complex READ MORE
There are many types of tumors and there is no simple answer. Some we watch, some require surgery, some radiation and chemo. Some surgery followed by radiation and chemo! Complex issue. Wish you and your brother the best.
Can a brain surgery cause speech defects?
Surgery near speech areas of the brain could result in speech problems due to manipulation of the brain in removing the tumor, or due to a stroke. Clearly, the surgeon would be READ MORE
Surgery near speech areas of the brain could result in speech problems due to manipulation of the brain in removing the tumor, or due to a stroke. Clearly, the surgeon would be trying to prevent these problems, but they are known to occur. The answer as to whether is can be treated, or will recover would require knowing more about his scans and his surgery. I would recommend follow up with his surgeon, and if you are not satisfied, a second opinion.
After my tumor surgery I have headache often. Why?s
Headaches are a common complaint of people who do not have brain tumors also. The headaches you are having now may be related, and may not. Surgery in some areas, especially the READ MORE
Headaches are a common complaint of people who do not have brain tumors also. The headaches you are having now may be related, and may not. Surgery in some areas, especially the back of the head is more prone to be associated with headaches after surgery. You should definitely be evaluated by your surgeon, or by a neurologist to assure that there is no problem causing the headache that may need attention.
Is there a cure for meningioma?
If the radiographic diagnosis is correct, these tumor usually grow very slowly. A tumor that small can often be followed with MRIs to see how it will behave. Sometimes, small meningiomas READ MORE
If the radiographic diagnosis is correct, these tumor usually grow very slowly. A tumor that small can often be followed with MRIs to see how it will behave. Sometimes, small meningiomas can be treated with highly focused radiation (Gamma Knife Radiosurgery) as an outpatient treatment completed in one session. Often, that would prevent a possible future need for surgery to remove it. These cases however need to be evaluated thoroughly by a knowledgeable specialist who can review your scan and advise you appropriately.
Does brain surgery correct eye problems?
There are several different locations and types of tumors that could cause this. For most, in my experience, I am able to remove the tumor and improve the vision problems.
How does radiation therapy work on cancer?
Radiation treatment has several effects. It damages DNA in tumors cells preventing them from being able to multiply, which is how tumors grow. It also tends to effect blood vessels READ MORE
Radiation treatment has several effects. It damages DNA in tumors cells preventing them from being able to multiply, which is how tumors grow. It also tends to effect blood vessels supplying blood to tumors and limit their blood flow. In some malignant tumors, it may actually kill them. In most benign tumors it tends to keep them stable or maybe shrink a bit but not kill them. Any operation has risk of complications. The risk with a brain tumor is related to the size and location of the tumor, what delicate structures surround it, and on the skill and track record of the surgeon.
Is it possible to lose your ability to talk after neurosurgery?
There are several important areas of the brain related to speech. For most people, these area on on the left side. Some left-handed individuals have speech centers on the right READ MORE
There are several important areas of the brain related to speech. For most people, these area on on the left side. Some left-handed individuals have speech centers on the right side. When a procedure occurs near these areas, great care is generally taken to prevent speech problems through pre-surgical planning as well as during surgery. Sometimes this even requires doing the surgery with the patient awake. If there is physical damage to one of these areas, or a stroke that happens, speech could be affected. This does not happen often, but the risk is very variable depending on the skill and experience of the surgeon.
Is my son's sluggish speech due to anesthesia?
The effects of anesthesia should be temporary, and not last more than hours to a maximum of a few days.
Orthopedic surgeon or neurosurgeon for a spine problem?
The most important thing is the quality and track record of the surgeon, whether Neurosurgeon or Orthopedic surgeon. I have a bias toward Neurosurgery in that that is my training. READ MORE
The most important thing is the quality and track record of the surgeon, whether Neurosurgeon or Orthopedic surgeon. I have a bias toward Neurosurgery in that that is my training. The other thing that Neurosurgeons do other than spine is brain surgery. The other things that orthopedic doctors do is joint surgery, broken bones etc. So neurosurgeons in general have a more delicate and careful touch in the operating room.
My son is slurring his words after a neuroendoscopy.
He should see his doctor right away and may need an MRI scan. It is possible to have bleeding after the surgery or some other reason for it that needs to be evaluated.
What does a biopsy for a brain tumor involve?
There are different ways to perform a brain biopsy. Generally, either "Open" by making a small window in the brain that enable the surgeon to actually see the brain surface, or READ MORE
There are different ways to perform a brain biopsy. Generally, either "Open" by making a small window in the brain that enable the surgeon to actually see the brain surface, or "Stereotactic", which is imaging-guided and performed through a very small incision and obtain small cores of tissue with a biopsy probe that is blunt on the tip and sucks a small piece of tissue in from the side of the probe near the tip.
My father has been diagnosed with an infection in the brain. What will be the treatment for this?
There is no simple answer to this. It depends on the type of infection, and where it is. Obtaining a specimen from the brain for culture is necessary unless he is known to have READ MORE
There is no simple answer to this. It depends on the type of infection, and where it is. Obtaining a specimen from the brain for culture is necessary unless he is known to have an active infection somewhere else that is believed to have spread to the brain. It is often helpful to debride the infection (clean up the infection) surgically and then treat afterwards with antibiotics.
