Cranial Services

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Deep Brain Stimulation

Parkinson's Disease is the second most common neurodegenerative disorder in the United States. Neuromodulation has been shown to improve quality of life, reduce medication use, and better manage side effect of medications. He is the only surgeon who has performed frameless stereotactic DBS in the Rio Grande Valley, allowing for better patient comfort during the procedure. Click the link below to learn from Manuel who underwent DBS with Dr. Desai.

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Trigeminal Neuralgia

A chronic pain condition affecting the trigeminal nerve often from arterial or venous compression causing excruciating facial pain. We offer a variety of treatment options including stereotactic radiosurgery (SRS), percutaneous balloon rhizotomy, and microvascular decompression (MVD) This symptom questionnaire from Oregon Health Science Center is a useful tool in helping to diagnose the condition.

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Brain Aneurysms

Aneurysms arise from weak points in blood vessels of the brain usually at branch points. Sometimes these aneurysms can rupture and cause a type of stroke known as a subarachnoid hemorrhage. We surgically treat cerebral aneurysms in a multidisciplinary fashion with endovascular coiling or microsurgical clipping. Click below to hear Jose’s story who suffered from a subarachnoid hemorrhage due to a ruptured middle cerebral artery aneurysm treated by microsurgical clipping by Dr. Desai


Brain Tumors

We treat meningiomas, gliomas, pituitary adenomas, vestibular schwannomas, and metastatic brain tumors utilizing tools such as tractography, frameless stereotactic navigation, evoked potentials, and endoscopic methods when appropriate.

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Reconstruction of the cranial vault after acute insult such as traumatic brain injury or stroke often occurs in delayed fashion. Our preference is to use native or autologous bone for cranioplasty. In cases where this is not available, we have utilized titanium mesh and sometimes even custom made 3D printed PEEK implants. Click below to read Jesus’ story who suffered from severe TBI and underwent a decompressive craniectomy followed by a native bone cranioplasty.