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Prof. Christopher Lind - General Neurosurgery Practice
Friday, 06 June 2008 17:41

Prof. Christopher Lind is a neurosurgeon with clinical and research subspecialties in functional and vascular brain surgery. He practices general adult neurosurgery at Sir Charles Gairdner and Royal Perth Hospitals in Western Australia. He covers general paediatric neurosurgery on-call on a weekly basis at Princess Margaret Hospital. Operations include deep brain stimulation surgery, trigeminal and facial nerve microvascular decompression, cerebral aneurysm clipping, carotid endarterectomy, stereotactic brain tumour resection, ventriculoscopic (endoscopic) brain surgery, surgery for hydrocephalus and spinal surgery with instrumentation. Mr Lind refers people needing skull base, paediatric, pituitary microadenoma, anterior thoracolumbar spine, transoral, occipito-cervical fusion and resective epilepsy surgery to colleagues. The Neurosurgical Service of Western Australia is comprehensive in scope and employs a collaborative group of specialised neurosurgeons serving the public of Western Australia.

 

Vascular Neurosurgery

Prof. Lind's vascular neurosurgical practice focuses on microsurgery for aneurysms which cannot be safely treated by endovascular coiling and carotid endarterectomy for the secondary prevention of ischaemic stroke. Prof. Lind frequently operates with his mentor Professor Neville Knuckey at Sir Charles Gairdner Hospital. Recent aneurysms treated over the last 3 years include a number of internal carotid, anterior communicating artery, middle cerebral artery aneurysms and posterior inferior cerebellar artery aneurysms. Prof. Lind is one of four neurosurgeons operating on cerebral aneurysms and one of two performing carotid endarterectomy at Sir Charles Gairdner Hospital. Professors Lind and Knuckey perform carotid endarterectomies with or without vascular shunts depending on EEG monitoring results during carotid cross-clamping.

 

Trigeminal Neuralgia and Hemifacial Spasm

Professor Lind specialises in microvascular decompression for trigeminal neuralgia and hemifacial spasm and also offers percutaneous radiofrequency coagulation of trigeminal nerve fibres for those who opt for this functional procedure under conscious sedation. The option of sensorimotor cortex or deep brain stimulation surgery is there for those with otherwise intractable facial pain. Prof. Lind was invited to present on the decision analysis for trigeminal nerve surgery and technical aspects of brain stimulation procedures at the Annual Scientific Meeting of the Royal Australasian College of Surgeons in May 2010.

 

Hydrocephalus and Ventricular Surgery

Prof. Lind has had a strong clinical and research interest in hydrocephalus over recent years. Prof. Lind has a large recent series of successful endoscopic third ventriculostomy for obstructive hydrocephalus. His preferred technique for obstructive hydrocephalus is to use Suretrak Stealth MRI frameless stereotaxy coupled with the Braun Aesculap rigid ventriculoscope to minimise brain trauma via a small burr hole. Mr Lind has also recently performed ventriculoscopic resections of colloid cysts of the third ventricle, choroid plexus papilloma and the biopsy of posterior third ventricular tumours. He has has used the technique for fenestration of intraventricular cysts and loculated hydrocephalus. For communicating hydrocephalus Mr Lind favours ventriculoperitoneal shunting with antibiotic-impregnated catheters. Magnetically programmable valves are used for normal pressure hydrocephalus and idiopathic (so-called 'benign') intracranial hypertension. Whenever ventricles are small or complex in shape, Prof. Lind uses Stealth passive catheter introducer technology to enable computer-guided accuracy for shunt tube placement. Prof. Lind frequently performs inpatient continuous intracranial pressure monitoring to confirm the diagnosis of raised intracranial pressure and to trouble-shoot headaches in those who have had previous CSF diversion interventions. Patients are offered the opportunity to contribute to the research of Prof. Bill Morgan, ophthalmologist with the Lions Eye Institute in a study of measurement of intracranial pressure by observations of the eye.

 

Degenerative Spine Surgery

Having trained with both neurosurgical and orthopaedic spinal surgeons, Prof. Lind now focuses his spinal practice on degenerative spinal conditions. He offers both decompressive and fusion procedures for degenerative disc disease, spinal stenosis and spondylolisthesis. He is aided in the assessment of new referrals by Brigitte Tampin, physiotherapist, and the registrars and fellows at Sir Charles Gairdner Hospital.

Lumbar degenerative conditions

Professor Lind sees many people with advanced lumbar degenerative conditions requiring extensive decompression, interbody fusion with pedicle screw fixation. Prof. Lind's approach is to reserve fusion for up-down foraminal stenosis with lumbar radiculopathy, progressive or dynamic instability and decompressions requiring facetectomy. He seldom recommends lumbar fusion for isolated back pain. Prof. Lind refers those he believes would benefit from anterior lumbar fusion or disc replacement to colleagues expert in those techniques.

Cervical degenerative conditions

Prof. Lind uses anterior discectomy and corpectomy with fusion or arthroplasty for predominantly anterior spinal cord compression. He uses laminectomy for spinal stenosis augmented with lateral mass fixation when required.

 

Syringomyelia

For expanding syrinxes, Mr Lind favours spinal cord detethering with or without syringopleural shunting. The negative pressure in the pleural cavity may assist with reduction in syrinx volume. We have had several notable successes with this approach over recent years.

 

Brain Tumours

Brain tumour surgery is a large part of our departmental work at Sir Charles Gairdner Hospital and Prof. Lind performs an average of one to two brain tumour operations per week. Individuals with acoustic neuromas and other subspecialised skull base tumours to colleagues in the Neurosurgical Service of Western Australia.

 

NeuroTrauma

Professor Lind is one of three neurosurgeons regularly taking care of the victims of brain trauma at Royal Perth Hospital. He also cares for people with traumatic brain injury at Sir Charles Gairdner Hospital and is the neurosurgical representative on the institutional Trauma Committee. After hours he covers emergency neurosurgery at Princess Margaret Hospital for Children where he hands over ongoing care to his paediatric neurosurgery colleagues on weekdays. Interventions include brain pressure monitoring, ventricular drainage, evacuation of blood clots from the brain, and decompressive craniectomies for massive brain swelling.

 

The opinions expressed in these pages are generalisations and may not apply to individuals. Personal clinical assessment is required before any intervention can be recommended. Professor Lind is happy to receive referrals to his Sir Charles Gairdner Hospital clinic from general practitioners and other physicians.