Neuroanesthesia/ENT Anesthesia Division

The Division of Neuroanesthesia/ENT Anesthesia comprises eight full-time faculty members. We care for over 1500 patients per year in the neuro-operating rooms and the neuro-interventional suite. Our Mission is to provide world class perioperative care to patients presenting for neurological surgery, cerebrovascular intervention and ENT surgery while developing faculty research, education, and continuous quality improvement.

Stony Brook Medical Center is the only tertiary center for neurosurgery and interventional neuroradiology in Suffolk County. Dr. Raphael P. Davis is the Chairman of the Department of Neurological and Co-Director of the Neurosciences Institute. His surgical expertise includes the treatment of skull base tumors (pituitary tumors and acoustic neuromas), brain tumors, as well as complex spinal surgery.

Dr. Fiorella, a Board–Certified neuroradiologist, is highly regarded as a pioneer in the introduction of novel devices for neurointerventional treatment of brain aneurysms and intracranial atherosclerosis. Dr. Fiorella has expertise in neurointerventional treatment of cerebral aneurysms, neurointerventional management of acute stroke, embolization of CNS tumors, and neurointerventional treatment of cerebral and spinal arteriovenous malformations, dural arteriovenous fistulas, and carotid and intracranial atherosclerosis.

Our Neuroanesthesia division provides 24/7 specialty coverage for stroke and sub-arachnoid hemorrhage.

We recently welcomed Dr. Charles Mikell, a Columbia University-trained neurosurgeon who specializes in the treatment of Parkinson’s disease, essential tremor, and epilepsy.

Dr. David Schessel, a world renowned expert on audiology and Director of the Division of Otolaryngology in the Department of Surgery. The Division of Neuroanesthesia/ENT Anesthesia provides care during more than 500 procedures per year performed by this surgical service.

The Division provides three 1 month rotations in neuroanesthesia/ENT anesthesia. During the first month, the resident is exposed to the basics of both neuro and ENT anesthesia, with a focus on cases such as spine surgery, ventricular shunts, cranioplasty, tonsillectomy, functional endoscopic procedures, thyroidectomy, parathyroidectomy and tympanoplasty. During the second month, the resident provides anesthetic care for more involved cases, such cerebral aneurysms, craniotomies, trans-sphenoidal surgery and complex head and neck dissections. The third month focuses on interventional cerebrovascular cases as well as surgery for movement disorders and epilepsy, including awake craniotomy and deep brain stimulator placement. A written syllabus is given to each resident and a series of intraoperative lectures and problem based learning discussions is provided. Residents prepare a brief presentation on a relevant topic of interest for the division faculty which is given during the last week of the rotation.