Neuroscience SNI

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Escab�che � Pickled Vegetables

January 30, 2014
Ingredients:

Marinade:
  • 1/4 cup fresh lemon juice
  • 1 tablespoon extra-virgin olive oil
  • 1/2 teaspoon sugar
  • 1/4 teaspoon sea salt
  • 1/4 teaspoon black pepper
  • 2 garlic cloves, minced
  • 1 jalape�o pepper, seeded and minced
 
Vegetables:
  • 1 large english cucumber,  cut into sticks , leave skin on
  • 1 small white onion sliced
  • 4 ribs celery cut into sticks
  • 1 medium Jicama peeled and cut into sticks
  • 2 large carrots peeled and sliced
  • 2  red bell pepper cut into strips
  • ½  cup coarsely chopped fresh cilantro
  • 10 radishes  thinly sliced
  • 2 tablespoons thinly sliced green onions

...

Debilitating facial pain may Be trigeminal neuralgia

January 16, 2014
All pain can be frightening, but when patients describe sharp, electric-type pain in their face, the cause may be Trigeminal Neuralgia, a treatable pain syndrome manifesting as unilateral facial pain that can be severe in intensity. The pain occurs in one or more distributions of the trigeminal nerve. The pain usually lasts for several seconds to several minutes followed by periods of being pain free. Trigeminal neuralgia pain can be triggered by sensory stimuli to the face including talking, brushing teeth, eating, and touching the face. In some cases, there is no trigger. The annual incidence of trigeminal neuralgia is approximately 4 in 100,000. The initial workup for trigeminal neuralgia may include an MRI of the brain to rule out brain tumor or MS plaques.

In many cases, trigeminal neuralgia is caused by compression of the facial nerve most commonly by the superior cerebellar artery or the anterior inferior cerebellar artery, although trigeminal neuralgia can be due to compression by a per...

Swedish Babies in 2013

January 13, 2014

Odds are that if you live in or around Seattle, either you or your children were born at a Swedish hospital. And after last year, those odds are even greater after our nurses and doctors delivered a record 9,014 babies in 2013.

Last year included a record number of births at Swedish Issaquah (1,149) and Swedish Ballard (1,022).

We attribute last year’s growth to our excellent reputation in the community as well as our outstanding ability to provide our patients with a safe, convenient and comfortable birthing experience. Last year we expanded our range of offerings for families when we opened our new Lytle Center for Pregnancy & Newborns and our Level II nursery at Swedish/Issaquah.

Now for some fun facts:

January 25 essential tremor seminar

January 11, 2014
If you or someone you care about shakes a lot—it could be essential tremor (ET) or another movement disorder. Essential tremor is a disorder affecting approximately 10 million Americans. This progressive neurological condition can cause the hands, head, voice, legs or trunk of the body to shake and can cause significant disability. It is often confused with Parkinson’s disease or dystonia. Because of stereotypes and lack of awareness, many people with ET never seek medical care, though most would benefit from treatment.
 
In an upcoming event, Dr. Ryder Gwinn will explain the causes, diagnosis,  research and treatment options for essential tremor.
 
Date: Saturday, January 25
Time: Check-in 9:30am/Program 10am-Noon
Location: Bellevue Hilton, 300 112 Ave SE, Bellevue, WA
 
There is no charge for the event but please note, parking in the Bellevue Hilton lot is $5.

Regi...

Why you should care about fatty liver disease

December 23, 2013

The liver is a vital organ necessary for survival.  It performs crucial functions including protein synthesis and detoxification.  When excessive amounts of fat and lipids accumulate in the liver cells, this can lead to liver injury and cause a disease called fatty liver disease.  Fatty liver disease is a serious diagnosis that has become one of the most common causes of abnormal liver function tests in the United States.   Fatty liver disease is also referred to as Non Alcoholic Fatty Liver Disease or NAFLD.  NAFLD is associated with other diseases which influence fat metabolism, such as type 2 diabetes.

Why is fatty liver disease important?

NAFLD is a single disease seen in both alcoholics and non-alcoholics, especially in those who are overweight.  When a biopsy is taken of a fatty liver, features of liver injury and fat deposit in the liver may be seen.  These findings are of crucial importance as fat accumulation may cause ...

New Brain Stimulator Approved to Treat Epilepsy

December 05, 2013

On November 14th, 2013 the FDA gave its approval for an implanted brain stimulator to treat patients with medically refractory epilepsy. Epilepsy is one of the most common neurological disorders affecting nearly 1 in 100 Americans. This device has been under investigation for 10 years at the Swedish Neuroscience Institute (SNI) Epilepsy Center.

As principal investigator for the trial, I led  a team including Dr. Michael Doherty, Dr. Lisa Caylor and Dr. Alan Haltiner, along with the research department at Swedish to investigate the safety and effectiveness of the device through pivotal trials. The results showed that the responsive neurostimulator system (RNS) made by NeuroPace was indeed effective in treating patients with drug resistant seizures.

Why is this so significant? This device represents the first new non-medication treatment for seizures proven to be effective since 1997, and gives new hope to patients whose lives have been put on hold due to seizures. ...

Cancer Awareness and Community Events

September 27, 2013

Nearly every month of the year has been recognized as a cancer-related awareness month. Cancer awareness months provide the perfect opportunity to share information about specific types of cancer in order to increase knowledge about symptoms, screenings and treatment options, to reduce the stigma of cancer, and to help raise funds for cancer research.

Whether you show your support by wearing a cancer awareness color or ribbon, discuss cancer-related information with family members and friends, or attend a community event or fundraiser, your voice counts. We encourage you to help spread the word and express the importance of education, prevention, early detection and treatment:

Brain Aneurysm Awareness: Spreading the Word

September 25, 2013

September is National Brain Aneurysm Awareness Month and across the country, those affected by various forms of the disease raise awareness through fundraising and visibility events. Bringing a voice to the disease may seem daunting in a sea of awareness ribbons and weekend community walks—but  Swedish had the opportunity to focus a spotlight on Seattle as host for the Brain Aneurysm Foundation’s Annual Symposium. This Massachusetts-based organization is the nation’s only not-for-profit profit organization solely dedicated to providing critical awareness, education, support and research funding to reduce the incidence of brain aneurysms. Swedish Neuroscience Institute physicians teamed up with other elite physicians from across the country and others in the medical community, in addition to volunteers and Brain Aneurysm Foundation members to learn more about advances in research for the disease.

One unique component to this important event was the attendance of members ...

Life-saving technology and getting the word out about radiosurgery

August 26, 2013

Twice last week I received phone calls from grateful family members thanking us for taking care of their loved ones when treatment options were dwindling. One patient is now 4 years past his CyberKnife treatment for inoperable lung cancer and is going strong and living life to the fullest. The other patient was recently treated and is feeling great and planning a European vacation. Both families are extremely appreciative for the care they received but both voiced frustration that they stumbled upon this treatment option by chance and that we need to do a better job of publicizing the radiosurgery modalities. As the person receiving these calls, I am thrilled to hear how our center has positively impacted so many lives but struggle with how to get the word out to those who may benefit from radiosurgery in the future. So with our patients’ stories fresh in my mind, here is an introduction to radiosurgery.

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Study Makes Waves in Treating Essential Tremor

August 23, 2013

The treatment of neurologic disease took a major step forward this past week with the publication of a clinical trial that used ultrasound waves to treat Essential Tremor.  Essential tremor affects about 10 million people in the USA and can be extremely disabling. For patients that fail medical therapy invasive surgical options are considered, including deep brain stimulation (DBS). DBS surgeries involve drilling a hole in the skull and implanting an electrode into structures deep in the brain to turn off the unwanted signals that cause the tremor.

A study of 15 patients lead by Dr. Jeff Elias (University of Virginia) was published in the New England Journal of Medicine this week and describes how researchers used ultrasound waves to effectively treat Essential tremor non-invasively – no cutting or drilling: