Dr. Weinand's clinical neurosurgical emphasis includes surgical management of intractable epilepsy, chronic pain, spasticity, pediatrics and neurotrauma. Minimally invasive operations have been developed with collaborators nationwide in laser ablation of epileptic foci and peripheral nerve stimulation for chronic low back and facial pain syndromes. Nondestructive and reversible procedures for treatment of chronic pain and spasticity include spinal cord stimulation and intrathecal (spinal) drug pump implantations.
Dr. Weinand’s research activity is primarily concerned with medically intractable epilepsy. I also have produced research in collaboration with other neuroscientists in the areas of clincal neurosurgery and blood-brain barrier pathophysiology. Epilepsy research continues in selection of candidates for vagal nerve stimulation and temporal lobectomy. Recent research has been extended into the area of patient selection for spinal cord stimulation for treatment of intractable pain. Based upon research interest in cerebral perfusion, my basic neuroscience activitiy has emplhasized study of the human cerebral microvasculature. I continue to explore the pathophysiology of temporal lobe epilepsy with emphasis on discovering new prognostic factors predictive of success in epilepsy surgery. I also continue to collaborate with basic neuroscientists exploring the human blood-brain barrier and endothelia to improve understanding of the central nervous system pathophysiology.