expert type icon EXPERT

Dr. James C. Robinson, M.D.

Neurosurgeon

Dr. James Robinson practices Neurological Surgery in Atlanta, GA. As a Neurological Surgeon, Dr. Robinson prevents, diagnoses, evaluates, and treats disorders of the autonomic, peripheral, and central nervous systems. Neurological Surgeons are trained to treat such disorders as spinal canal stenosis, herniated discs, tumors, fractures, and spinal deformities, among many others.
29 years Experience
Dr. James C. Robinson, M.D.
  • Atlanta, GA
  • Med Coll of Pa, Philadelphia Pa
  • Accepting new patients

Does brain surgery correct eye problems?

There are several different locations and types of tumors that could cause this. For most, in my experience, I am able to remove the tumor and improve the vision problems.

How does radiation therapy work on cancer?

Radiation treatment has several effects. It damages DNA in tumors cells preventing them from being able to multiply, which is how tumors grow. It also tends to effect blood vessels READ MORE
Radiation treatment has several effects. It damages DNA in tumors cells preventing them from being able to multiply, which is how tumors grow. It also tends to effect blood vessels supplying blood to tumors and limit their blood flow. In some malignant tumors, it may actually kill them. In most benign tumors it tends to keep them stable or maybe shrink a bit but not kill them. Any operation has risk of complications. The risk with a brain tumor is related to the size and location of the tumor, what delicate structures surround it, and on the skill and track record of the surgeon.

Is it possible to lose your ability to talk after neurosurgery?

There are several important areas of the brain related to speech. For most people, these area on on the left side. Some left-handed individuals have speech centers on the right READ MORE
There are several important areas of the brain related to speech. For most people, these area on on the left side. Some left-handed individuals have speech centers on the right side. When a procedure occurs near these areas, great care is generally taken to prevent speech problems through pre-surgical planning as well as during surgery. Sometimes this even requires doing the surgery with the patient awake. If there is physical damage to one of these areas, or a stroke that happens, speech could be affected. This does not happen often, but the risk is very variable depending on the skill and experience of the surgeon.

Is my son's sluggish speech due to anesthesia?

The effects of anesthesia should be temporary, and not last more than hours to a maximum of a few days.

Orthopedic surgeon or neurosurgeon for a spine problem?

The most important thing is the quality and track record of the surgeon, whether Neurosurgeon or Orthopedic surgeon. I have a bias toward Neurosurgery in that that is my training. READ MORE
The most important thing is the quality and track record of the surgeon, whether Neurosurgeon or Orthopedic surgeon. I have a bias toward Neurosurgery in that that is my training. The other thing that Neurosurgeons do other than spine is brain surgery. The other things that orthopedic doctors do is joint surgery, broken bones etc. So neurosurgeons in general have a more delicate and careful touch in the operating room.

My son is slurring his words after a neuroendoscopy.

He should see his doctor right away and may need an MRI scan. It is possible to have bleeding after the surgery or some other reason for it that needs to be evaluated.

What does a biopsy for a brain tumor involve?

There are different ways to perform a brain biopsy. Generally, either "Open" by making a small window in the brain that enable the surgeon to actually see the brain surface, or READ MORE
There are different ways to perform a brain biopsy. Generally, either "Open" by making a small window in the brain that enable the surgeon to actually see the brain surface, or "Stereotactic", which is imaging-guided and performed through a very small incision and obtain small cores of tissue with a biopsy probe that is blunt on the tip and sucks a small piece of tissue in from the side of the probe near the tip.

My father has been diagnosed with an infection in the brain. What will be the treatment for this?

There is no simple answer to this. It depends on the type of infection, and where it is. Obtaining a specimen from the brain for culture is necessary unless he is known to have READ MORE
There is no simple answer to this. It depends on the type of infection, and where it is. Obtaining a specimen from the brain for culture is necessary unless he is known to have an active infection somewhere else that is believed to have spread to the brain. It is often helpful to debride the infection (clean up the infection) surgically and then treat afterwards with antibiotics.

My son's hands are trembling. Could it be a neurological problem?

It could be something completely benign and not a worry, but could be a sign of a neurologic condition. He should be evaluated by a child neurologist.

What causes gelastic seizures in a person?

These seizures emanate from deep within the brain. They can be caused by a tumor, usually benign, but can also occur without evidence of a tumor. An MRI scan will let you know READ MORE
These seizures emanate from deep within the brain. They can be caused by a tumor, usually benign, but can also occur without evidence of a tumor. An MRI scan will let you know if there is a tumor or not. If there is a tumor, surgery to remove it, or Gamma Knife treatment, or "LIT" therapy can be used to treat it. LIT is laser light treatment used through a fiber inserted into the tumor that heats the tissue to kill it.

Is pituitary adenoma life-threatening?

Pituitary adenoma are very benign tumors. However, you must pay attention to it and be cared for by someone with a specialty interest in the area. Often, pituitary adenomas require READ MORE
Pituitary adenoma are very benign tumors. However, you must pay attention to it and be cared for by someone with a specialty interest in the area. Often, pituitary adenomas require surgery eventually, but some can be treated with medication without the need for surgery. If they are small, we often will follow them and they do not require surgery immediately. Adenomas that make extra hormones can be life-threatening because of hormone excess. In addition to the MRI, hormone labs are needed as part of the assessment. Vision problems are common due to pressure on the optic nerves.

Can venous aneurysm cause headache?

It is difficult to say without seeing your scan. The abnormalities seen could be a result of something else associated with it that may cause headache. It would be best to see READ MORE
It is difficult to say without seeing your scan. The abnormalities seen could be a result of something else associated with it that may cause headache. It would be best to see a neurosurgeon who specializes in neuro-vascular surgery at a stroke center.

My baby's head size is big. Is it due to any abnormality?

That typically would be evaluated by your pediatrician. It is possible for water on the brain or other abnormalities inside the head to cause the head size to be abnormally large. READ MORE
That typically would be evaluated by your pediatrician. It is possible for water on the brain or other abnormalities inside the head to cause the head size to be abnormally large. It is also possible that the child just has a large head but on the inside things appear normal.

Can a back injury cause neurological defects?

Yes, that is absolutely possible. It is very important that you have that evaluated by a medical doctor.

Can back pain cause headaches?

Often, back and neck problems cause muscle spasms that generalize into the head, causing headaches. If it is not improving, you should see a doctor for it.

My sister lost her vision due to an accident. Is it possible to get the vision back?

When vision loss goes to the point of the person not being able to perceive light in the eye, we consider it impossible for it to recover. If there is any light perception remaining, READ MORE
When vision loss goes to the point of the person not being able to perceive light in the eye, we consider it impossible for it to recover. If there is any light perception remaining, there may be a possibility of improving. Certainly, she needs to be closely followed by a physician and appropriate diagnostic studies need to be performed.

What is a coma?

"Coma" refers to someone who is unconscious. There are different levels of coming out, and many reasons for it.

Can a blood clot in the brain be removed by medicines alone?

A “blood clot“ could be a number of different things. A blood clot outside the brain will generally not benefit from medication and may require surgery. The same could be said READ MORE
A “blood clot“ could be a number of different things. A blood clot outside the brain will generally not benefit from medication and may require surgery. The same could be said of a blood clot within the tissue of the brain. A blood clot inside of a blood vessel is a common source of stroke by limiting blood supply to the brain. Most often that is treated with medication, and sometimes by advanced therapies that are directed through a catheter that goes up into the arteries to put medication directly in the area of the blood clot in the blood vessel, or even to grasp the clot and remove it.

Can kids suffer from vertigo?

Vertigo occurs for a number of different reasons. That can span from something like a viral infection, to a brain tumor, two other problems. Yes, children can get vertigo. It needs READ MORE
Vertigo occurs for a number of different reasons. That can span from something like a viral infection, to a brain tumor, two other problems. Yes, children can get vertigo. It needs to be evaluated by an ear doctor.

How is MS in older people managed?

I do not prescribe medication for multiple sclerosis myself, but would recommend that your father be seen at a center for multiple sclerosis treatment. I do imagine that the patient’s READ MORE
I do not prescribe medication for multiple sclerosis myself, but would recommend that your father be seen at a center for multiple sclerosis treatment. I do imagine that the patient’s age has some influence over choices and medication management. There has been a lot of activity in multiple sclerosis treatment and there are multiple options.