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Dr. Steven Giannotta

Neurosurgery
Los Angeles, CA
50 years experience

Locations

Office

Los Angeles, CA

Address

LAC/USC MedicalCenter, 1200 N. State St. Ste 3300, Los Angeles, CA
Directions

Practice website

About

Bio

Since joining USC in 1980, have trained over 60 neurosurgeons, many of whom now work in academic neurosurgery. I have personally treated thousands of aneurysms and over 1000 skullbase tumors including over 500 acoustic neuromas. We have developed comprehensive multidiscipinary teams at USC for our complex pateints with aneurysms, AV malformations and cranial base tumors including the use of Gamma Knife and Cyberknife. I have also personally treated hundreds of patients with Trigeminal Neuralgia and Hemifacial Spasm

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Neurosurgery

Languages spoken

English

Doctor Q&A

132 Answers
43 Agrees
The number of answers this doctor has agreed with.
A 60-year-old female asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Exercizes: There are two therapies for neurogenic claudication. Many patients who religiously perform the daily stretching and back strenghthening exercizes, ge... Read More
A 34-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Yes: They certainly are common symptoms, but meningitis causes high fever and mental status changes. You haven't said why you might have a CSF leak.
A 33-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Maybe both: As long as they have had proper training and a good local reputation, either should be competent to do the procedure.
A 69-year-old female asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Hard to know: Could have been a lot of things some of which are serious. Should tell your doctor.
A member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
That : That would be unlikely. Trauma to the head itself is the most common reason for spinal fluid leakage. The question is what is coming out the nose. ... Read More
A 37-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Certainly: Skull fractures can cause bleeding to the point where the patient goes unconscious.
A member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
The : The condition goes by several names but when it affects adults, it is called normal pressure hydrocephalus. The brain cannot absorb the spinal flui... Read More
A 61-year-old female asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
It's possible: Before doing anything else, you should get an opinion from another surgeon and a physiatrist.
A 36-year-old male asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Vasovagal reaction: An overactive vagal nerve reflex can slow down the heart and lower the blood pressure. This usually goes away in minutes when the head is lowered dow... Read More
A 25-year-old female asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Unknown: Hydrocephalus has many causes. Most are in the chilhood age groups and are congenital. The age peak for adults is in the 70's and 80's. Tumors, t... Read More
A 30-year-old male asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Amazing: Doesn't your doctor want you to stop the dilantin, recognizing that you will have to be on a long taper?
A 37-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Depends: The lenghth of coma depends on a number of things including how much brain damage can be seen on the MRI scan, the age of the patient, and how long th... Read More
A female asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Traditionally : Traditionally the case has been for neurosurgeons to handle spine issues closer to the brain. That said, there are a number of combined neurosurgical... Read More
A 46-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Neurologist: I assume you mean recent memory problems. At some point you will need to be evaluated by a neurologist who specializes in memory disorders.
A 39-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
It can be: Not sure where you are getting your data. Tbi causes many diasabilities, potentially. Dysarthria is certainly one of them.
A 47-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
No: Obviously it depends where the piercings are. Or nursing and anesthesia may have separate policies regarding this, over riding what your surgeon says... Read More
A 21-year-old male asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
No: True fasciculations corroborated by EMG are unlkely to be caused by psychological distress.
A 19-year-old female asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
No: First of all you should comply with your spine doctors directions. Restraining from vigorous activity is one way to get over the acute pain of a rupt... Read More
A 35-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Malignancy: Cancer is a malignancy and is difficult to cure. Some brain tumors are benign and can be successfully treated even cured.
A 47-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Depends: Blackouts can be a lot of things. Related to head injury they may be epileptic seizures. Usually there is no warning and you awake somewhat confused... Read More
A 53-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
There are 2 froms.: Nf-1 is characterized by tumors on small nerves under the skin. The worst form of this was depicted in a movie called the "elephant man". Tumors on ... Read More
A 42-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
It shouldn't: Contrast enhanced ct scans are not a risk for brain cancer. In fact more tumors have been cured by finding them early with ct scans and mris than hav... Read More
A 47-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
3 catagories: Three types of symptoms can herald a pituitary tumor. Headache is common. Hormone problems are the second, including menstrual irregularities, loss ... Read More
A 44-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
No evidence.: Various forms of alternative medicine have effects that are still being studied. That said, there is no evidence that such treatments would help with... Read More
A 37-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
3% or less: I assume you mean carotid endarterectomy, which is a relatively common operation to remove plaque which is partially obstructing flow through the arte... Read More
A 39-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Unlikely: If you are being treated in a major neurosurgical center, by a surgeon with a good reputation, the risks will mostly depend on why the surgery is bein... Read More
A 38-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Stimulators: Previously, some types of dystonia were treated by cutting certain nerves or muscles. Now there are stimulators that can be implanted in the brain or... Read More
A 38-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
No: A true psychosis is rarely if ever related to temporal lobe epilepsy. Do not expect epilepsy surgery, which is quite successful to necessarily affect... Read More
A 29-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
No: There may be some temporary back pain since the laminectomy incision is on the back, but this should resolve over time.
A 47-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Possibly: Cancer involving the pituitary gland is very rare. Pituitary tumors are relatively common but they are benign. Since the pituitary gland secretes ho... Read More
A 40-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Call 911: Go to the emergency room and be evaluated for clot busting drugs. If you are not having a stroke, they should be able to let you know what is happeni... Read More
A 42-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Sure: As long as there have been appropriate tests done to rule out serious disorders that may need surgical or medical treatment, chiropractors can provide... Read More
A member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Unlikely: There is only one form of meningitis that is communicable and that one is almost always fatal. Meningitis is relatively easy to diagnose so if someon... Read More
A 45-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
See a Neurologist: This is unusual after neck trauma. If it persists, a neuologist would be a good place to start.
A 31-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
ALS: Amyotrophic lateral sclerosis is the most serious form of motor neuron disease. Weakness and muscle twitching are a few of the symptoms.
A 30-year-old female asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Very few: This is entirely up to your surgeon of course, and will depend on the reason the shunt was put in to begin with, but shunts are put in to improve life... Read More
A 30-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Aging sucks: Two reasons. In childhhod the brain and nerves are at their greatest potential and are naturally programmed for developing skills. In adulthood the ... Read More
A 35-year-old female asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Fresh look: It may be time to have a second opinion about your spine condition. If there is a cyst a surgeon who specializes and may have had a fellowship in spi... Read More
A 41-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Clot busters: If a stroke patient can get to the emergency room within 4 hours, tpa (alteplase) can be given by vein in hopes of breaking up the clot blocking the b... Read More
A 45-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Sure: Tia symptoms like transient numbness, tingling, weakness or difficulty speaking can occur from other problems with the brain or heart. If your doctor... Read More
A 27-year-old male asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Probably neither: Could be several things none of them very threatening. Depending on what part of the face, it can be blepharospasm or more likely hemifacial spasm. ... Read More
A 48-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Congenital: This is a failure of the bones to fuse at birth usually in the lower spine. Sometimes the nerves to the legs and bladder are also malformed. So in e... Read More
A 43-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Soon: As soon as possible to reduce chance of infection.
A 31-year-old male asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
No guarantees.: People have different susceptibilities to hypoxia depending on many factors including age, physical fitness, and health status. Also, the ability of ... Read More
A member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
You : You should have an opinion from someone expert in nerve repair. There may be a rationale for waiting but at the end of that time if there is no impro... Read More
A 31-year-old male asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Muscle: Sounds muscular to me. Symptomatic treatment with massage, heat, etc might get you over it.
A 43-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Maybe nothing: Those are fairly common findings, especially for weekend warriors. For patients with symptoms a collar can be effective in the short run. If persiste... Read More
A 37-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
It's possible.: Assuming the subdural blood clot has been removed or has resorbed, you may be able to return to play. Your surgeon will take into consideration what ... Read More
A 38-year-old member asked:
Dr. Steven Giannotta
Neurosurgery 50 years experience
Positional vertigo: It might be benign positional vertigo. A neurologist or otologist can perform the appropriate tests.

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
339
Thank you notes
HealthTap member
Mar 24, 2013
He's quick to respond with great informative answer's that make good, clear sense.
HealthTap member
Mar 30, 2015
Dr. Giannotta is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Giannotta is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for responding so quickly. I will do my best to not dwell,I've read studies on the net where people who have PlS sometimes get AlS.
HealthTap member
Thank you, your answer was very helpful! Thank you very much. Yes i have vp- shunt. So the risk is to big ?
HealthTap member
Thanks for your quick reply! Thank you, the answer was very understandable. Have a great day!

Education & Training

Medical/Graduate school

University of Michigan Medical School, MI
Graduated 1972MD

Awards

Distinguished Service Award Joint Section of Cerebrovascular Surgery
Top Neurosurgeon , First Place, California - Winter
2013
Top Neurosurgeon , First Place, California - Summer
2013
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less