Referrals & Care Coordination
A dual-trained neurosurgeon and radiation oncologist with fellowship training in functional neurosurgery — emphasizing multidisciplinary co-management and clear communication back to referring clinicians.
Direct Access for Referring Providers
A direct line to the physician for urgent questions, with expedited evaluation for time-sensitive cases. After the visit, you'll receive a clear plan and co-management recommendations — and we close the loop with updates after key milestones.
What We Offer Your Patients
Patient-centered, evidence-based interventions integrating surgical and non-invasive options through a single evaluation.
Robot-Assisted DBS
Parkinson's, essential tremor, dystonia, select neuropsychiatric indications
MR-guided Focused Ultrasound
Essential tremor and select functional disorders
Stereotactic Radiosurgery
Gamma Knife and LINAC-based, including functional radiosurgery
Percutaneous Procedures
Radiofrequency ablation and balloon compression for trigeminal neuralgia
Epilepsy Surgery & Neuromodulation
SEEG evaluation, DBS, and RNS for drug-resistant epilepsy
Minimally Invasive Intracranial Surgery
Robotic stereotactic biopsy, surgical resection and laser ablation in select cases
Neuromodulation for Pain
Spinal cord stimulation and peripheral nerve stimulation
Common Reasons to Refer
Below are the scenarios where a referral is most likely to add value. We're happy to discuss cases informally before a formal referral.
Movement Disorders
- Parkinson's disease with motor fluctuations, dyskinesia, or medication-refractory tremor
- Essential tremor that remains functionally limiting despite medication trials
- Dystonia or tremor syndromes requiring an expert target-based approach
Facial Pain
- Classical TN, atypical TN, secondary TN (tumor-related or MS-related), and complex facial pain syndromes
- Patients considering percutaneous options vs. radiosurgery vs. neuromodulation — especially when imaging or prior procedures complicate decision-making
Intracranial Tumors & Vascular
- Brain metastases and benign tumors requiring radiosurgery evaluation or multidisciplinary planning
- AVMs and other lesions where radiosurgery considerations intersect with surgical options
Complex Pain & Neuromodulation
- Failed back surgery syndrome, CRPS, refractory neuropathic pain syndromes
- Patients who may benefit from neuromodulation evaluation after appropriate conservative management
Co-Management Philosophy
We aim to keep care collaborative and efficient — as the referring clinician, you remain central to longitudinal management. We coordinate, communicate, and close the loop.
You Stay Central
Referring neurologists and PCPs remain central to longitudinal management.
Multidisciplinary Input
We coordinate movement disorders neurology, neuropsychology, neuroradiology, oncology, and rehab when multiple perspectives matter.
Structured Follow-Up
For DBS and neuromodulation: outcomes depend on diagnosis, target selection, and expert programming. We structure follow-up to support that long term.
How to Refer
Dr. Almeida is now seeing patients at UPMC Presbyterian. To refer a patient — or discuss a case informally before a formal referral — use the contacts below.
Call
412-647-5044Direct scheduling line for Dr. Almeida's practice. Department main line: 412-647-3685.
Fax
412-647-0989Referral documents, clinic notes, and imaging reports.
Office
Department of Neurological SurgeryUPMC Presbyterian, Suite A-402
200 Lothrop Street
Pittsburgh, PA 15213