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.
How to Refer
Dr. Almeida sees patients at UPMC Presbyterian. Procedures are performed at UPMC Presbyterian and UPMC Shadyside. Gamma Knife radiosurgery is delivered through the UPMC Gamma Knife program. For formal referrals, or to discuss a case informally before a formal referral, use the contact options 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
What We Offer Your Patients
Patient-centered, evidence-informed care. Dr. Almeida’s training in neurosurgery and radiation oncology supports coordinated planning of surgery, radiosurgery, and radiation for tumor, pain, and functional cases.
Robot-Assisted DBS
Parkinson’s disease, essential tremor, dystonia, and multidisciplinary evaluation for severe treatment-resistant OCD
MR-guided Focused Ultrasound
Selected patients with essential tremor or Parkinson’s disease; staged bilateral treatment may be considered for selected essential-tremor patients.
Stereotactic Radiosurgery
Gamma Knife stereotactic radiosurgery for selected tumors, including pituitary and skull base lesions, vascular lesions, and selected functional indications
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
ROSA-assisted stereotactic biopsy and laser interstitial thermal therapy (LITT) in selected cases.
Selected intracranial tumors
Microsurgical resection and stereotactic radiosurgery for selected intracranial tumors
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 being considered for minimally invasive percutaneous procedures or stereotactic radiosurgery; treatment choice depends on diagnosis, imaging, prior treatment, and health
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
Drug-Resistant Epilepsy
- Seizures continuing after adequate trials of two appropriately chosen and tolerated antiseizure medicines
- Multidisciplinary evaluation of surgical or neuromodulation options; include seizure history, medication trials, EEG reports, and imaging
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.
General inquiries only: the message form below is not a clinical referral channel and is not monitored for emergencies. Do not include patient names, diagnoses, imaging, or other medical information. Use the phone and fax above for referral coordination.