Clinical responsibilities of the Neuroanesthesiology, Otolaryngology and Offsite Anesthesiology Division include intracranial procedures (such as awake craniotomy and aneurysm clipping), endovascular treatment of intracranial vascular abnormalities, treatment of seizures and movement disorders, complex spine surgery with instrumentation, and radical head and neck surgery. Intraoperative MRI and CT technologies, advanced neuromonitoring, and functional and minimally invasive neurosurgery require highly specialized anesthesia care.