Dr. Geneviève Milot – Neurosurgeon | Québec, QC

Dr. Geneviève Milot is a dedicated Neurosurgeon specializing in the surgical management of disorders affecting the brain, spine, and peripheral nervous system in adult patients. Practicing at Hôpital Enfant-Jésus - CHU de Québec in Québec City, QC, she is an integral part of the local surgical and medical community. Her practice adheres to the high standards set by the Collège des médecins du Québec (CMQ). She provides comprehensive surgical care for a wide range of conditions affecting the brain, spine, and peripheral nerves, including trauma, tumors, and degenerative diseases. Dr. Milot is committed to utilizing advanced surgical techniques and fostering a supportive environment for patients undergoing neurosurgical treatment.

She holds a Medical Degree from a recognized institution and has over 26 years of experience as a Neurosurgeon, since 1998. She has completed extensive postgraduate training and holds the necessary certifications to practice neurosurgical care of the brain, spine, and nerves in Québec. Her certification and experience ensure that patients receive expert and safe surgical interventions.

Dr. Milot’s clinical philosophy centers on patient safety, precision surgery, and the use of advanced technology. She emphasizes multidisciplinary collaboration and comprehensive post-operative care to optimize outcomes. Dedicated to the residents of Québec City, she speaks French and is committed to providing patient-centered, evidence-based neurosurgical care tailored to each individual's needs.

Dr. Geneviève Milot surgically treats a wide range of neurological conditions, including:

Peripheral Nerve Disorders (Surgical Management)

• Ulnar Nerve Entrapment (Cubital Tunnel Syndrome - surgical cases): Compression of the ulnar nerve at the elbow, potentially requiring surgical decompression or transposition.
• Traumatic Nerve Injuries (requiring repair or grafting): Severe injuries to peripheral nerves that may benefit from surgical exploration, repair, or nerve grafting.
• Peripheral Nerve Tumors (e.g., Schwannomas, Neurofibromas): Benign or malignant tumors arising from peripheral nerves that may require surgical excision.

Functional Neurosurgery & Neuropathic Pain Conditions

• Trigeminal Neuralgia: A chronic pain condition affecting the trigeminal nerve, causing severe facial pain, potentially treated with microvascular decompression.
• Chronic Neuropathic Pain (select cases for neurostimulation): Persistent pain due to nerve damage, where spinal cord stimulation or other neuromodulation techniques might be considered.
• Spasticity (severe, for Baclofen pump or selective dorsal rhizotomy consideration): Severe muscle stiffness and spasms, potentially managed with implantable drug delivery systems or nerve root surgery.

Spinal Column & Spinal Cord Disorders

• Syringomyelia (Syrinx): Formation of a fluid-filled cyst (syrinx) within the spinal cord, which can expand and damage nerve tissue.
• Spinal Fractures & Instability (Traumatic or Pathologic): Breaks in the vertebrae or spinal instability often requiring surgical stabilization.
• Spinal Cord Tumors (Intramedullary, Extramedullary): Abnormal growths within or surrounding the spinal cord that may require surgical removal.

This list is not exhaustive. For personalized advice regarding your specific neurosurgical condition, please consult with Dr. Geneviève Milot.

• Surgery for Spinal Trauma & Fractures: Decompression and stabilization procedures for injuries to the spinal column and spinal cord.
• Pre-Surgical Planning & Risk Assessment: Detailed evaluation to determine surgical candidacy, optimize patient condition before surgery, and discuss potential risks and benefits.
• Carotid Endarterectomy / Carotid Artery Stenting Coordination: Surgical removal of plaque from the carotid artery or stenting (often by vascular surgeons/interventionalists) to prevent stroke, with neurosurgical consultation for specific cases.
• Surgery for Degenerative Spine Disease (e.g., Herniated Discs, Spinal Stenosis): Procedures such as microdiscectomy, laminectomy, and foraminotomy to relieve nerve compression and pain.
• Comprehensive Neurosurgical Consultation & Evaluation: In-depth assessment of conditions affecting the brain, spine, and peripheral nerves, including review of medical history, neurological examination, imaging review, and surgical planning.
• Epilepsy Surgery (e.g., Temporal Lobectomy, Lesionectomy, Corpus Callosotomy - in selected cases): Surgical interventions for medically refractory epilepsy, aimed at removing or disconnecting the seizure focus.
• Peripheral Nerve Tumor Resection (e.g., Schwannomas, Neurofibromas): Surgical removal of tumors arising from peripheral nerves.

Note: This list provides a general overview. Neurosurgical treatment plans are highly individualized. Discuss with Dr. Milot for care relevant to your specific condition.

All medical and surgical services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant neurosurgical care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Hôpital Enfant-Jésus - CHU de Québec, situated in the vibrant area near central Québec City, offers accessible and state-of-the-art medical facilities. The hospital is located close to Waterfront Park along the St. Lawrence River, providing a scenic view and a tranquil environment for patients and visitors. The location is well-served by the Réseau de transport de la Capitale (RTC), with multiple bus routes connecting the hospital to the broader city. The facility is wheelchair accessible, ensuring ease of access for all patients, and parking is available at or near the hospital to facilitate convenient visits for patients and their families.

Are consultations and neurosurgical procedures with Dr. Milot, a Neurosurgeon, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Neurosurgeon like Dr. Milot, as well as most diagnostic imaging reviews and provincially insured neurosurgical procedures (e.g., for tumors, spine conditions, aneurysms), are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when a referral from a family doctor or another specialist is in place. Some advanced technologies, specific implantable devices, or purely elective/cosmetic procedures may have different coverage. It's crucial to discuss coverage specifics with Dr. Milot's office, the hospital's financial services, or Régie de l'assurance maladie du Québec (RAMQ) prior to any major procedure.

Do I need a referral to see Dr. Milot, a Neurosurgeon?

Yes, a referral from your family physician, an emergency room physician, or another specialist (like a neurologist or oncologist) is almost always required to see a Neurosurgeon such as Dr. Milot. Neurosurgical conditions are typically complex and require initial assessment and investigation before a neurosurgical consultation is appropriate. The referral ensures coordinated care and that you are directed to the right specialist.

When might someone need to see a Neurosurgeon?

A referral to a Neurosurgeon like Dr. Milot is typically made by another physician when a condition is suspected or diagnosed that may require surgical intervention or specialized neurosurgical assessment. This can include brain tumors, spinal disc herniations causing severe nerve compression, spinal stenosis, traumatic brain or spine injuries, cerebral aneurysms, arteriovenous malformations (AVMs), hydrocephalus, some forms of epilepsy, or peripheral nerve entrapment syndromes not responding to conservative treatment.

What types of spine problems does a Neurosurgeon like Dr. Milot treat surgically?

Neurosurgeons like Dr. Milot who specialize in spine surgery treat a variety of conditions affecting the cervical (neck), thoracic (mid-back), and lumbar (low-back) spine. These can include herniated discs causing nerve compression, spinal stenosis (narrowing of the spinal canal), spondylolisthesis (slipped vertebra), spinal fractures due to trauma, spinal tumors, and spinal deformities. Surgical procedures aim to decompress nerves, stabilize the spine, or remove tumors.

What are some common procedures a Neurosurgeon performs?

Neurosurgeons perform a wide variety of intricate procedures. Common surgeries include craniotomies (opening the skull) for brain tumor removal, aneurysm clipping, or hematoma evacuation; spinal surgeries like laminectomies or discectomies for nerve decompression, and spinal fusions for instability; and placement of shunts for hydrocephalus. Dr. Milot would be able to discuss specific procedures relevant to your condition. Many neurosurgeons also have subspecialty interests, such as pediatric neurosurgery, spine surgery, or vascular neurosurgery.

What is recovery like after neurosurgery?

Recovery from neurosurgery varies greatly depending on the type and complexity of the surgery, the underlying condition being treated, and the individual patient's overall health. It can range from a few weeks for some minimally invasive spine procedures to several months or longer for major brain or complex spine surgeries. Recovery often involves a hospital stay, followed by a period of rest and rehabilitation, which may include physical, occupational, or speech therapy. Dr. Milot and the care team will provide detailed post-operative instructions and support throughout the recovery process.

What are the general risks associated with neurosurgery?

All surgical procedures carry some risks. For neurosurgery, these can include infection, bleeding, blood clots, adverse reactions to anesthesia, and neurological deficits (such as weakness, numbness, or problems with speech or vision), depending on the area being operated on. There's also the risk that the surgery may not fully alleviate the symptoms or that the underlying condition may recur. Dr. Milot will discuss the specific risks and potential benefits of your proposed surgery in detail, allowing you to make an informed decision.

Hôpital Enfant-Jésus - CHU de Québec
1401 18e Rue
Québec City, QC G1J 1Z4

Phone: (418) 649-5734 | Fax: (418) 649-5915

The facility is wheelchair accessible.

Dr. Milot is a licensed Neurosurgeon regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Milot for services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=98269