Her current practice involves care of patients with primary or metastatic brain and spinal cord tumors as well as patients with pituitary tumors. This involves the evaluation and management of patients from new tumor diagnosis through the preoperative and postoperative periods. In addition, she coordinates a program for patients with normal pressure hydrocephalus which includes initial evaluation, admission for inpatient lumbar drain trial, serial physical therapy evaluations, and decision-making regarding options. Ms. Gunden also assists in moderating a monthly Brain Tumor Support Group.