Neurosurgery is a highly specialized medical field focused on the surgical treatment of disorders affecting the brain, spine, and nervous system. This includes a wide range of conditions, from brain tumors and aneurysms to spinal cord injuries and degenerative spine diseases. Neurosurgeons use advanced surgical techniques to treat these complex conditions, often working closely with neurologists and other specialists to provide comprehensive neurological care.
Our Neurosurgery department adopts a multidisciplinary approach, combining surgical expertise with the latest technological advancements. We prioritize minimally invasive techniques to reduce recovery time and improve outcomes. Our team collaborates with neurologists, radiologists, and rehabilitation specialists to provide personalized, comprehensive care plans. We emphasize patient education and involve patients in decision-making processes, ensuring they understand their treatment options and are active participants in their care.
What distinguishes our Neurosurgery department is our use of cutting-edge technology, including intraoperative MRI and neuronavigation systems, which allow for greater precision in surgery. Our surgeons are leaders in the field, known for their expertise in complex neurosurgical procedures. Our commitment to advancing neurosurgery through innovation and research positions us as a premier center for neurological surgical care.
In our Neurosurgery team, we select surgeons renowned for their technical excellence and innovative surgical approaches. Our neurosurgeons are distinguished by their contributions to advancing neurosurgical techniques and their successful outcomes in complex cases. They are committed to ongoing education and research, staying at the forefront of the field. Their expertise and dedication to providing the highest standard of patient care make them some of the most respected neurosurgeons in the region.
Our Brain Surgery Clinic specializes in the surgical treatment of a wide range of neurological disorders affecting the brain. Utilizing state-of-the-art technology and techniques, our clinic offers comprehensive care for conditions such as brain tumors, aneurysms, and traumatic brain injuries. Our dedicated team of neurosurgeons, nurses, and support staff is committed to providing personalized care that prioritizes patient safety, recovery, and quality of life.
In our Brain Surgery Clinic, we combine advanced surgical expertise with a multidisciplinary approach to ensure the best outcomes for our patients. Our surgeons are skilled in the latest minimally invasive procedures, aiming to reduce recovery times and improve surgical precision. We work closely with patients and their families to develop individualized treatment plans, incorporating pre-operative education and post-operative rehabilitation. Our commitment to innovation and research allows us to continually refine our techniques and offer cutting-edge treatments.
General Neurosurgery focuses on diagnosing, treating, and rehabilitating patients with disorders affecting the brain, spinal cord, and peripheral nerves. This field handles a vast spectrum of conditions, including tumors, vascular anomalies, traumatic injuries, degenerative diseases, and congenital defects. Neurosurgeons utilize a combination of surgical and non-surgical techniques, guided by the latest research and technological advancements, to improve patient outcomes and enhance quality of life.
Brain Tumors
Brain tumors encompass a variety of growths ranging from benign to malignant, each with distinct characteristics and implications for treatment and prognosis. Symptoms often depend on the tumor’s size, type, and location, potentially including headaches, seizures, cognitive changes, and sensory or motor deficits. Management strategies are tailored to individual patient needs, combining surgery, radiation, and chemotherapy to remove or shrink tumors, relieve symptoms, and prolong survival. Advanced imaging techniques and surgical tools enable precise targeting of tumor tissue, minimizing impact on healthy brain areas.
Aneurysms
Cerebral aneurysms represent a critical condition characterized by the dilation of a blood vessel wall in the brain, creating a risk of rupture and potentially catastrophic hemorrhagic stroke. Patients may live with unruptured aneurysms without symptoms, but once bleeding occurs, urgent symptoms such as sudden severe headache, nausea, vision impairment, and loss of consciousness can arise. Treatment aims to prevent rupture or manage complications through surgical clipping or endovascular coiling, depending on the aneurysm’s size, location, and shape, as well as the patient’s overall health.
Congenital Anomalies
Congenital neurological anomalies, such as spina bifida, chiari malformation, and craniosynostosis, are defects in the brain and spinal cord that develop during pregnancy. These conditions can affect a child’s growth, development, and daily functioning. Treatment often involves a multidisciplinary approach including surgery to correct or mitigate structural abnormalities, physical and occupational therapy to enhance mobility and daily skills, and ongoing medical management to address associated conditions like hydrocephalus or seizures. Early intervention and tailored treatment plans are vital for maximizing a child’s developmental potential and quality of life.
Spinal Disc Herniation
Spinal disc herniation, also known as slipped or ruptured disc, occurs when the soft inner gel of a spinal disc escapes through a tear in the outer layer, pressing on nearby nerves. This can cause sharp pain, numbness, and weakness along the affected nerve’s pathway, often in the arms or legs. Treatment strategies range from conservative measures like physical therapy and pain management to surgical options for severe cases. Minimally invasive surgical techniques have improved recovery times and outcomes, focusing on relieving nerve pressure and restoring spinal stability.
Traumatic Injuries
Traumatic brain and spinal cord injuries are among the most critical conditions managed in neurosurgery. These injuries can result from a variety of causes, including vehicle accidents, falls, sports injuries, and violence. Immediate and long-term management involves stabilizing the patient, reducing secondary damage through surgery or medication, and extensive rehabilitation efforts to regain as much function as possible. Innovations in neurocritical care and rehabilitation have significantly improved outcomes, emphasizing the importance of timely and coordinated care.
Neuro-Oncology focuses on diagnosing and treating tumors of the brain and nervous system. This multidisciplinary field combines the expertise of neurosurgeons, oncologists, radiologists, and other specialists to manage both benign and malignant brain tumors. Advances in diagnostic imaging, surgical techniques, and therapeutic options have significantly improved the prognosis and quality of life for patients with brain tumors, emphasizing personalized treatment plans based on the tumor type, location, and patient health.
Gliomas
Gliomas are a common type of brain tumor originating from glial cells. They are classified into several grades, with higher grades being more aggressive. Symptoms can include headaches, seizures, and cognitive or motor deficits. Treatment often involves a combination of surgery, radiation therapy, and chemotherapy, tailored to the individual’s needs and the tumor’s characteristics. Our team is dedicated to offering the latest treatment options, including targeted therapies and clinical trials.
Meningiomas
Meningiomas grow from the meninges, the protective membranes covering the brain and spinal cord. Most meningiomas are benign and grow slowly. Symptoms, when present, may result from the tumor pressing on the brain or spinal cord and can include headaches, vision problems, and seizures. Surgical removal is the primary treatment for symptomatic meningiomas, with radiation therapy as an option for inoperable tumors or to control growth after surgery.
Pituitary Tumors
Pituitary tumors arise in the pituitary gland, a small organ that controls hormone levels in the body. These tumors can affect hormone production, leading to a variety of symptoms such as vision changes, unexplained weight change, and menstrual irregularities. Treatment depends on the tumor type and may include medication to manage hormone levels, surgery to remove the tumor, and possibly radiation therapy.
Metastatic Brain Tumors
Metastatic brain tumors are cancers that have spread to the brain from other parts of the body. Treatment focuses on controlling the spread and relieving symptoms, utilizing surgery, radiation therapy, and chemotherapy. Our approach is to customize treatment based on the primary cancer type and the extent of brain involvement, aiming to improve quality of life and extend survival.
Primary CNS Lymphoma
Primary CNS lymphoma is a rare, malignant tumor affecting the brain’s or spinal cord’s lymphatic tissue. Symptoms can include changes in cognition, motor skills, or vision. Treatment typically involves high-dose methotrexate-based chemotherapy, with or without radiation therapy, depending on the patient’s response and health status. Our team works closely with patients to manage side effects and provide comprehensive care.
Spinal Neurosurgery specializes in the diagnosis and treatment of disorders affecting the spinal column and spinal cord. This field addresses a wide range of conditions, from degenerative disc disease and herniated discs to spinal stenosis, tumors, and spinal cord injuries. Utilizing advanced surgical techniques, including minimally invasive procedures, spinal neurosurgeons aim to alleviate pain, restore function, and improve the quality of life for patients suffering from spinal disorders.
Degenerative Disc Disease
Degenerative Disc Disease (DDD) is a condition where the intervertebral discs lose hydration and elasticity, leading to pain, weakness, and numbness. While DDD is a natural part of aging, for some, it can lead to significant discomfort and mobility issues. Treatment strategies often start with conservative measures like physical therapy and pain management, progressing to surgical options like spinal fusion or disc replacement in more severe cases.
Herniated Discs
Herniated discs occur when the soft center of a spinal disc pushes through a tear in the tougher exterior, pressing on nearby nerves. This can cause pain, numbness, or weakness in the arms or legs. Depending on the severity and response to non-surgical treatments, options may include physical therapy, injections, or surgery to remove the herniated portion of the disc.
Spinal Stenosis
Spinal Stenosis involves the narrowing of spaces within the spine, which can put pressure on the nerves traveling through the spine. Symptoms include pain, numbness, muscle weakness, and in severe cases, problems with bowel or bladder control. Treatment can range from conservative approaches, like physical therapy and medications, to surgical procedures aimed at creating more space for the spinal cord and nerves.
Spinal Tumors
Spinal tumors can be benign or malignant and develop within or adjacent to the spinal cord, vertebrae, or nerves. They can cause pain, neurological problems, and structural instability. Treatment often involves a combination of surgery to remove or reduce the tumor, radiation therapy, and chemotherapy, depending on the type and progression of the tumor.
Spinal Cord Injuries
Spinal Cord Injuries (SCI) result from damage to the spinal cord, affecting motor and sensory functions below the level of injury. Treatment focuses on stabilizing the spine, preventing further injury, and maximizing the patient’s functional independence through rehabilitation. Advances in neurosurgery and rehabilitation have improved outcomes, with ongoing research into regenerative treatments offering hope for future SCI patients.
Functional Neurosurgery is a subspecialty focused on treating neurological conditions that affect the brain’s functions, including movement disorders, chronic pain, epilepsy, and psychiatric disorders. This field employs various advanced techniques, such as deep brain stimulation (DBS), spinal cord stimulation (SCS), and neuromodulation, to improve symptoms and quality of life for patients with conditions not adequately managed by medication alone.
Movement Disorders
Movement disorders such as Parkinson’s disease, essential tremor, and dystonia are characterized by abnormal, involuntary movements. Treatment options like deep brain stimulation (DBS) involve implanting electrodes in specific brain areas to regulate abnormal impulses. This can significantly reduce symptoms, improve motor function, and decrease the reliance on medication.
Chronic Pain
Chronic pain conditions, including neuropathic pain and complex regional pain syndrome (CRPS), can be debilitating. Spinal cord stimulation (SCS) and other neuromodulation therapies offer relief by interrupting pain signals before they reach the brain. These treatments are adjustable and reversible, providing a tailored approach to pain management.
Epilepsy
For epilepsy patients who do not respond to medication, functional neurosurgery offers treatments like vagus nerve stimulation (VNS) and responsive neurostimulation (RNS). These devices help control seizures by delivering electrical impulses to the brain or nerves, reducing seizure frequency and severity, and in some cases, providing early seizure warnings.
Psychiatric Disorders
Treatment-resistant psychiatric disorders, such as severe depression and obsessive-compulsive disorder (OCD), are increasingly being managed with neurosurgical interventions. Techniques like deep brain stimulation (DBS) target specific brain circuits involved in these conditions, offering hope for patients who have not benefited from traditional therapies.
Trigeminal Neuralgia
Trigeminal neuralgia is a condition causing severe facial pain due to irritation of the trigeminal nerve. Microvascular decompression (MVD) surgery is a common treatment, relieving pressure on the nerve and significantly reducing or eliminating pain. Other less invasive procedures may also be considered based on the patient’s condition and preferences.
Cerebrovascular Surgery addresses conditions related to the blood vessels of the brain and spinal cord, including aneurysms, arteriovenous malformations (AVMs), stroke, and carotid artery disease. This specialized field utilizes advanced surgical techniques to prevent strokes, manage bleeding, and repair vascular abnormalities, aiming to preserve or restore neurological function and prevent future vascular events.
Aneurysms
Brain aneurysms are bulges in brain arteries that can burst, causing hemorrhagic strokes. Surgical options include clipping, where a clip is placed at the base of the aneurysm to stop blood flow into it, and endovascular coiling, a less invasive procedure that fills the aneurysm with coils to prevent rupture. Both methods aim to reduce the risk of bleeding while preserving surrounding vascular structures.
Arteriovenous Malformations (AVMs)
AVMs are tangles of abnormal blood vessels connecting arteries and veins, which can disrupt normal blood flow and oxygen circulation. Treatment may involve surgical resection to remove the AVM, endovascular embolization to block blood flow to the AVM, or stereotactic radiosurgery to shrink it. These treatments help prevent hemorrhage, seizures, and other neurological symptoms associated with AVMs.
Stroke
Strokes occur when the blood supply to part of the brain is interrupted, leading to brain damage. Cerebrovascular surgery for stroke includes procedures to remove blood clots (thrombectomy) and repair damaged vessels to restore blood flow to the brain. Early intervention is crucial for minimizing brain damage and improving outcomes.
Carotid Artery Disease
Carotid artery disease involves the narrowing or blockage of the carotid arteries, major blood vessels in the neck that supply blood to the brain. Surgical treatments include carotid endarterectomy, which removes plaque buildup from the artery, and carotid artery stenting, a less invasive procedure that places a stent to widen the artery and improve blood flow, thereby reducing the risk of stroke.
Cavernous Malformations
Cavernous malformations are clusters of abnormal blood vessels in the brain or spinal cord, which can leak blood and cause seizures or neurological deficits. Surgical removal is recommended for accessible malformations causing symptoms, with the goal of preventing further bleeding and alleviating symptoms.
Endovascular Neurosurgery, also known as neurointerventional surgery, is a minimally invasive approach to treat vascular diseases of the central nervous system. This specialty employs techniques that access blood vessels through a catheter, allowing for the treatment of aneurysms, arteriovenous malformations (AVMs), stroke, and other cerebrovascular conditions without the need for open surgery. It offers patients shorter recovery times, reduced risks, and often, better outcomes compared to traditional surgery.
Aneurysms – Endovascular Approach
Endovascular coiling is a common treatment for brain aneurysms, where soft platinum coils are deployed through a catheter into the aneurysm, promoting blood clotting and preventing rupture. This procedure is preferred for its less invasive nature and its effectiveness in reducing the risk of future bleeding. For certain aneurysms, stent-assisted coiling or flow diverter devices may also be used to support the coil’s placement and promote vessel healing.
Arteriovenous Malformations (AVMs) – Endovascular Treatment
Endovascular embolization for AVMs involves inserting glues, particles, or other materials into the AVM via a catheter to reduce blood flow into the malformation. This can be a standalone treatment or used to shrink the AVM before surgical removal or radiosurgery, making those procedures safer and more effective. The goal is to decrease the risk of hemorrhage and alleviate symptoms such as seizures or neurological deficits.
Stroke – Endovascular Thrombectomy
For acute ischemic stroke caused by a blood clot, endovascular thrombectomy can be lifesaving. This procedure involves using a catheter to navigate to the clot and remove it, rapidly restoring blood flow to the brain. Thrombectomy has been shown to significantly improve outcomes for patients with strokes due to large artery occlusion, especially when performed within a few hours of symptom onset.
Carotid Artery Stenosis – Endovascular Interventions
Endovascular treatment for carotid artery stenosis includes angioplasty and stenting. A balloon catheter is used to open the narrowed artery, and a stent is placed to keep it open, improving blood flow to the brain and reducing the risk of stroke. This procedure is often recommended for patients at high risk for traditional surgery due to other medical conditions.
Intracranial Stenosis – Endovascular Management
For patients with narrowing of the arteries inside the brain (intracranial stenosis), angioplasty and stenting can also be applied. This approach is similar to that used for carotid artery stenosis but involves vessels within the skull. It’s aimed at preventing stroke by enhancing cerebral blood flow in patients who have not responded to medication or those who have severe stenosis.
Skull Base Surgery focuses on conditions and tumors located at the base of the skull, an area where the brain connects with the spinal cord and where numerous critical nerves and blood vessels pass. This highly specialized field combines expertise from neurosurgery, otolaryngology, and other disciplines, utilizing advanced surgical techniques to access and treat these complex regions with the goals of minimizing neurological damage and preserving function.
Acoustic Neuromas (Vestibular Schwannomas)
Acoustic neuromas are benign tumors that develop on the nerves leading from the inner ear to the brain, affecting hearing and balance. Surgical removal through skull base approaches can preserve hearing and facial nerve function while removing the tumor. The surgery’s intricacy requires careful planning to avoid complications and ensure the best possible outcome.
Pituitary Tumors
Pituitary tumors arise from the pituitary gland located at the skull base. Endoscopic endonasal surgery, a minimally invasive approach, allows for the removal of tumors through the nasal passages, offering a shorter recovery time and less risk than traditional surgery. This technique is particularly effective for removing tumors that affect hormone production or cause vision problems.
Meningiomas
Meningiomas at the skull base can press against the brain, nerves, or vessels, causing various symptoms. Surgical resection aims to remove these tumors while preserving neurological function. For tumors in challenging locations, a combination of surgery and radiation therapy may be employed to manage the condition effectively.
Chordomas and Chondrosarcomas
Chordomas and chondrosarcomas are rare, malignant tumors that can occur at the skull base. Surgical removal is the primary treatment, often followed by proton beam radiation therapy to target residual tumor cells while sparing surrounding healthy tissue. These tumors require a multidisciplinary approach for optimal management and long-term monitoring.
Cerebrospinal Fluid (CSF) Leaks
CSF leaks occur when the fluid surrounding the brain and spinal cord escapes through a defect in the skull base, potentially leading to meningitis. Surgical repair, often using the endoscopic endonasal approach, can effectively seal the leak and prevent complications. The choice of technique depends on the leak’s location and cause.
Neurosurgery stands at the forefront of medical science, addressing complex conditions of the brain, spinal cord, and peripheral nerves with precision and innovation. Our neurosurgery department is committed to providing the highest standard of care, combining advanced technology with patient-centered approaches to treatment.
Magnetic Resonance Imaging (MRI)
MRI is a cornerstone in neurosurgical diagnostics, offering detailed images of the brain and spinal cord without radiation exposure. It’s crucial for identifying tumors, vascular irregularities, and other neurological conditions, guiding surgical planning and intervention.
Computed Tomography (CT) Scan
CT scans provide rapid, cross-sectional images of the skull and brain, essential in emergencies for diagnosing hemorrhages, fractures, and acute neurological conditions. They play a pivotal role in the immediate assessment and management of trauma patients.
Cerebral Angiography
Cerebral angiography visualizes the blood vessels in the brain, identifying aneurysms, arteriovenous malformations, and stenosis. It’s vital for planning surgeries and endovascular treatments, offering a detailed map of cerebral circulation.
Electroencephalography (EEG)
EEG measures the electrical activity of the brain, crucial for diagnosing epilepsy and monitoring brain function in various conditions. It assists in determining the focus of seizure activity and assessing brain health.
Lumbar Puncture
A lumbar puncture, or spinal tap, involves collecting cerebrospinal fluid for analysis. This test helps diagnose infections, bleeding, and other conditions affecting the brain and spinal cord, providing valuable diagnostic information.
Craniotomy
Craniotomy involves removing a portion of the skull to access the brain for tumor removal, clot evacuation, or aneurysm repair. It’s a fundamental neurosurgical procedure tailored to the specific needs of each patient.
Spinal Surgeries
Spinal surgeries address a range of conditions from herniated discs to spinal cord tumors. Techniques vary from traditional open surgery to minimally invasive procedures, aimed at relieving pain, restoring function, and improving quality of life.
Stereotactic and Functional Neurosurgery
This branch of neurosurgery utilizes precise targeting for the treatment of movement disorders, such as Parkinson’s disease, and epilepsy. Techniques include deep brain stimulation (DBS) and radiosurgery, improving symptoms with targeted intervention.
Endovascular Neurosurgery
Endovascular neurosurgery treats vascular disorders like aneurysms and arteriovenous malformations through minimally invasive techniques. It involves navigating catheters through blood vessels to treat conditions directly at their source.
Deep Brain Stimulation (DBS)
DBS involves implanting electrodes in specific brain areas to modulate electrical signals, treating Parkinson’s disease, tremors, and dystonia. It offers significant symptom relief for patients with movement disorders.
Neuroendoscopy
Neuroendoscopy allows for the minimally invasive treatment of conditions like hydrocephalus and brain cysts. Using small cameras and instruments, surgeons can navigate through the ventricular system or remove tumors with minimal disruption.
Minimally Invasive Spine Surgery
This approach to spine surgery utilizes smaller incisions and specialized instruments to reduce tissue damage and speed recovery. It’s effective for spinal decompression and fusion, offering an alternative to traditional open surgery.
Postoperative Care and Rehabilitation
Postoperative care focuses on managing pain, preventing complications, and rehabilitation. Tailored physical therapy programs and support services are essential for regaining strength, mobility, and function after neurosurgical procedures.
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