Neurosurgery

Neurosurgery

What is Neurosurgery?

Neurosurgery is the surgery of the nervous system. Most people think of neurosurgery as a brain surgery, but it is much more!
Neurosurgery is the medical specialty concerned with diagnosis and treatment of the diseases/disorders and traumas of the brain, spinal cord and column, and peripheral nerves within all parts of the body. 

Neurosurgical treatment can be either surgical or conservative. It depends on the character of the disorder and the general state of health of the patient. Such problems can be the result of abnormal growth since birth (congenital), aging or "wearing out" (degenerative), traumatizing after an injury, infection caused by certain bacteria or viruses, a tumor, or can be caused by other medical conditions or diseases.

Neurological surgery is a relatively young but revolutionary science 

In comparison with other medical specialties neurosurgery is a relatively young one. It became a separate branch of surgery only in the last century, deriving from the general surgery. 

Neurosurgery pioneers were brave general surgeons who have ventured into a restricted before treatment of brain, spinal cord and nerves disorders. Their results were modest, due to the lack of technology, surgical equipment and limited knowledge on the unique functions of tissues that make up the nervous system. The efforts of the first neurosurgeons resulted in neuroscientific progress, diagnostic skills and surgical possibilities during the last 50 years.

Technological advances of the surgical microscope, computed tomography, magnetic resonance imaging and various surgical instruments, allowed performing successful procedures that could not have been foreseen in the past.

Today Neurosurgery is one of the most prestigious and successful specialties, a leader in research, education and surgical technologies which are serving all the medical fields.

Who is the neurosurgeon and what is his job?

Neurosurgeons are not just surgeons operating on the brain; they are specialists that can help in treatment of the lower back pain and a wide range of other diseases from trigeminal trauma to head and spine injuries.

Neurosurgeons provide the operative and non-operative management of the disease, which means prevention, diagnosis, evaluation, treatment, and rehabilitation after neurological disorders.

Neurosurgeons have extensive training in the diagnosis of all neurological diseases, which is why they often work with referring doctors, including primary care physicians, neurologists, internists, family practitioners and physiotherapists.

What disorders do neurosurgeons treat?

  • Tumors affecting the brain, spinal cord, nerves, skull or spine. They can be primary – formed in the local tissues or secondary – metastatic cancer cells spread from another part of the body.
  • Spinal problems, such as pain in the lumbar, thoracic or cervical region of the spine, nerve compressions with the emergence of pain, numbness or weakness in the arms or legs. This may be the result of herniated intervertebral disc or protrusion, sliding vertebrae – spondylolisthesis, infections or fractures.
  • Disorders or peripheral nerve compressions, which can manifest as pain, numbness, weakness and atrophy of the muscles of the face, arms, hands or legs. Pathologies such as carpal tunnel syndrome are common when the nerve is compressed when crossing the wrist.
  • Cerebrovascular disorders such as stroke, brain hemorrhage, aneurysms, vascular malformations, traumatic or non-traumatic hematomas, which affect the brain or spinal cord and carotid artery stenosis.
  • Brain disorders, such as epilepsy, hydrocephalus or innate diseases.
  • Brain and spinal cord infections, infections of cerebrospinal fluid surrounding these structures, or vertebrae, or intervertebral disc.
  • Traumas of brain, spine, bones, spine, nerves and skull.

Why to choose Neurosurgery at Medpark?

At the Neurosurgery Center of International Hospital Medpark all the mentioned above diseases of the central and peripheral nervous system can be treated.

The operating room is ultramodern, equipped with a microscope of high resolution, brain and spinal neuroendoscope, craniotome and performant imaging equipment (intraoperative X-ray device C-Arm, CT, MRI, and angiography). These devices allow the doctors’ team to face any challenges through multidisciplinary approach to rapid diagnosis, immediate initiation of surgical or conservative treatment and personalized rehabilitation. 

Neurosurgery services at Medpark

At the Neurosurgery Center at Medpark we offer complete neurosurgical care and maximum involvement from the team. The care services involve not only physical condition monitoring, but also patient's mood.

Medpark team uses the most advanced diagnostic tools and primarily focuses on non-invasive treatment options for most diseases.

We firmly believe in open communication with the patient through the disclosure of each step in the evaluation and treatment plan. We understand the importance of coordinated care and strive to practice medicine as a true team in patients’ best interest.

The main principle of Medpark is: the patient is always our top priority.

Efficient use of resources in the interest of patient

Our staff has no limits in resources and efforts to achieve the best treatment for each patient. Neurosurgeons widely use quality imaging services available at Medpark (MRI, CT, scan, digital subtraction angiography, X-ray, etc.).

Our patients benefit from additional services offered by neurosurgeons, kinesiotherapists, physiotherapists and other. The shared objective of the team is to provide the best possible treatment and support.

The main principles we follow in neurosurgical activity

In certain circumstances, the best treatment option for the patient can be surgery. But such decisions are taken only by obtaining consensus after consulting the neurosurgeon. Specialists will recommend the most effective surgical treatment with minimally intrusive techniques applied to minimize risks and recovery time.

Medpark neurosurgeons are at patients’ disposal and provide all the necessary time to review the options of treatment in detail, describe the surgery and its justification, explain the process of recovery and success rate of the results of each procedure. It alleviates fear and anxiety in patients.

Patients are welcomed to ask questions and the communication with other specialists is encouraged. We assure you that all our doctors are qualified and have a vast experience in domain. Our hospital is equipped with the most modern surgical equipment such as neurosurgical microscope, micro instruments for minimally invasive procedures, intraoperative X-ray device. These allow performing the surgery safely and successfully.

Neurosurgical procedures performed at Medpark

Below there is a list of surgical procedures performed in the Neurosurgery Center at Medpark:

Cerebral pathologies

  • Brain tumors:
    • acoustic neuroma
    • brain glioma
    • brain meningioma
    • pituitary adenomas
    • chondroma
  • Hydrocephalus:
    • temporary external drainage
    • ventricular-peritoneal by-pass
  • Non-traumatic intracerebral hemorrhage:    
    • craniotomy to remove intracerebral hematoma
    • trepanation for bleeding control and draining
  • Trigeminal neuralgia:
    • craniotomy for microvascular decompression
  • Infections:
    • External ventricular drainage for antibiotic treatment
    • craniotomy to remove the abscess
  • Craniocerebral injuries:
    • craniotomy for evacuation of intracranial hematoma (epidural, subdural, intracerebral)
    • external ventricular drainage
    • craniotomy with excision of foreign body from brain
    • skull bones reconstruction
  • Sequelae of craniocerebral injuries:
    • cranial bones cranioplasty
    • reconstruction of CSF fistula
  • Malformations:
    • suboccipital decompression for Arnold Chiari malformation

Neurovascular pathologies

  • Aneurysms:
    • aneurysm clipping
    • endovascular embolization (coiling)
  • Arteriovenous malformations:
    • craniotomy for ablation or obliteration of AVM
  • Carotid artery stenosis:    
    • carotid endarterectomy
    • extra-intracranial vascular anastomosis (by-pass)
    • carotid artery endovascular stenting

Spinal pathologies

  • Hernias of the intervertebral discs    
    • microendoscope discectomy (lumbar, thoracic, cervical)
    • percutaneous discectomy
    • laminotomy and/or laminectomy
    • stabilization or fusion 
    • minimally invasive procedures
    • epidural/paravertebral block
  • Spinal stenosis:
    • decompression and stabilization if necessary
  • Intervertebral implants:
    • intervertebral fusion with or without titanium plate
  • Occipito-cervical fusion:
    • trauma / fractures
    • stabilization with decompression and fusion
    • reconstructive procedures
    • vertebroplasty with or without kiphoplasty
  • Spondylolisthesis (dislocation of vertebrae):
    • stabilization/surgical fusing
    • minimally invasive procedures
  • Infections:
    • decompression and sanation, stabilization
    • reconstructive procedures 

Spinal cord pathologies

  • Tumors:
    • laminectomy for the ablation of the tumor
  • Compressions:
    • decompression with stabilization/fusing
    • vertebrectomy with reconstructive fusing
  • Spinal cord injuries:
    • decompression with stabilization 
  • Infections:
    • biopsy, decompression with stabilization if necessary
  • Malformations:
    • AVM treatment
    • Syringomyelia cavity drainage

Peripheral nerve pathologies

  • Traumatisms:
    • debridement, repair and grafting
  • Carpal  Tunnel  syndrome:
    • neurolisys nerve decompression 
  • Cubital Tunnel  syndrome:
    • neurolisys nerve decompression 
  • Tumors:  
    • peripheral nerves tumor ablation