Brain and Nerve Surgery (Neurosurgery)

Most people think of neurosurgery as brain surgery, but it’s much more than that. Now, what is Brain and Nerve Surgery (Neurosurgery)? What diseases does neurosurgery deal with?

Let’s take a look at what needs to be known together …

WHAT IS BRAIN AND NERVE SURGERY (NEUROSURGERY)?

Neurosurgery is a highly specialized branch of medicine that deals with the surgical treatment of nervous system problems. This includes a variety of conditions involving the brain, spinal cord, major nerves, skull, bones of the spine, spinal cords, as well as protective coatings that provide support to blood vessels, ligaments and nerve tissues. This work is often considered one of the most complex in medicine, as these parts of the body are specialized and complex. Physicians working in this field are known as neurosurgeons. Neurosurgeons provide the operative and non-operative management (i.e. prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of neurological diseases. Since neurosurgeons have extensive training in the diagnosis of all neurological diseases, they often work with emergency room doctors, neurologists, internists and family physicians. Neurosurgery operations are procedures that require a high level of attention and precision, usually involve very detailed interventions and have higher risks than other surgeries. In addition, it is the surgical branch that is most intertwined with technological developments. While many diseases requiring surgery related to the brain and nervous system were previously considered “fatal” or “incurable”; It has become treatable today in parallel with the technological and medical scientific developments that increase every year. In particular, Turkey’s neurosurgeons has pioneered many developments at the international level in the field of neurosurgery and has a respectable and leading position in the world.

  • Due to its broad nature, it is divided into different categories, including neurosurgery, general neurosurgery, and many specialties. These are:
  • General Neurosurgery

General neurosurgery deals with many neurological conditions, particularly neurological trauma and neurological emergencies, an example of which is intracranial bleeding.

Vascular and Endovascular Brain Surgery

This includes diagnosis and treatment of aneurysms, carotid stenosis, strokes, vasospasms, and spinal malformations. Surgical treatments for such conditions are now performed using minimally invasive techniques such as angioplasty, stenting, and embolization.

Spine neurosurgery

This includes the treatment of disorders affecting the cervical, thoracic, and lumbar spines; These problems include arthritis in the spinal discs, spinal cord compression caused by trauma, or spondylosis. Symptoms of spinal problems include lack of balance, numbness, and tingling in the hands and feet.

Peripheral nerve surgery

Common peripheral nerve surgeries include carpal tunnel decompression for the treatment of peripheral nerve transposition as well as carpal tunnel syndrome; This branch of neurosurgery is responsible for treating nerve entrapment conditions.

  • Technology Drawing the Roadmap of Tumor: Neuronavigation

During brain tumor surgery, it is very important to remove the tumor without damaging the intact brain tissue. The “neuronavigation” device ensures that biopsy is taken from the tumors in the brain by preserving the tissues, the most accurate diagnosis is made and the most appropriate treatment is applied.

  •  Tumor Staining

Safe and wide resection of brain tumors and brain during surgery of vascular disease in the world and Turkey in a limited number of centers used in fluorescent (tumor staining) BHT-guided surgery is available now.

  • Brain Battery

 Deep Brain Stimulation (Brain Battery) is safely applied in our clinic in movement disorders (Parkinson’s etc.).

Stereotactic, functional and epilepsy neurosurgery

Epilepsy disease is a group of diseases that affect a significant part of the society and can seriously restrict functionality. Although there are different types, very good results can be obtained with surgical methods in suitable patients who do not respond to medical treatment. Deciding on surgical treatment in epilepsy disease usually takes place after a long and detailed evaluation process. In this process, stages such as advanced imaging techniques and evaluations of experienced neuroradiology experts, evaluation of adult and pediatric neurologists specialized in Epilepsy disease (Epileptology), and examination of neuropsychiatric and social factors. In order to perform epilepsy surgery, the center should have technological facilities such as EEG, long-term monitoring with camera recording, functional MRI, invasive EEG. In addition, advanced systems such as brain mapping, neuromonitoring, stereotaxy, and neuronavigation are needed in the operating room. As Medixcope, our contracted hospitals have an advanced academic and technical infrastructure in epilepsy surgery and a high number of epilepsy surgeries are applied.

Examples of surgical methods and diseases applied in the field of epilepsy surgery:

  • Temporal lobe epilepsy surgery (amygdalohippocampectomy, temporal lobectomy)
  • Lesionectomy (DNET, Cortical dysplasia, low grade glioma)
  • Hemispherotomy, functional hemispherectomy
  •  Corpus callosotomy
  • Vagal nerve stimulation
  •  Invasive deep and cortical EEG monitoring

Pediatric neurosurgery

Since the body structures and functioning of infants and children are different from adults, their surgeries require different approaches. The area of ​​Neurosurgery that focuses on the patient group under the age of 18 is called “Pediatric Neurosurgery”. These patients are evaluated in premature, neonatal, infant, child and adolescent categories according to their age. Each group has its own common diseases and surgical treatment approaches. In addition, close cooperation and teamwork with Neonatology (Neonatal department) and Pediatrics (Pediatrics) departments are required in the treatment of pediatric patients. However, there is a need for special equipment designed for the pediatric age group used in surgeries. As Medixcope, we have an advanced academic and technical infrastructure for Pediatric Neurosurgery operations with our contracted hospitals and a high number of surgeries are performed. In addition, our intensive care unit, which provides special services to pediatric patients, is within the scope of the agreement.

Examples of diseases and methods that we frequently apply surgical treatment in the field of pediatric neurosurgery:

  • Craniosynostosis (head deformity) surgeries
  • Spina bifida, meningocele, myelomeningocele surgeries (split spinal cord, congenital spinal cord, congenital outer spinal cord)
  • Childhood brain and spinal cord tumors
  • Hydrocephalus (accumulation of cerebrospinal fluid in the brain)
  • Endoscopic ventriculostomy and tumor surgeries
  • Childhood spine diseases
  • Oncologic Brain Surgery
  • Skull Base Surgery

What diseases does neurosurgery deal with?

⦁ Congenital anomalies (congenital nerve disorder)

⦁ Head Injuries (severe injury)

⦁ Tumors in the nervous system

⦁ Infections of the brain or spine

⦁ Stroke

⦁ Degenerative diseases of the spine

⦁ Chronic pain

⦁ Brain Tumors

⦁ Neuronavigation

⦁ Tumor Staining

⦁ Spine Tumors

⦁ Brain Hemorrhages

⦁ Cerebrovascular Diseases

⦁ Hydrocephalus Surgeries

⦁ Childhood Congenital Diseases

⦁ Lumbar Hernia

⦁ Neck Hernia

⦁ Spine Fractures

⦁ Spinal Canal Narrowing

⦁ Waist Slip

⦁ Nerve Entrapment

⦁ Nerve Injuries

⦁ Brain Battery Applications

For a healthy and quality life, do not neglect to have your check-ups regularly.

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