Neurosurgery

Neurosurgery is a branch of surgery that deals with the surgical treatment of diseases and injuries of various parts of the nervous system, including the brain.

All operations in the neurosurgical department can be divided into several main categories:

• In the cavity of the skull (trepanation of the skull).
• On the spinal cord (laminectomy), for example, removal of a herniated disc.
• On the peripheral nerves.

There are many reasons for a neurosurgeon to perform surgery, including tumors, trauma, genetic abnormalities, inflammatory or parasitic diseases of the brain or its membranes. A major area of work in neurosurgery is a solution to problems with vascular pathologies of the brain, including:

• Surgeries for arterial aneurysms or vascular malformations.
• Elimination of the consequences of acute cerebrovascular accident by hemorrhagic type.

A distinctive feature of neurosurgical operations is that in most cases neurosurgeon immerses the patient in a state of controlled arterial hypotension. This method allows to reduce blood loss and reduce the risk of cerebral edema, periodic hyperventilation.

The Center for Neurosurgery in Moscow uses innovative modern equipment, in particular the latest models of operating microscopes. The technique allows a better view of the operating frame, for targeted manipulation by a specialist (microsurgical intervention), needed to reduce brain injury.

You can contact a neurosurgeon if you experience the following symptoms:

• Frequent headaches.
• Pain in the cervical, lumbar or thoracic spine (may indicate protrusions and other problems).
• Changes in the level of consciousness.
• Impaired intelligence (could be the result of a stroke, etc.).
• Weakness in the limbs.
• Severe pain syndrome in different parts of the body.
• Seizures of the epileptic type.
• Nausea and vomiting accompanied by loss of consciousness, tinnitus, dizziness, and/or problems with coordination.

Medical Center K+31 in Moscow provides paid services for the diagnosis, therapy and surgical treatment of diseases of the central and peripheral nervous system.

A neurosurgeon has no special preliminary preparation for an appointment. The patient can visit a specialist in the clinic at the personal request or in the direction of the attending physician. Appointment with a neurosurgeon you need to take the medical documentation on hand (to view the anamnesis, obtain information about diseases, etc.).

Consultation of a neurosurgeon in the clinic of neurosurgery takes place in several main stages:

• Examination of the patient and collection of complaints.
• Research of medical data, including MRI, CT, ENMG and other examinations, if they were performed earlier (if not, then depending on the clinical case, the neurosurgeon appoints the passage of certain procedures).
• Assessment of the pain syndrome in a patient with the determination of the localization of the source of pain (especially relevant for problems with the spine).

According to the results of the information collected, the doctor decides on additional medical examination if necessary. If there is enough data, then a treatment plan is drawn up after accurate diagnosis.

In neurosurgery, there are several basic methods for the treatment of diseases of the central and peripheral nervous system. The appropriate method is determined neurosurgeon, depending on the disease, localization of the problem area. All operations can divided into 2 groups:

• Open plan.
• Minimally invasive.

In the first case, the neurosurgeon needs to open the skull or spine, in order to obtain the maximum access to the focus of the problem, for example, with a tumor on the brain or spinal stenosis. In the second case, small holes in the bone are prepared for surgical intervention, through which special equipment (microcameras, etc.) is introduced. Received image is displayed on the monitor and the neurosurgeon sees all the manipulations performed by him.

It is important to note that emergency hospitalization in the neurosurgery center often leads to open treatment, especially in severe traumatic brain injury. Planned surgical treatment allows doctors to be well prepared and use minimally invasive intervention tools for microsurgical operations. The patient is prescribed the necessary laboratory tests: clinical and biochemical blood tests, coagulogram, ECG, CT, MRI, etc.

The method of treatment chosen by the neurosurgeon is influenced by the localization and degree of damage to the nervous systems. For example:

• To remove bone spurs and outgrowths (osteophytes), a surgical drill and special instruments (minimally invasive interventions).
• Hernias are removed in the form of thin plates of bone (open type operation).
• The installation of stimulators in the brain and spinal cord is performed using the technique stereotaxic surgery.

Neurosurgery is also closely related to other areas of medicine. Therefore, if the disease affects related areas, then treatment or surgery can be carried out jointly with other specialists (plastic surgeon, oncologist, doctor working with maxillofacial profile, etc.).

On the website of the K+31 Center for Neurosurgery, you can read articles containing clinical guidelines for the diagnosis, treatment and prevention of pathologies of the nervous system.

The complex of rehabilitation measures in neurosurgery is individual for each patient. Considering an accurate diagnosis, the type of operation performed, various complications or concomitant diseases, you can highlight the following measures:

• Observation and consultation of specialists from other fields (neurologist, oncologist, therapist, endocrinologist, etc.).
• Prevention of pressure sores, vein thrombosis (for patients with limited mobility up to recovery).
• Exercise therapy, kinesitherapy, mechanotherapy (patient exercises on simulators).
• Therapeutic massage in separate areas.
• Ergotherapy
• Classes with a speech therapist (relevant for patients with speech disorders as a result of TBI or stroke).
• Physiotherapy - physiotherapy with analgesics to prevent pain, improve blood circulation, reduce swelling.
• Classes with a psychotherapist, neuropsychologist, etc.

If you need a consultation with a neurosurgeon in Moscow, order a call back - the administrator will contact you as soon as possible. News of the neurosurgery clinic is regularly published on our website, here you can also see the coordinates of the regulatory authorities.