Modern Methods in Brain, Spinal Cord And Neurosurgery
For success in Neurological diseases seen in society, a fully equipped center, organized team approach and multidisciplinary treatment attitude are mandatory. New technological developments and innovations in the neurosurgery field are evidenced daily resulting better diagnosis and treatment results. Head of Memorial Şişli/ Ataşehir Hospital Neurosurgery department Prof. Dr. İlhan Elmacı has stated that Neurosurgery is the fastest developing specialitybenefiting from technological developments, and added the importance of Pre-surgery planning due to the co mplicated and sensitive nature of the nervous system. Computerized tomography (CT), Magnetic Resonance Imaging (MRI) and developments in optical systems has reduced the possibility of issues related to surgery and death risk. To date, successful results has been achieved in traetments of many incurable diseases in brain and nerve surgery.
Our neurovascular vascular surgical team can perform endovascular, interventional neuroradiology and (microsurgical) procedures. Memorial Stroke Units can also actively participate in this joint approach these process to reduce the risk of embolism, embolic attacks and succesfully treats cerebrovascular accidents.
Spinal disorders such as traumatic spinal cord canal stricture resulting from accidents and injuries, diseases resulting from old age such as slipped disc and congenital diseases, can be successfully treated with surgery. In addition to this, cervical disc hernia or herniated disc can be treated using microsurgical and endoscopic surgery techniques in our minimally invasive spine center. In coordination with rehabilitation services planned with the physiotherapy division. Minimally invasive pain operations or non-surgical treatments for pain are also conducted in this discipline.
Congentinal and acquired neurological conditions such as tumors, vascular conditions, brain liquid aggregation inside the head described as hydrocephaly and “spinal dysraphism” occurring especially after birth are treated surgically.
Patients with head traumas are treated immediately with the intensive care unit. Postsurgically, they are also directed to physiotherapy and rehabilitation programs aimed to overcome the life-threatening state and improve the quality of life.
Brain vessel disease presenting as bubbles in brain vessels that may result in death with hemorrhages and rapid deterioration.
• Arterio-Venous Malformation: Vessel disease prone to hemorrhage, in which veins and arteries are followed as glomus.
• Carotid Stenosis: Vasoconstriction and embolus of the carotid artery in the neck and brain. thrombosis of these can cause stroke (seizure) that needs to be treated immediately.
• Cerebral Hemorrhages: Diapedesis into cerebral cortex or brain tissue
• Brain Vessel Embolisms: Resulting from brain vascular occlusion, the sudden interruption of blood flow to the brain. This is known as stroke or seizure and should be treated immediately. The vessel occluded has to be embolected using endovascular techniques. Alternatively, the brain has to be supplied with blood with microsurgery or the brain tissue compressed can be opened out.
Brain and Spinal Cord Tumors
In both adults and children’s brain and nerve tumors, microsurgery and endoscopic techniques are used in surgical operations. The patients are assessed by a council of brain and nerve surgeons, radiation oncologists, medical oncologists and neuroradiologists. In some tumors, long term chemotherapy (drug therapy) and/or radiotherapy (ray treatment) planning are made. In skull base tumors, especially in cases of hypophysis tumors, the surgeries are conducted in coopration with ENT experts who are part of the surgical team.
Treatment of Functional Diseases
In diseases such as Parkinson’s which affect the quality of life, surgical practices as inserting brain pacemaker are conducted. Selective dorsal “rhizotomy” or “inserting baclofen pump” surgeries can be conducted for the treatment of spasticity resulting from congenital conditions or severe head trauma.
Epilepsy surgeries can be planned for cases where epilepsy or fallingsickness is not responding to drug therapy, the necessity or benefits of a surgical treatment are determined by the necessary assessment of a working group created by the team of a neurologists, psychiatrists and physiotherapy experts.
Neuromonitorization is conducted in the surgeries of the sensitive areas of brain and spinal cord to protect the functions of the neural tissue. Throughout the surgery, the brain’s electrical functions and the working rhythm is followed by the neurology expert experienced in this area. This method ensures high patient security. Visualization methods such as neuronavigation, computerized tomography and ultrasonography are also used by neuroradiologist in our centers
Feb. 10, 2015