Neurosurgery is the medical specialty that deals with disorders of the nervous system requiring surgery.
The disorders may be genetic, such as hydrocephalus, certain muscle atrophies, paralyses, certain types of nervous system tumors, etc. Among the contracted diseases, the most common are herniated discs, injuries to the cranial cavity or the spinal cord due to trauma and vascular lesion, hemorrhaging, certain tumors, infections, epilepsy, etc.
What examinations are necessary for a diagnosis?
- Physical examination. Your medical history will be taken - it is important that you recount precisely your complaints, occurrences, other diseases and the medications you are taking. Your doctor will then examine the nerves exiting directly from the brain on your head and neck, will check the tone of the muscles running along the entire spine, examine how your limbs move and check your reflexes providing him valuable information regarding the condition or impairment to the nerves of your spinal cord.
- Diagnostic examinations. A conventional x-ray will traditionally be taken along with a CT, the most often used examination method in neurosurgery. The CT is useful not only for imaging the bones, but also for determining the condition of the intervertebral discs, ligaments and other soft tissues. The CT is also preferred for diagnosing intracranial hemorrhage as well as lumbar spine herniated discs. In the case of infants, ultrasonography may be very helpful.For examining hernias of the cervical spine segment and damage to the brain and spinal cord due to lack of oxygen, Magnetic Resonance Imaging - MRI - is used. The MRI soft tissue images are more detailed than those of the CT and the MRI uses no radiation.
The electrophysiological examinations include the EEG, ENG and EMG. The EEG measures brain waves. It is very useful in diagnosing sleep disorders, epilepsy and headaches. The ENG is for examining the nerves running from the central nervous system to the muscles, tendons and the skin. The results provide the necessary information for deducing the extent and location of injuries and lesions. The EMG is the method for examining muscle function for the diagnosis of nerve and muscle injuries as well as certain muscle paralyses.
- Electrophysiological examinations
Conservative treatments consisting of oral medications and/or infusions are available. These may also be of help in preparing for a more successful surgery, in the process of which the complaints may cease which might even result in surgery not being required, as a result.
Injured, torn nerves may be sutured, the resulting blood effusion suctioned, the tissues compressing the nerves removed, freeing the nerve to again work properly in a very short time. Many tumors may also be removed partially or in their entirety, thus, returning the patient again to good health again.
Our leading neurosurgeons guarantee the highest standard of excellence and expertise in their work. We also believe that in addition to the medical care, trust between the doctor and patient is of utmost important since it contributes in large measure to the quality of care and the patient’s recovery.