The neurosurgery is the field of medicine responsible for the surgical treatment of the problems that occur affecting the brain, spine, peripheral nerves.
What does the neurosurgeon do?
The neurosurgeon is a doctor who specializes in diagnosing and surgically treating problems affecting the central nervous system and peripheral nervous system .
What are the pathologies most often treated by the neurosurgeon?
The pathologies that fall within the therapeutic skills of the neurosurgeon are:
- congenital anomalies, e.g. vascular malformations
- damage resulting from trauma, for example nerve injury
- vascular disorders
- brain bleeding
- brain or spine infections
- nervous system diseases such as Parkinson’s , epilepsy, hydrocephalus
- trigeminal neuralgia
- peripheral nerve problems, such as carpal tunnel syndrome
- spine problems, such as degenerative diseases, vertebrae fusions, trauma damage, arthritis problems, fractures and intervertebral disc problems
- tumors of the central nervous system, peripheral nerves and skull
What are the procedures most used by the neurosurgeon?
The types of surgical approaches performed by the neurosurgeon vary considerably, depending on whether the pathologies are neoplastic, vascular, of the spine, of the nerves, etc. Typically you can list the following procedures:
- as regards neoplastic pathologies: removal of benign and malignant brain neoplasms using traditional approaches, minimally invasive approaches, gamma knife;
- vascular pathologies: microsurgical and endovascular (but also traditional) approach for the treatment of aneurysms and other vascular pathologies (cerebral hemorrhages, strokes, vascular malformations, cavernous angiomas);
- spinal pathologies: minimally invasive and percutaneous (but also traditional) techniques for the treatment of pathologies such as herniated disc, stenosis, vertebral instability, while for osteoporosis: arthrodesis of the vertebrae, discectomy, laminectomy, laminoplasty, revision of previous arthrodesis, replacement of intervertebral discs, implant of disc prostheses, insertion of screws and bars to improve the stability of the column;
- pathologies affecting the nerves: microsurgical decompression techniques for the treatment of neuropathies, rhizotomy, reconstruction and transplantation for traumatic lesions of the main nerve branches;
- other pathologies: functional and stereotaxic neurosurgery for the surgical treatment of Parkinson’s disease and movement disorders, chronic non-cancer pain, spasticity and epilepsies.
When to ask for an appointment with the neurosurgeon?
The general practitioner is the professional who directs the patient to the neurosurgeon to understand if the neurological problem requires surgical intervention.