About the Chapter
A fully equipped center, team approach and multidisciplinary treatment approach are very important for success in brain diseases that are common in the society. Brain, Spinal Cord and Nerve Surgery is developing rapidly with the innovations in medical technology day by day, and in parallel with this, more successful results can be obtained in diagnosis and treatment.
Cerebrovascular Diseases
There is an endovascular, that is, interventional neuroradiology and surgery (microsurgical) working group for the treatment of cerebrovascular diseases. Treatment methods can be applied separately or together, depending on the patient's condition.
Cerebrovascular Aneurysms: It is a cerebrovascular disease that occurs in the form of bubbles in the brain vessels and can cause sudden worsening with bleeding and loss of life.
Arterio-Venous Malformation: It is a vascular disease prone to bleeding, in which arteries and veins are observed as a tangle in the brain.
Carotid Stenosis: It is the narrowing and occlusion of the parts of the carotid artery in the neck or brain. Stroke (stroke) occurs with clot formation and treatment must be done within hours.
Brain Bleeding: It is the condition of blood leaking into the meninges or brain tissue.
Cerebrovascular Occlusion: It is the sudden interruption of blood flow to the brain due to cerebrovascular occlusion. This picture is known as stroke or stroke and should be treated quickly. It is possible to open the occluded vessel by endovascular methods, to restore the blood supply to the brain with microsurgery, or to relieve the compressed brain tissue.
Brain and Spinal Cord Tumors
Surgical intervention is performed with microsurgery and endoscopic techniques in both adults and childhood brain and nerve tumors. Patients are evaluated by a council of neurosurgeons, radiation oncologists, medical oncologists, and neuroradiologists. In some tumors, long-term chemotherapy (drug therapy) and/or radiotherapy (radiation therapy) is planned. Surgeries in skull base tumors, especially pituitary tumors, are performed with the participation of the ENT specialist in the surgical team.
Spinal Diseases
your spine; Surgical intervention is applied in traumatic diseases such as accidents and injuries, congenital diseases such as spinal canal narrowing and aging process, as well as congenital diseases. And also; Diseases such as lumbar and neck hernia are treated by neurosurgeons. In the "Minimally invasive spine center", where lumbar hernia, neck hernia, and spine reinforcing (instrumentation) surgeries are performed with microsurgical and endoscopic surgical methods, rehabilitation services are also planned together with the physical therapy and rehabilitation department. Minimally invasive pain interventions, ie non-surgical interventional treatments for pain, are also carried out within this discipline.
Childhood Brain and Nerve Diseases (Pediatric Neurosurgery)
Surgical intervention is applied to congenital and acquired head and spine diseases. Among these, tumors, vascular diseases, hydrocephalus, which is defined as brain water collection in the head, and "spinal dysraphism", which is more common especially in the newborn period, can be counted predominantly.
Traumas (Brain or accidental brain injury)
Emergency interventions are applied to patients with head trauma without wasting time. Patients are treated together with the intensive care unit. In addition, they are simultaneously referred to physical therapy and rehabilitation programs. The aim is to eliminate the vital risk and increase the quality of life. Rapid diagnosis, diagnosis and care of all kinds of trauma (head trauma, spinal trauma, etc.) that may develop due to various accidents can be performed by the brain, spinal cord and neurosurgery team working in coordination with the emergency service and intensive care unit for 24 hours.
Treatment of Functional Diseases
In diseases that reduce the quality of life such as Parkinson's and similar involuntary movement disorders, brain battery application is especially performed. Treatment of spasticity resulting from congenital causes or severe head trauma is performed with "selective dorsal rhizotomy" or "baclofen pump placement" surgeries. Epilepsy surgery operations are planned in cases of epilepsy, i.e. epilepsy, where drug therapy cannot be successful. The working group, which was formed with the participation of neurologists, psychiatrists and physical therapists, makes the necessary evaluations and decides whether surgical treatment is necessary or beneficial for all functional diseases.
