Neurological surgery

Neurological surgery (also known as neurosurgery) concentrates on the surgical intervention for ailments that impact the brain, spinal cord, and peripheral nerves. Neurosurgical operations can be very intricate and are conducted to address various conditions, including  tumors, injuries, blood circulation issues, age-related disorders, and birth defects.

Here’s a summary of the primary categories of surgeries that are included under  neurological surgery:

Brain Surgery

Brain surgeries are conducted to address numerous ailments, including  tumors, epilepsy, injury, and neurovascular conditions.

  • Craniotomyn: A process where a portion of the skull is extracted to reach the brain. This is generally performed to address braintumors, traumatic brain injury, or aneurysms.
    • Tumor Resection: Removal of brain tumors, whether cancerous or non-cancerous, via a craniotomy.
    • Brain Biopsy: A method to extract a tiny specimen of brain tissue for diagnostic purposes.
    • Aneurysm ClippingA method for addressing brain aneurysms, in which a tiny clip is applied around the base of the aneurysm to avert rupture.
    • Gamma Knife Radiosurgery: A non-invasive, precisely targeted type of radiation treatment utilized for braintumors, arteriovenous malformations (AVMs), and various other neurological conditions.
  • Deep Brain Stimulation (DBS): A surgical intervention in neurosurgery where electrodes are inserted into targeted regions of the brain to address ailments such as Parkinson’s disease, dystonia, or essential tremor.
  • Epilepsy Surgery: Surgical intervention for epilepsy that is resistant to medication, which might involve:
    • Temporal Lobectomy: Excision of a section of the temporal lobe to address epilepsy.
    • Lesionectomy: Elimination of cerebral tissue that is triggering seizures.
    • Vagus Nerve Stimulation (VNS): A device is inserted to transmit electrical signals to the  vagus nerve to control seizures.
  • CraniectomyThe extraction of a portion of the skull, typically done to alleviate pressure in situations of significant brain swelling or injury (for instance, following a brain injury or stroke).
  • Intraoperative Monitoring: Entails employing specific methods during operations to oversee brain and nerve activity, frequently utilized in intricate procedures such as spinal or cerebral surgerytumor removal.

Spinal Surgery

Spinal operations tackle various issues impacting the spine, such as injuries, structural abnormalities, degenerative illnesses, andtumors.

  • Spinal FusionThe surgical fusion of two or more vertebrae to prevent movement, typically performed for issues such as degenerative disc disease, spondylolisthesis, or spinal instability.
    • Cervical Spinal Fusion: Joining of vertebrae in the cervical (neck) area to address issues such as herniated discs or spinal stenosis.
    • Lumbar Spinal FusionFusion of the lumbar (lower back) vertebrae, usually for issues like degenerative disc disease, herniated discs, or spondylolisthesis.
  • Discectomy: Extraction of a herniated or deteriorated disc in the spinal column, frequently performed on individuals suffering from sciatica or radiculopathy.
  • Laminectomy: Surgical excision of a section of the vertebra (the lamina) to alleviate pressure on the spinal cord or nerves, frequently performed for issues such as spinal stenosis or a herniated disc.
  • Foraminotomy: A method to expand the foramen (the opening through which nerves leave the spinal column) to alleviate nerve compression.
  • Spinal DecompressionA technique aimed at alleviating pressure on the spinal cord or nerves, frequently performed to address issues such as herniated discs, spinal stenosis, or spinal cord compression.
  • Vertebroplasty and Kyphoplasty: Less invasive techniques for managing compression fractures of the spine, frequently resulting from osteoporosis. These methods include the injection of bone cement into the damaged vertebra.
  • Artificial Disc Replacement: A method to substitute a deteriorated disc in the spine with an artificial disc, commonly performed in the cervical or lumbar areas.
  • Spinal Tumor Removal: Surgery to remove tumorsfrom the spine, regardless of being benign or malignant.

Peripheral Nerve Surgery

Peripheral nerve operations address issues that impact the nerves beyond the brain and spinal column, including nerve compression, trauma, ortumors.

  • Carpal Tunnel ReleaseA procedure to address carpal tunnel syndrome by severing the ligament that compresses the median nerve in the wrist.
  • Nerve Decompression: Surgical alleviation or correction of pinched nerves, as seen in situations like  cubital tunnel syndrome or tarsal tunnel syndrome.
  • Nerve Repair: Surgical procedures aimed at repairing or grafting damaged peripheral nerves, frequently performed for traumatic nerve injuries resulting from accidents or surgical interventions.
  • Nerve GraftingThe application of donor nerve tissue to substitute or mend an injured nerve.
  • Peripheral Nerve Tumor Removal: Surgical excision of non-cancerous or canceroustumorsthat influence peripheral nerves, like schwannomas or  neurofibromas.

Vascular Neurosurgery

This field encompasses the management of vascular conditions affecting the brain and spinal cord, including aneurysms, arteriovenous malformations (AVMs), and strokes.

  • Cerebral Aneurysm Clipping or Coiling: Operative management of cerebral aneurysms.
    • Aneurysm ClippingA craniotomy is carried out, and a clip is applied to the base of the aneurysm to avert rupture.
    • Endovascular Coiling: A procedure that is minimally invasive, where coils are placed into an aneurysm through a catheter to encourage clot formation and close off the aneurysm.
  • Arteriovenous Malformation (AVM) ResectionSurgical extraction of AVMs, irregular entanglements of blood vessels in the brain or spinal cord that may result in hemorrhaging or neurological impairments.
  • Carotid Endarterectomy: Surgical procedure to eliminate plaque from the carotid artery (located in the neck) to avert stroke caused by carotid artery narrowing.
  • Endovascular Stenting: The insertion of a stent into blood vessels (typically the carotid arteries) to avert constriction or obstructions, enhancing blood circulation and lowering the risk of stroke.
  • Intracranial Artery Bypass: A technique to circumvent obstructed blood vessels in the brain to reestablish circulation to essential regions, usually employed in instances of cerebrovascular illness.

Trauma Surgery

Neurosurgical trauma surgery deals with serious damage to the brain and spinal cord resulting from accidents, falls, or acts of violence.

  • Traumatic Brain Injury (TBI) Surgery: Surgical interventions for addressing brain trauma like contusions, hematomas, and skull fractures. This might involve a craniotomy to extract a blood clot or to mend a skull fracture.
  • Spinal Trauma Surgery: Surgical procedures aimed at addressing spinal cord injuries, such as fractures, dislocations, or instability. This could include spinal decompression, fusion, or stabilization methods.
  • Skull Fracture Repair: Surgical procedure to mend skull fractures, especially when accompanied by brain injury or if the fracture is open or displaced.

Pediatric Neurosurgery

Pediatricneurosurgery concentrates on the surgical treatment of neurological disorders in infants and children.

  • Spina Bifida SurgerySurgical repair of the spinal abnormality in infants diagnosed with spina bifida.
  • Pediatric Brain Tumor Surgery: Removal of brain tumorsin kids, like gliomas,  medulloblastomas, or neuroblastomas.
  • Hydrocephalus Shunt Placement: A surgical procedure to address hydrocephalus (the build-up of cerebrospinal fluid in the brain) by inserting a shunt to redirect the fluid away from the brain.
  • Craniosynostosis Surgery: Surgical restoration of irregular cranial forms in  infantsbecause of early fusion of cranial sutures.

Functional Neurosurgery

This group encompasses surgical procedures aimed at particular areas of the brain to address functional disorders, including movement issues, pain, or mental health conditions.

  • Deep Brain Stimulation (DBS): A method for inserting electrodes into the brain to address issues such as Parkinson’s disease, essential tremor, dystonia, or obsessive-compulsive disorder (OCD).
  • Pain Management Surgery: Procedures like motor cortex stimulation or spinal cord stimulationto manage chronic pain, especially when medications do not work.
  • Stereotactic RadiosurgeryA non-invasive procedure that employs concentrated radiation rays to address braintumors, AVMs, or functional abnormalities such as trigeminal neuralgia.

Congenital Neurosurgical Conditions

Surgical interventions for congenital neurological conditions in infants and children, frequently focused on enhancing function or quality of life.

  • Chiari Malformation Surgery: Surgical intervention for Chiari malformations (where brain matter protrudes into the spinal canal), frequently entailing decompression of the impacted region.
  • Craniofacial Reconstruction: Surgical procedures aimed at addressing craniofacial irregularities, frequently present at birth, which may involve skull malformations and a cleft lip or palate.

Minimally Invasive Neurosurgery

Progress in technology has resulted in less invasive techniques in neurosurgery, decreasing recovery durations and complications.

  • Endoscopic Brain Surgery: Utilizing tiny cuts and an endoscope to address issues such as pituitarytumors, hydrocephalus, or brain cysts.
  • Endoscopic Spinal Surgery: A less invasive method for addressing spinal issues such as herniated discs, stenosis, ortumors.

Neurological surgery is an extensive and specialized domain that necessitates proficiency in managing intricate disorders that impact the brain, spinal

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