Brain and Nerve Surgery
The Brain and Nerve Surgery department has a team that utilizes world standards in patient diagnosis, treatment, and care. Patient rights and information are particularly emphasized in our department. Our team includes doctors specializing in brain tumors, spinal surgery (herniated discs in the back and neck, scoliosis), and vascular surgery. The treatment methods we apply include modern techniques and technologies.
For the treatment of brain vascular diseases, there is an endovascular or interventional neuroradiology and surgical (microsurgical) working group. Depending on the patient's condition, treatment methods can be applied separately or together.
Brain Artery Aneurysms
A brain vascular disease characterized by balloon-shaped bulges in the brain arteries, which can lead to sudden deterioration and life-threatening bleeding.
A vascular disease in which arteries and veins form a tangle in the brain, prone to bleeding.
Narrowing and blockage of the carotid artery in the neck or inside the brain. It can lead to stroke (paralysis) due to blood clot formation, and treatment should be administered within hours.
The leakage of blood into the brain membranes or brain tissue.
Brain Artery Occlusion
Sudden interruption of blood flow to the brain due to the blockage of a brain artery. This condition, known as a stroke, must be rapidly treated. It is possible to open the blocked artery using endovascular methods, restore blood circulation to the brain through microsurgery, or relieve compressed brain tissue.
Brain and Spinal Cord Tumors
Both in adults and in childhood brain and nerve tumors, surgical interventions are performed using microsurgical and endoscopic techniques. Patients are evaluated by a council consisting of a neurosurgeon, radiation oncologist, medical oncologist, and neuroradiologist. For some tumors, long-term chemotherapy (drug treatment) and/or radiotherapy (radiation treatment) planning are conducted. Surgeries, especially in skull base tumors, including pituitary tumors, are performed with the participation of an ENT specialist within the surgical team.
Surgical interventions are applied to spinal conditions such as traumatic events like accidents and injuries, as well as age-related issues like spinal canal stenosis and spondylolisthesis, and congenital diseases. Additionally, diseases such as lumbar and cervical hernias are treated by brain and nerve surgeons. Lumbar hernia, cervical hernia, and spinal stabilization (instrumentation) surgeries are performed with microsurgical and endoscopic surgical methods at the 'Minimally Invasive Spine Center.' Rehabilitation services, along with the physical therapy and rehabilitation department, are also planned in this center. Minimal invasive pain interventions, which are non-surgical interventional treatments for pain, are also conducted within this discipline.
Surgical interventions are performed for congenital and acquired head and spinal diseases. Among these, tumors, vascular diseases, hydrocephalus defined as the accumulation of cerebrospinal fluid in the head, and especially 'spinal dysraphism,' which is more commonly encountered in the newborn period and refers to an opening in the spine, can be mentioned.
Traumas (Brain Injury Due to Assault or Accident)
Emergency interventions are applied promptly to patients with head trauma. Patients are treated in conjunction with the intensive care unit. Additionally, they are directed to simultaneous physical therapy and rehabilitation programs. The goal is to eliminate life-threatening risks and improve the quality of life. The rapid diagnosis, diagnosis, and care of any trauma that can occur due to various accidents (head trauma, spinal trauma, etc.) can be carried out by the coordinated brain, spinal cord, and neurosurgery team working 24 hours a day, along with the emergency department and intensive care unit.
Surgeries in brain, spinal cord, and nerve surgery are performed using a neuronavigation system that provides three-dimensional imaging. This method is used in brain tumors, brain tumor biopsies, spinal and spinal cord surgery, and Parkinson's surgery. The term "neuronavigation" refers to the use of images taken before or during surgery in the navigation system. In this method, the patient's MRI is taken before surgery and transferred to the neuronavigation device. The anatomical or physiological images obtained from the patient's MRI can be used during surgery. Thus, real-time neuronavigation during surgery allows visualization of various risk areas in the patient's brain or spinal cord, and planning is done accordingly. This technology, which provides a high degree of accuracy in approaching the targeted area in the brain and spine, minimizes potential damage to healthy tissue during the operation.
In tumors located in sensitive areas of the brain, aneurysm or AVM surgery, spinal cord tumors, and delicate spine surgery such as scoliosis, signals are received from electrodes placed on the patient's face, arms, and legs before surgery by a neurologist after the patient is put to sleep. When there is a drop in the signal, the surgeon is informed by indicating that it is in a sensitive area. This significantly reduces the risk of facial, arm, or leg paralysis after surgery.
During surgery, a radiology specialist uses an ultrasound device to control the location of brain or spinal cord tumors and the extent to which they are removed. It allows the removal of all tumors, especially those that are difficult to distinguish from brain and spinal cord tissue.
Especially in surgeries for pituitary, intraventricular tumors, and hydrocephalus, endoscopy provides a wide field of view in areas where narrow corridors are used as a path. It is also an alternative treatment option for common spine problems such as herniated discs in microsurgery.
Gliolan Dye Technique:
Gliolan substance, which allows the tumor to appear in different colors before surgery, is administered to the patient. During surgery, the surgical microscope's special filter allows normal brain tissue and tumor tissue to be seen in different colors. With this method, damage to normal brain tissue is minimized, while tumor removal is maximized, reducing the risk of neurological loss for the patient.
Tumors in areas responsible for speech and limb movements, called the "motor area," are operated on with the patient kept awake for delicate surgery. This allows control of the person's speech and limb movements during surgery, preventing damage. This method increases the success of the surgery.
Intraoperative CT (O-Arm):
During surgery, a computerized tomography scan can be performed to visualize the current situation. It is especially used in spine screwing surgeries. The O-Arm technology, which can obtain 3D tomography images, eliminates the margin of error in screwing surgeries. It provides critical information to the surgeon at every stage of the surgery, eliminating the risk of recurrence of the disease. The patient is exposed to less radiation. The method allows the surgery to be performed with smaller incisions. In addition to these advantages, it reduces the risk of infection.