NEUROLOGY
NEUROSURGERY


Neurovascular surgery
Spinal Neurosurgery
Functional Neurosurgery
Epilepsy surgery
Pituitary surgery
Peripheral nerves

Neurology is meant by the prevention, diagnosis and all non-surgical treatments of the brain and spinal cord.
Neurology therapies treat non-surgical malfunctions and functional failures of the brain, back, sensory organs and peripheral nerves.
Neurosurgery includes all surgical treatments of diseases, malformations and nervous system injuries. The focus is on spinal surgery in banquane and spinal canal stenosis and the surgical removal of tumors of the brain or spinal cord.

Disease

  • Alzheimer's: Is the most common disease of dementia. The disease is marked by progressive loss of memory and memories
  • Chorea Huntington's disease: Non-controllable and uncontrolled movements 
  • CFS: Chronic fatigue syndrome is a disease with severe pain and fatigue
  • Meningitis: The inflammation of the meningitis is an inflammation of the spinal cord skins and the meninges
  • Cluster headaches: Burning, drilling and unbearable headaches
  • Encephalitis: Life-dangerous brain inflammation
  • FSME: Early summer meningoencephalitis is a meningitis transmitted by ticks
  • Parkinson's: Bulk paralysis

Neurovascular surgery

  • Cavernomas (vascular malformations)
  • Brain haemorrhage
  • stroke
  • Dural arterio-venous fistulas (vascular malformations on the hard brain skin)
  • Aneurysms (exculpatching a blood vessel)
  • Arterio-venous malformations (AVM, angioma) (vascular malformations from arteries and veins)

Spinal Neurosurgery

  • Tumours of the spine and spinal cord
  • Degenerative nerve root and spinal cord compression syndromes: Through intervertebral disc, spinal stenosis, segmental instability (vertebral slides, spondylolisthesis)
  • Spinal dysraphiesyndromes and deformities
  • Chronic neck and back pain, facet joint syndrome
  • Fractures: Traumatic spinal injuries

Functional Neurosurgery

  • Non-manageable pain syndromes
  • Movement disturbances
  • Spasticity

Epilepsy surgery

With epilepsy surgery, the treatment of epilepsy with the help of neurosurgical procedures is possible. The main goal of epilepsyechurgical treatment is to achieve a significant reduction in seizure frequency without causing neurological or neuropsychological deficits.

Interventions of the Erpilepsy Surgery

1. Removal of the place of origin of seizures
The seizures often begin in brain tissue. In pre-surgical diagnostics, exactly what this is located is, so that this region and the injury or disturbance can be removed. In many cases, the seizures begin in the right or left temporal lobe. In some patients, even an entire brain hemisphere is so ill that it hardly performs a function anymore and only produces seizures. 
Thus, the other brain hemisphere takes over many functions of the disturbed brain hemisphere. In this case, large areas of the only seizures producing or no longer functioning brain hemisphere can be removed and the remaining links to the healthy brain hemisphere can be interrupted. This operation is called "functional hemisphere ."

2. Interruption of the spread of seizures
Sometimes a brain region that triggers seizures cannot be removed. For example, if seizures start in regions important for speech or movement, their removal would lead to severe disabilities, similar to a stroke.
Here it can help to cut the neural pathways at which the seizures spread.
In sufferers, many seizures often start in different brain regions and spread extensively into both halves of the brain, so that a removal of the origin is no longer possible. Here, a severing of the corpus callosum of the two halves of the brain connects to each other, providing relief. Such surgery usually does not prevent seizures, but that seizures can no longer spread to both brain regions

Pituitary surgery

The pituitary gland (pituitary gland) sits at the bottom of the brain in a bony space. In the pituitary gland, the hormones STH, prolactin, ACTH, TSH, LH zbd FSH are formed. They control various hormone glands in the body, such as the adrenal cortex or the thyroid gland. The cerebral canic gland is itself regulated by overarching hormones of the hypothalamus. 

Diagnosis

The diagnosis of pituitary tumors involves a detailed imaging system using magnetic resonance imaging, an ophthalmological examination to assess the impairment of the optic nerves and, because of the disturbance of hormone regulation, an endocrinological checkup. Although pituitary tumors are benign tumors in almost all cases, in the event of symptoms on the part of hormone regulation and, in particular, in the case of visual impairment, there is a reason for treatment in order to prevent a more serious deterioration and, in the favorable case, the Improve vision again

Therapy

In many cases, pituitary urmores can be treated very well with so-called dopamine agonists, for example, when a prolactinoma is diagnosed with prolactinoma.
In general, pituitary tumors must be operated through access through the nose or via a skull opening (craniotomy).
Access through the nose is less stressful for the patient and also possible for most tumors. It is either reached endoscopically via the natural nasal opening the wedge bone cavity or proceeded with the use of the surgical microscope between the nasal septum and mucous membrane up to the wedge bone cavity. After opening the floor of the wedge bone cavity, you can reach and peel out the tumor.
In some cases, due to the advanced expansion of the tumor, surgery by the nose is not possible.
Then surgery is necessary via a skull opening and access along the base of the skull under an operational microscopic point of view.


Peripheral nerves

Peripheral nerves are the nerves that lie outside the brain and spinal cord and pass through the entire body. Damage is caused by accidents, overload, one-sided strain, inflammation and tumours. This can cause mild and serious, short-term and permanent illnesses. Even with a complete separation of a larger nerve, a cure is possible if the nerve endings are reassembled early.


diseases 

  • Carpal tunnel syndrome: The syndrome is caused by constricted nerves in the tendon compartment of the wrist. During the operation, the carpal band is severed, which then relieves the nerve
  • Ulnarisrinner syndrome: Here the pain radiates from the elbow in ring and small fingers. These two fingers often feel furry. Sometimes there is a weakness of the small hand muscles, which are noticed as disturbing in everyday life
  • Scale syndrome: This is where the arm nerve mesh is affected. In addition to pain in the shoulder-neck area, which can radiate in the arm and fingers, the affected arm feels furry and tingy when carrying heavy pockets, for example.
  • Tarsal tunnel syndrome: Tarsal tunnel syndrome causes pain and furry feet, especially at night
  • Meralgia Paraesthetica: Here sufferers struggle with burning pain and numbness on the thigh-outside
  • Morton-neuralgia: Pain is triggered by a small nerve growth between the toes especially when walking