Operations on the head and brain

Operative treatment of brain tumours is carried out through the smallest possible opening of the skull bone (trepanation) following precise planning of the process to be operated on. In most cases, acute spontaneous brain haemorrhaging is operatively relieved immediately due to the risk to patients, as is haemorrhaging following cranio-cerebral injuries. Cerebrospinal fluid circulation disorders lead to so-called hydrocephalus, i.e. to pathological widening of the brain cavities. With the implantation of liquor shunt systems via a valve, the surplus cerebro-spinal fluid is either discharged into the bloodstream (ventrico-atrial shunt), the abdominal cavity (ventrico-peritoneal shunt) or to the outside (external drainage). Congenital deformities of the brain, e.g. arachnoidal cysts or porencephalic cysts can be drained or removed.

Epilepsy surgery treatment concepts

Epilepsy surgery aims to operatively remove parts of the brain in which the epileptogenic focus sits. This is localised before the operation using imaging methods (magnetic resonance) and long-term EEG monitoring. In addition, the electrodes placed on the surface of the brain are precisely checked. These can also be used to intra-operatively localise the individual motor centres for the different parts of the body. The introduction of fibre tracking based functional neuro-navigation, i.e. the display of the brain paths and visualisation of these for use during the operation, as established and further developed by Mr Priv. Doz, Dr. Staudt, assistant consultant of the neuropaediatrics department and Mr Dr. Kudernatsch, the assistant consultant of our clinic enables greater precision of the micro-surgical operations and opens up treatment options in areas of the brain previously not accessible without excessive risk.

Operations on the spine

Pain surgery treatment concepts

In the event of server pain conditions which cannot be controlled with drugs, special neurosurgical treatment methods are used, which rapidly lead to clear pain relief or stop it altogether. These methods are used for facial neuralgia, pain in the spine and legs and in case of isolated nerve pains in the arms. In the case of systematic pains or severe spasticity, the Implantation of an analgesic pump, among other things, has prove its worth.

Treatment concepts for nerve disorders.

Neurosurgical treatment of peripheral nerve diseases includes nerve compressions, nerve injuries and nerve tumours. The most frequently occurring are nerve compressions due to bottlenecks in the hand (carpal tunnel syndrome, Loge de Guyon), the arm (e.g. sulcus ulnaris syndrome) and the leg (nervus peronaeus, tarsal tunnel syndrome). In the case of nerve injuries, micro-surgical nerve sutures or nerve replacement with the transfer of nerves from other parts of the body are necessary. Nerve tumours can occur in the skull (e.g. acoustic neurinoma) or in peripheral nerves. The art of removal lies in the most gentle, sparing procedure in order to avoid additional nerve damage.

Neuroradiology treatment concepts