Neurosurgery

Neurosurgery deals with diseases originating from the brain and spinal cord tissue. Neurosurgery is also a branch of science that deals with the diagnosis and treatment of diseases such as lumbar and neck hernias, head and spinal cord injuries, cerebrovascular occlusions and brain hemorrhages. Neurosurgery is a hospital unit that performs surgical intervention in diseases that affect many vital functions, such as diseases that develop during the narrowing of the neck vessels and the formation of the nervous system in newborn children, epilepsy that does not respond to drug treatment, and selected Parkinson cases. Diagnosis and treatment of diseases seen in both adult and pediatric patient groups are carried out in the brain and nerve diseases clinic. We apply your treatment with our operating rooms and laboratories equipped with the latest technology.

Cerebrovascular Diseases

Cerebrovascular diseases are diverse. For these reasons, there are many treatment methods:

• Brain and vascular occlusion cause paralysis
• Life-threatening aneurysms that appear in the form of bubbles in the cerebral vessels, accompanied by bleeding in some cases.
• Brain hemorrhage
• Tumors in the brain and spinal cord
• Traumatic situations caused by accidents and injuries
• Lumbar and neck hernia
• Tumor and vascular diseases in pediatric patients
• Brain battery applications for Parkinson and similar patients.Neurosurgery deals with diseases originating from the brain and spinal cord tissue. Neurosurgery is also a branch of science that deals with the diagnosis and treatment of diseases such as lumbar and neck hernias, head and spinal cord injuries, cerebrovascular occlusions and brain hemorrhages. Neurosurgery is a hospital unit that performs surgical intervention in diseases that affect many vital functions, such as diseases that develop during the narrowing of the neck vessels and the formation of the nervous system in newborn children, epilepsy that does not respond to drug treatment, and selected Parkinson cases. Diagnosis and treatment of diseases seen in both adult and pediatric patient groups are carried out in the brain and nerve diseases clinic. We apply your treatment with our operating rooms and laboratories equipped with the latest technology.

Brain Tumor (Glioma)

The vast majority of brain tumors are masses that grow and spread uncontrollably within a confined space. There are two subtypes, primary and secondary. Primary brain tumors threaten the patient’s life and originate from cells and structures in the brain. Although brain tumors rarely metastasize due to their structure, it is also observed that they spread to other regions through blood circulation and cerebrospinal fluid. In general, genetic and environmental factors play a role in brain tumor formation. Secondary brain tumors are tumors that start in any part of the body and spread to the brain. Especially colon, lung, kidney and pancreatic cancers cause brain tumor formation through blood circulation. Personality changes can be observed in these patients. This type of tumor, which needs to be treated surgically, grows inside the skull, pressing on the tissues and impairing blood circulation. Treatment methods vary depending on the current condition of the patient. Brain tumor consists of four stages:

• Stage 1 is slow-growing tumors.
• Stage 2 tumors that grow slowly but come into contact with nearby tissue.
• Stage 3 are tumors in which abnormal cells increase and thus damage healthy tissues.
• Stage 4 are tumors that grow rapidly and spread rapidly to nearby tissue. These tumors create blood vessels.

Brain Tumor Diagnostic Methods

Two imaging techniques are used in the diagnosis of brain tumors:

• Magnetic resonance
• Brain tomography

Apart from these methods, information about the tumor is obtained by methods such as PetCt and angiography.

Brain Tumor Treatment Methods

Three methods are used in the treatment of brain tumors. These; surgical treatment, chemotherapy and radiation therapy. Usually, a surgical method is used. Because brain tumors increase intracranial pressure, this method is more common.

Surgical Treatment

The following procedures are performed with the surgical method in tumor treatment:

• The tumor is removed
• The brain and nerves are relaxed
• A pathological report is taken to understand whether the tumor is malignant or benign

Extremely advanced technology is used in surgical treatments in our hospital. A surgical microscope and intraoperative MRI are used.

Chemotherapy

Chemotherapy is usually used in malignant tumors. This treatment is applied to improve the patient’s quality of life. Rarely, chemotherapy is used in benign tumors.

Radiation Therapy

Radiation therapy has been used for many years in brain tumors. In addition to this treatment, the following treatment methods are used:

• CyberKnife
• Gamma Knife
• Radiosurgery

What is Spina Bifida?

Spina bifida is a disease that occurs during development while the baby is still in the womb. The baby’s spine cannot be fully closed during its formation. A lump forms on the baby’s back. Partial paralysis, intestinal problems, scoliosis and walking problems may occur in the baby. Spina Bifida disease is followed by doctors from different branches such as pediatric neurosurgeons, nephrologists, neurologists, and orthopedics.

What are the Types of Spina Bifida?

• Spina Bifida Occulta
• Myelomeningocele (Spina Bifida Aperta)
• Meningocele (Sipina Bifida Aperta)

Spina Bifida Occulta: It is the most common form of the disease. A small portion of the bones in the spine are open, also called occult spina bifida. It does not usually cause any discomfort and does not require surgery.

Myelomeningocele(Spina Bifida Aperta): It is a serious and common type of Spina Bifida. The sac coming out of the spinal bones holds some of the spinal cord and nerves. This sac also damages nerves. This situation can cause some diseases such as spinal cord problems, partial paralysis, walking difficulty, walking difficulty, hydrocephalus, advanced kidney failure and scoliosis. This type of disease differs according to which nerves are affected.

Meningocele: The rarest type of spina bifida. The spinal fluid comes out of the opening in the baby’s back in the form of a sac. However, since there are no nerves in the protruding part, it does not cause serious problems. While it does not cause any problems in some babies, some babies may experience complaints about their bladder and intestines. Very rarely, fluid accumulation in the brain can be seen.

Spina Bifida Diagnostic Methods

The diagnosis of Spina Bifida can be determined by ultrasound checks done during pregnancy. Examination of the amniotic fluid while the baby is in the mother’s womb and the abnormal increase in the amniotic fluid are also considered in the diagnosis of Spina Bifida. It is also important to follow the symptoms that are seen or not seen after the child is born, in the diagnosis of Spina Bifida. After the examination by the Brain, Nerve and Spinal Cord Surgeon doctor, it may be considered Spina Bifida.

• Tomography
• Magnetic Resonance (MR)

These are radiological imaging techniques used in the diagnosis of Spina Bifida.

Spina Bifida Treatment Methods

• Firstly, surgical interventions are performed in the treatment of spina bifida disease. The surgical intervention aims to properly close the nervous system that has come out.
• Spina bifida is a very complex disease. Doctors from many different branches examine together.
• Many complementary treatments are applied after the surgery.
• The risk of infection is more likely to be seen in children with this disease, so it is very important to control the infection.
• Spina Bifida disease and hydrocephalus (brain water collection) are diseases that can occur together. Children with hydrocephalus are simultaneously shunted and the disease is tried to be eliminated.
• Complete treatment may not be possible in the advanced stages of spina bifida disease. Nerve repair is not possible, especially in cases where the nerves protrude beyond the spine and are damaged. Treatments that will increase the comfort of life in these patients are on the agenda. However, complete treatment can be provided by surgical methods in patients with spina bifida, which is called closed form and has not progressed.

After Spina Bifida Surgery

Children with this disease are followed up for years after surgery. Pediatric neurosurgeons, nephrologists and urologists check the child regularly.

Doctors in pediatric neurosurgery, orthopedics, pediatric neurology, nephrology, and pediatric urology examine a child with Spina Bifida. These children may have problems urinating and defecating outside the field of pediatric neurosurgery. Orthopedic deformities can be seen in his feet.

Spinal Diseases

Spinal diseases are mostly related to old age. The spine is exposed to the greatest load throughout life. As a result, muscle and joint pains, lumbar and neck hernias may occur, as well as trauma-related lesions, tumors, congenital disorders, spine infection and deformity are some of the spinal diseases. There are two different types of deformities. The first of these is scoliosis, that is, the curvature of the spine to the side, and the second is kyphosis, the forward curvature of the spine. The disease is diagnosed and the disease is treated. If you have a complaint about your spine, you should have your controls done by a specialist doctor immediately.