Insights into Neurosurgery

Neurosurgery encompasses a broad range of procedures. Minimally invasive neurosurgery under a microscope is applicable for the brain, spine, stroke, and pain management. These surgeries are performed to treat diseases of the central and peripheral nervous systems, their surrounding blood vessels, and related spinal disorders.

 

Key neurosurgical procedures include:

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• Transsphenoidal surgery for treating pituitary adenomas.

• Minimally invasive craniotomy for brain tumor removal under navigation system guidance.

• Microvascular decompression (MVD) relieves compressed cranial nerves at the base of the brain, treating chronic neuropathic pain such as trigeminal neuralgia or glossopharyngeal neuralgia.

Emergency and preventative measures for stroke within the golden hour include:

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• Micro-neurosurgery for hemorrhagic stroke or clipping of cerebral aneurysms

• Endovascular minimally invasive neurosurgery, such as emergency mechanical thrombectomy to clear blocked cerebral vessels in ischemic stroke, saves brain cells.

• Implantation of flow-diverting stents or metal coils to occlude cerebral aneurysms, preventing strokes.

Among the various neurosurgical procedures, minimally invasive spine surgery (MIS) is, in fact, the most commonly performed microsurgery by neurosurgeons. Utilising their knowledge in neurosurgery, skills, and instruments in microscopic surgery, they can ensure good neurological recovery outcomes in spinal surgeries under high standards.

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Minimally invasive spine surgery encompasses:

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• Spinal injections and radiofrequency pain treatments for sciatica.

• Spinal tumors.

• Spinal trauma.

• Herniated discs: Minimally invasive discectomy and nerve decompression.

• Spinal stenosis: Minimally invasive nerve decompression.

• Degenerative and unstable spinal conditions:
  Minimally invasive spinal fusion surgery:

a. Transforaminal Lumbar Interbody Fusion (TLIF) or
b. Oblique Lumbar Interbody Fusion (OLIF).