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Neurological surgery

Neurological surgery

Neurological Surgery constitutes a medical discipline and surgical specialty that provides care for adult and pediatric patients in the treatment of pain or pathological processes that may modify the function or activity of the central nervous system (e.g., brain, hypophysis, and spinal cord), the peripheral nervous system (e.g., cranial, spinal, and peripheral nerves), the autonomic nervous system, the supporting structures of these systems (e.g., meninges, skull & skull base, and vertebral column), and their vascular supply (e.g., intracranial, extracranial, and spinal vasculature).

Treatment encompasses both non-operative management (e.g., prevention, diagnosis—including image interpretation—and treatments such as, but not limited to, neurocritical intensive care and rehabilitation) and operative management with its associated image use and interpretation (e.g., endovascular surgery, functional and restorative surgery, stereotactic radiosurgery, and spinal fusion—including its instrumentation).

  • Craniotomy: This procedure involves the removal of a portion of the skull to access the brain. It is often used to treat brain tumors, aneurysms, and other brain-related conditions.

  • Microdiscectomy: A minimally invasive procedure to remove a herniated or damaged disc in the spine, typically in the lumbar region. It relieves pressure on nerves and alleviates pain.

  • Spinal Fusion: This surgery involves fusing two or more vertebrae in the spine together using bone grafts or hardware. It’s often used to stabilize the spine in cases of degenerative disc disease, spinal fractures, or scoliosis.

  • Deep Brain Stimulation (DBS): DBS involves implanting electrodes into specific regions of the brain to treat conditions like Parkinson’s disease, essential tremor, and dystonia by modulating abnormal brain activity.

  • Ventriculoperitoneal Shunt: A shunt is placed to divert excess cerebrospinal fluid from the brain’s ventricles to the abdominal cavity to treat conditions like hydrocephalus.

  • Carotid Endarterectomy: This surgery removes plaque buildup from the carotid arteries to reduce the risk of stroke in patients with carotid artery stenosis.

During the Middle Ages in Al-Andalus from 936 to 1013 ADAl-Zahrawi performed surgical treatments of head injuries, skull fractures, spinal injuries, hydrocephalus, subdural effusions and headache.

Neurological Surgery is a discipline of medicine and that specialty of surgery that provides the operative and nonoperative management (i.e., critical care, prevention, diagnosis, evaluation, treatment, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify the function or activity of the nervous system, including the hypophysis; and the operative and nonoperative management of pain.

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