At Sanad Hospital, the Neuro & Spine surgery Department offers expertise in handling critical surgical cases & procedures, state-of-the-art technology, and high-quality patient care. The department’s neuro & spine surgeons refine surgical procedures to provide leading-edge, compassionate care to patients who require neurosurgical services in a wide range of specialties.
Through the Department of Neurosurgery, patients have access to advanced procedures and technological innovations elective and emergency.
The neuro & spine surgery division deals with different aspects of surgery on the Central and Peripheral Nervous System and the spine with spinal stenosis, minimally invasive spine surgery.
A comprehensive range of surgical procedures is offered to patients presenting with neurosurgical disorders. Some of the pediatric and neonatal disorders treated include hydrocephalus, spina bifida and other congenital anomalies of the nervous system. Brachial plexus and peripheral nerve pathologies such as tumors and birth, as well as traumatic injuries, are also treated. Post-trauma cases including head injuries, spinal injuries, and peripheral nerve injuries are some of the section’s areas of expertise due to the abundance of this type of injuries seen. Brain and spinal tumors, degenerative diseases of the spine and disc surgery, as well as brain and spinal malformations are some of the more general disorders treated. Assessment of the need and benefit of surgical intervention in epileptic patients is also among the department’s areas of expertise.
Major neurological procedures include:
• Head injuries, trauma to the nervous system.
• Brain tumors (glioma, metastasis, skull base tumor, acoustic neuromas, etc).
• Neurovascular disorders (aneurysms, AVMs, carotid endartectomy, and cavernous angiomas).
• Pediatric neuro & spine surgery (congenital malformations, chiari malformation, cranio-facial anomalies, spina bifida, hydrocephalus, spasticity and epilepsy, tumors of the brain and spine).
• Spine surgery:
• Degenerative spine disease (herniated disc, stenosis).
• Spinal injury.
o Spinal and spinal cord tumor.
o Syrinx and tethered cord.
o Spinal deformity, scoliosis correction, Kyphosis
o Minimal invasive surgery
• Peripheral nerve surgery: entrapment, tumor, trauma and brachial plexus surgery.
• Pituitary gland surgery: tumors.
• Endoscopic brain surgery and minimally invasive surgery.
• Pituitary disorders.
Interventional neurosurgery is a minimally invasive approach to the treatment of vascular disease of CNS. Conditions in the past that would have required surgical intervention such as aneurysms, vascular malformations, and tumors of the brain, spine, head, and neck can be considered for treatment by using an endovascular approach to reach the lesion.
This approach enables neurosurgeons to perform:
• Diagnostic cerebral angiograms (TIA’s, stroke, vasculitis, intracranial hemorrhage); coiling of intracranial aneurysms; stent assisted coiling for complex aneurysms.
• Embolization of arteriovenous malformations or dural AV fistulae with particles, glue, or onyx.
• Pre-operative embolization of vascular brain tumors.
• Particle embolization for epistaxis cases. Balloon angioplasty for vasospasm; petrosal sinus sampling (endocrine evaluation in cushing disease); intra-arterial thrombolysis using clot-lysis agents or balloons.
• Intracranial stenting for atherosclerotic disease.
The diseases a neurosurgeon treats include:
• Brain and Spine Tumours (glioma, meningioma)
• Sciatica, Lower Back Pain and Leg Pain, Lumbar Disc Prolapse , cervical disc prolapse
• Hydrocephalus (water on the head, adult and paediatric)
• Brain Haemorrhage , spontaneous and post traumatic
• Children and Adults with Spina Bifida and malformations associated with Spina Bifida, including Chiari and Syringomyelia
• Neck and Arm Pain (Cervical Spondylosis, Whiplash and Disc Disease)
• Brain and Spinal Infections
• Facial Pain
Other conditions treated by the department neurosurgeons include:
• Cervical spinal stenosis and Lumbar spinal stenosis
• Head trauma (brain hemorrhages, skull fractures, etc.)
• Spinal cord trauma
• Traumatic injuries of peripheral nerves
• Tumors of the spine, spinal cord and peripheral nerves
• Intracerebral hemorrhage, such as subarachnoid hemorrhage, interdepartmental, and intracellular hemorrhages
• Some forms of drug-resistant epilepsy
Neuroradiology methods are used in modern neurosurgical diagnosis and treatment, including computer assisted imaging computed tomography (CT), magnetic resonance imaging (MRI). Some neurosurgical procedures involve the use of MRI and functional MRI intraoperatively. Sanad Hospital have the facility to do MRI, CT scan, DSA in Cathlab.
Minimally invasive endoscopic surgery is utilized by neurosurgeons. Techniques such as endoscopic endonasal surgery are used for pituitary tumors, craniopharyngiomas, chordomas, and the repair of cerebrospinal fluid leaks. Ventricular endoscopy is used for colloid cysts and neurocysticercosis. Endoscopic techniques can be used to assist in the evaculation of hematomas and trigeminal neuralgia. Repair of craniofacial disorders and disturbance of cerebrospinal fluid circulation is done by neurosurgeons, and depending on the situation, maxillofacial and plastic surgeons. Conditions such as chiari malformation, craniosynostosis, and syringomyelia are treated. This is called cranioplasty.
• EEG,EMG, “Nicolet”
• Electrical surgical unit dedicated for neurosurgery “CODMEN”
• Surgical drill “Stryker”
• Surgical Microscope
List of procedures performed in the department:
• Evacuation of Recurrent Subdural Hemorrhage
• Fixatipn of Spinal Fracrures
• Endoscopic Ventriculostomy
• V-P Shunt
• Myelomeningocele Repair
• Peripheral Nerve Decompression
• Elevation of Depressed Fractures
• Transphenoidal Brain Surgeries (Mainly For Pitutary)