A neurosurgeon is a doctor who deals with the surgical treatment of diseases of the nervous system, including the brain, spinal cord, and peripheral nervous system.
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- What does a neurosurgeon do?
- What diseases does a neurosurgeon treat?
- When is a neurosurgeon's consultation necessary?
- How is a consultation with a neurosurgeon going?
- Neurosurgery-ordered examinations
- Appointment to a neurosurgeon
What does a neurosurgeon do?
The competence of the neurosurgeon includes the diagnosis and treatment of diseases of the nervous system. The doctor performs surgical interventions on the brain (spinal cord and brain), on the spinal column and on other organs in which there are disorders associated with the innervation process.
The modern system of neurology is built in such a way that most often patients who have already been diagnosed come to the neurosurgeon. Therefore, the doctor is additionally studying the conclusions of other specialists. This doctor works closely with neuropathologists and neurologists.
In addition, the duties of the neurosurgeon include the management of the patient after the operation, when he observes the patient and controls his condition. He prescribes effective rehabilitation measures that allow patients to recover faster after the intervention. As necessary, the neurosurgeon prescribes subsequent therapeutic treatment and draws up schedules for further patient management.
What diseases does a neurosurgeon treat?
Often, the life of the patient depends on the quality of the operation performed by the neurosurgeon. This is especially true in cases of emergency surgery.
The doctor most often encounters the following diseases in his work:
- Anomalies in the development of the nervous system;
- Tumors of the brain and spinal cord, as well as peripheral nerve trunks;
- Hematomas, abscesses and empyema of the brain;
- Tunnel syndrome (entrapment of a nerve located on the periphery in a narrow musculoskeletal space);
- Hemorrhagic stroke;
- Ocular melanoma;
- Osteocondritis of the spine;
- Intracranial hemorrhage;
- Ischemic stroke;
- Spinal hematomas;
- Injuries to the brain, spinal cord and peripheral nerves;
Herniated intervertebral discs, accompanied by compression of the spinal cord root and a pronounced decrease in muscle innervation;
- Epilepsy, accompanied by frequent epileptic seizures;
- With a high rate of progressive Parkinson's disease and ineffectiveness of the therapy;
- Abscesses of the neck, head and brain;
- Trinity neuralgia;
- Hypopitkitarism, etc.
When is a neurosurgeon's consultation necessary?
In order not to complicate the work of a neurosurgeon and not to create serious threats to your own health and life, you should not delay consulting with this specialist. The fact is that treatment in advanced cases is much more difficult than when pathology is detected at an early stage of its development. Therefore, it is so important to know the symptoms that signal that a neurosurgeon's consultation is required.
- The patient has an intervertebral hernia or symptoms.
- Disturbed by numbness of the fingers of the upper limb or hands completely. In this case, numbness is accompanied by surges in blood pressure and dizziness.
- Disturbed by numbness of the fingers on the lower extremities. This feeling is accompanied by painful sensations in the lumbar region. Pain is present on an ongoing basis, can radiate not only to the fingers, but also to capture the entire limb as a whole, to give it to the shins and thigh.
- The occurrence of pain in the chest or in its area.
Traumatic brain injury, which is accompanied by a feeling of nausea or vomiting, loss of consciousness, tinnitus and dizziness. It is difficult for a person to perceive information, his coordination of movements is disturbed. In this case, hospitalization should be immediate.
- Congenital anomalies in the development of the brain or cranium, as well as pathologies in the functioning of the nervous system.
- Any symptomatology indicating a disturbance in the functioning of the central nervous system, especially one that occurs suddenly. These can be disorders of speech, vision, headaches, loss of consciousness, etc. (see also: Causes, signs and symptoms of headache, consequences)
In addition, other doctors often recommend consulting this specialist. Sometimes emergency surgical assistance from a neurosurgeon is required.
How is a consultation with a neurosurgeon going?
A doctor's appointment begins with a survey of patient complaints. Then he studies the documentation he has: medical history, examination results, recommendations and conclusions from other specialists. The doctor can ask clarifying questions that will allow him to make his diagnosis, or to confirm an existing one.
The next stage of admission is a targeted examination of the patient. He identifies the severity of the disease, performs a complete neurosurgical examination. The doctor examines the areas of the body through which he will subsequently have to access the pathological zone if surgical intervention is necessary.
Most often, before making a decision on the need for an operation (if it is not an emergency), the doctor prescribes additional examinations and tests.
Before proceeding with surgery, the doctor will need to collect the following information about the patient:
- Information about blood group and Rh factor;
- X-ray images;
- CT or MRI data;
Doppler ultrasound data;
- Myelography data;
- Puncture of an abscess, or cystic formation;
- Brain tumor biopsy or vertebral biopsy.
Of course, the patient will not have to undergo all of these studies without fail. During the appointment, the doctor will specify which tests should be ready for the subsequent consultation.
When all the results are collected, the person will have to visit the neurosurgeon again. It is at this appointment that he decides on the need for surgical intervention, determines the volume of the operation, sets the date for its implementation. If conservative treatment methods can be dispensed with, the doctor sends the patient to undergo further therapy with the specialist who led him earlier.
Appointment to a neurosurgeon
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