Therapeutic Services
Techniques and Equipment
- Complete integration of imaging data and functional data into the microsurgery / endoscopic surgical planning and performance
- Cranial navigation, spinal navigation including intraoperative 3-D imaging
- Intraoperative angiography (neurovascular)
- Intraoperative cranial neuromonitoring (cortical / subcortical stimulation, MEP, SEP, cranial nerve monitoring), spinal and medullary (D-wave, MEP, SEP), at the base of the skull (cranial nerve and brain stem monitoring), neuromonitoring of microsurgery to the peripheral nerves.
Cranial
- Awake surgery for tumours in eloquent regions of the brain with functional mapping of the brain (following nTMS planning)
- Intraoperative fluorescence techniques (5-ALA; ICG angiography) for tumour surgery and aneurysm / angioma surgery
- Intraoperative Doppler sonography / cross-sectional sonography
- Full endoscopic transnasal surgery to the base of the skull and to the pituitary gland
- Full endoscopic intracranial tumour and hydrocephalus surgery
- Endoscope-assisted aneurysm microsurgery and microsurgery to the base of the skull
Spinal
- Full endoscopic spinal surgery for degenerative conditions of the spinal column
- Minimally invasive spinal surgery (all types of spinal condition; XLIF, OLIF, ALIF, TLIF, PLIF access; all types of access to the craniocervical junction) including stabilisation techniques
- Spinal vertebra replacement techniques with en-bloc resection / 360° stabilisation in all segments of the spinal column (for the appropriate oncological indication) under functional monitoring.
Indications
Cerebrovascular conditions:
- Aneurysms of the vessels supplying the brain
- Arteriovenous malformation (AVM), cavernoma, AV fistula
- Cerebral ischaemia (cerebral bypass surgery)
- Microsurgery for neurovascular conflict (e.g. trigeminal neuralgia, hemifacial spasm)
Tumours of the central nervous system
- Brain tumours (glioma, glioblastoma, astrocytoma, etc.), also in eloquent regions of the brain
- Cerebral metastases
- Tumours of the spinal cord (intramedullary tumours; microsurgery under neuromonitoring)
- Tumours within the spinal canal (intradural-extramedullary tumours with spinal-cord compression: meningeoma, schwannoma / neurinoma)
- Tumours within the cranium (meningeoma, epidermoid, etc.)
Tumours of the base of the skull (in collaboration with our partners at the Head and Base of Skull Centre):
- Acoustic neuroma / vestibular schwannoma
- Chordoma, chondrosarcoma
- Meningeoma
- Pituitary adenoma (full endoscopic transnasal technique, microsurgery to the sinus cavernosus)
- Tumours of the orbital cavity
Spinal conditions:
- Metastases and primary tumours of the entire spinal column (including Pancoast tumours, in collaboration with the Department of Thoracic Surgery)
- Spinal fractures
- Degenerative conditions of the spinal column (stenosis, herniated disc, olisthesis)
- Infections of the spinal column
- Malformations of the spinal column
Conditions of the peripheral nervous system:
- Peripheral nerve entrapment syndromes (carpal tunnel syndrome, sulcus-ulnaris syndrome, tarsal tunnel syndrome)
- Nerve tumours
- Acute nerve damage
Conditions of the cerebrospinal fluid system:
- Hydrocephalus / normal pressure hydrocephalus (NPH)
- Aqueductal stenosis, arachnoid cysts
- Chiari malformations
- Syringomyelia
Functional neurosurgery / pain therapy:
- Spinal cord stimulation (SCS)
- Peripheral nerve stimulation
- Vagus nerve stimulation
- Intrathecal pump implantation
