Brain Surgery
Benign and malignant brain tumours, hydrocephalus and advanced neurosurgical procedures — evaluated and treated with a tissue-preserving approach using modern microsurgical techniques and neuronavigation.
The Philosophy of Modern Brain Surgery
Contemporary brain surgery aims not only to treat disease but also to preserve healthy brain tissue and the patient's quality of life. Every patient has a unique anatomy and history, so each treatment plan is tailored individually through careful imaging and comprehensive, multidisciplinary assessment.
Grounded in more than 25 years of experience and over 200 scientific publications, this approach combines evidence-based surgical principles with advanced technology. The goal is to achieve the most effective outcome through the smallest, safest intervention while protecting neurological function.
Tissue-preserving microsurgical techniques, precise planning and realistic risk assessment lie at the heart of this philosophy. Patients are active partners in decision-making, and the benefits and possible risks of every option are shared openly. Seeking a second opinion is always encouraged.
Brain Tumours: Benign and Malignant
Brain tumours span a broad spectrum from benign to malignant. In slow-growing benign tumours such as meningiomas, the aim is a safe and, where possible, complete removal while carefully protecting the surrounding critical structures.
For tumours arising from brain tissue itself, such as gliomas, treatment is planned according to tumour type and grade. Surgical removal is balanced against the preservation of healthy function, and radiotherapy or oncological treatments are integrated through a multidisciplinary team when needed.
Imaging and neuronavigation help define tumour margins and protect eloquent regions. In every case the expected benefit, potential risks and alternative options are discussed in detail with the patient. A realistic roadmap is set out, without any guarantee of success.
Hydrocephalus and Shunt Surgery
Hydrocephalus occurs when cerebrospinal fluid accumulates within the skull because its circulation or absorption is disrupted. It may cause headaches, balance problems, and changes in vision or consciousness; early diagnosis is important to prevent lasting harm.
The core aim of treatment is to safely redirect the accumulated fluid to a suitable part of the body. Options such as ventriculoperitoneal shunt systems or, in appropriate cases, endoscopic third ventriculostomy are selected according to the patient's anatomy and diagnosis.
Regular follow-up after the procedure is essential to monitor shunt function and neurological status. Patients and their families are informed in detail about possible symptoms and warning signs, so that any problems can be addressed promptly.
Skull Base and Advanced Procedures
Skull base surgery is an advanced field that requires reaching the deepest, most delicate regions of the brain, surrounded by critical blood vessels and nerves. Tumours and lesions in this area are demanding procedures that call for meticulous planning and experience.
The modern approach aims to reach the lesion through tissue-preserving corridors, affecting healthy structures as little as possible. Microsurgical techniques and, where appropriate, endoscopic methods allow safer work within narrow and deep spaces.
Each skull base case is assessed individually in light of the imaging findings and the patient's overall condition. Collaboration with specialties such as ENT and oncology is arranged when needed, and decisions are reached in a multidisciplinary way with the benefit-risk balance in mind.
Technology: Microsurgery and Neuronavigation
The surgical microscope provides the surgeon with high magnification and illumination, allowing millimetric structures to be clearly distinguished. This helps define the boundary between tumour and healthy tissue more safely and supports the protection of critical vessels and nerves.
Neuronavigation transforms preoperative MRI and CT images into a three-dimensional map, letting the surgeon track their position in real time. This technology supports reaching the target along the most suitable and least damaging route.
In the hands of an experienced surgeon these technologies are tools that enhance the accuracy and safety of the procedure; they support judgement rather than replace it. The goal is more precise results through smaller interventions, with neurological function preserved as far as possible.
Diagnosis, Decision-Making and Recovery
Sound treatment begins with an accurate diagnosis. Each case is evaluated holistically through a detailed neurological examination, imaging such as MRI and CT, and advanced tests when needed. Surgery is recommended only when the expected benefit meaningfully outweighs the potential risks.
Surgical and non-surgical options are explained clearly to every patient, and decisions are made together. In some situations, watchful monitoring and regular follow-up may be the most appropriate path. Transparent information and a second opinion are integral parts of this process.
Recovery after surgery varies with the individual, the type of procedure and overall health. Regular check-ups, rehabilitation when needed, and close follow-up are important for a safe recovery. Patients are supported at every stage and kept informed throughout the process.
You may request an appointment for an assessment or a second opinion on this subject.
Request Appointment