I. Pain: trigeminal neuralgia and glossopharyngeal neuralgia
Trigeminal neuralgia is a recurrent, short-lived, severe electric shock-like or knife-like pain on one side of the face, which may be asymptomatic at ordinary times. It is mostly seen in middle-aged and elderly people. There are many treatment methods for this disease, such as oral carbamazepine tablets, closure, radiofrequency, etc., but the effect is general and easy to recur. Our department applies the most common international microvascular decompression to treat trigeminal neuralgia, and the efficacy is about 90%, and there are few recurrences.
Glossopharyngeal neuralgia is a severe pain in the throat with paroxysmal cutting, burning or tearing. The disease is similar to trigeminal neuralgia, but patients are often unable to eat or speak, which causes great inconvenience to their lives. Conservative treatment is ineffective and requires microvascular decompression therapy.
Facial muscle spasm
Facial muscle spasm is an episodic twitching of facial muscles, mostly seen in middle-aged and elderly people. Typical symptoms are twitching of one eyelid first, gradually progressing down to the cheek and corner of the mouth muscles. The seizure cannot be controlled by itself. After a short time, the seizure ends and enters the interval period as normal. Once the interval is over, the seizures become frequent again and tend to worsen slowly. He was treated with microvascular decompression under neurophysiological monitoring and had good results.
Epilepsy
Functional neurosurgery mainly focuses on the surgical treatment of epilepsy caused by tumors, vascular lesions, traumatic brain injury and abnormal brain development, as well as some drug-refractory epilepsy with clear localization.
Tumors of the brain and spinal cord
Some tumors in the brain are located in areas in charge of important functions such as movement and language, and there are also neural tissues in the spinal cord that are closely related to limb movement and urinary and fecal functions. Surgery in these areas has the risk of causing paralysis, aphasia, and urinary and fecal incontinence. Our department is committed to assessing the relationship between the lesion and important structures such as nerve bundles and peripheral blood vessels that are in charge of movement through advanced imaging examinations before surgery, monitoring the neurological functional areas and nerve integrity through intraoperative navigation and neurophysiology, and applying minimally invasive methods to remove the tumor while protecting the important functional areas to reduce the damage to the nerves and thus reduce postoperative complications.
V. Neuroendoscopic (ventriculoscopy) surgery
Our department introduces the world advanced German Snake neuroendoscopic system and mainly performs the following surgeries.
1.Endoscopic ventricular surgery
l obstructive hydrocephalus
l Complex ventricular malformation
l Arachnoid cysts
l Endoscopic resection and biopsy of some intracerebroventricular tumors
l Infectious diseases of some ventricular systems
2.Minimally invasive endoscopic skull base tumor surgery
Transnasal pterygoid sinus pituitary tumor surgery
The combination of microsurgery with endoscopic surgery not only has light surgical trauma, but also can greatly improve the chance of total tumor resection, reduce the proportion of postoperative residue and recurrence, and improve treatment satisfaction.
Minimally invasive and functional neurosurgery integrates neuronavigation, neuroendoscopy, keyhole technology and functional imaging to carry out minimally invasive and functional neurosurgery for common diseases such as pain and epilepsy and minimally invasive surgical treatment of intracranial lesions under intraoperative neurophysiological monitoring.