GVM’s Department of Neurology and Neurosurgery deals with the treatment of diseases of the Central Nervous System (brain, cerebellum, brainstem and spinal cord), of the Peripheral Nervous System and post-traumatic and degenerative Spinal disorders.
The specialists who work at GVM facilities can rely on state-of-the-art equipment. Innovative techniques that either minimize or eliminate the common aesthetic side-effects of a craniotomy were developed in-house and have been used for our patients for several years now. Diagnostic tools include MRIs, CAT scans and PET/CT, besides the most advanced Angiography equipment, which is operated by internationally famous practitioners.
Specialised neurosurgeons have specific experience in dealing with brain tumours and vascular microsurgery, integrated with minimally invasive stereotactic neurosurgical procedures and precise targeting by neuronavigation. Spinal disorders treated include disc, tumoral, functional and post-traumatic deformities. The latest stabilization techniques are implemented for cervical, dorsal and lumbo-sacral segments. Vertebral stabilization is also employed in spinal pain syndromes, while minimally invasive techniques are preferred in elderly patients (osteoporotic fractures).
Each clinical situation is addressed with the most appropriate microsurgical and microvascular technique, and the selection of each approach is based on the experience of a team of neurosurgeons with some 10,000 cases treated by ‘non-invasive’ Gamma Knife radiosurgery over the course of more than 20 years.
Following the successful introduction of neuro-microsurgery, the principle of reduced surgical trauma has progressively led to the wider adoption of Gamma Knife procedures: several years of experience with both invasive and non-invasive approaches for the treatment of neoplastic, vascular and functional disorders of the Central Nervous System have given our team a unique perspective to help determine the best approach available for each individual patient.
Surgery is selected whenever the patient may benefit from quick relief from the intracranial pressure created by an expanding mass or for surgical distancing of very delicate structures that may not bear deformation.
On the other hand, the targeted administration of Gamma Knife radiation (in a single session) is selected whenever experience exists for demonstrable efficacy in over 80-90% (in some cases even 100%) of lesions that would be otherwise inoperable, including remnants/recurrences from previous surgery, or when the general condition of the patient is a contraindication to open surgery with total anaesthesia.
The experience gained through this approach has provided guidelines regarding comparative risks even for targets much larger than the original limit of 3 cm in diameter set by Swedish pioneers. AVMs (arteriovenous malformations) in all locations and meningiomas in the cranial base (otherwise attacked by very demolitive and incomplete surgical approaches) have been cured even with volumes up to and exceeding 50cm3.