Advanced neurosurgical management of brain and spinal disorders
The 1st Neurosurgery Clinic provides comprehensive management across the full spectrum of modern neurosurgery, including surgical treatment of conditions affecting the brain, spinal cord, and spine, such as:
- Intervertebral disc herniations (cervical, thoracic, and lumbar spine)
- Lumbar spinal stenosis
- Cervical myelopathy
All procedures are performed using the most advanced techniques and methods available at Metropolitan General.
Minimally invasive neurosurgery and modern technologies
Our surgical practice utilizes all available tools of contemporary neurosurgery, including:
- Surgical microscope
- Neuronavigation systems
- Intraoperative imaging
- Intraoperative neurophysiological monitoring
This enables the effective and minimally invasive treatment of all neurosurgical conditions of the brain and spine.
Rapid recovery and short hospitalization
This approach results in:
- Minimal hospital stays
- Early mobilization (often from the following day)
- Rapid return to daily and professional activities within a few days
Specialization in endovascular neurosurgery
A key area of specialization of the Clinic is Endovascular Neurosurgery, for the treatment of:
- Cerebral aneurysms
- Vascular malformations
- Brain tumors
These may be treated either exclusively with endovascular techniques or in combination with open neurosurgical approaches.
Embolization of vascular diseases of the brain
Embolization, commonly used to describe endovascular neurosurgical techniques, allows access to the brain without open surgery, enabling diagnosis and treatment of vascular conditions via an intra-arterial approach.
Advanced catheterization techniques and embolic materials
Through the femoral artery and under fluoroscopic guidance, a specialized microcatheter is advanced into the cerebral circulation and navigated into the aneurysm sac, where detachable platinum microcoils are deployed, leading to occlusion and thrombosis of the aneurysm.
Treatment of arteriovenous malformations (AVMs)
In cases of arteriovenous malformations, the nidus of the lesion is catheterized, and a liquid embolic agent is injected to eliminate the abnormal communication between arteries and veins.
Rapid evolution of endovascular techniques
Continuous advancements in endovascular technology, including:
- Next generation microcoils
- Intra-arterial stents
- Flow diverters
have expanded treatment indications and allow the management of complex and previously inoperable cases.
Treatment without open surgery
Today, the vast majority of vascular diseases of the brain and spinal cord can be treated using embolization techniques, achieving excellent outcomes, and very high cure rates.
Emergency and elective treatment of cerebral aneurysms
Both ruptured and unruptured cerebral aneurysms can be treated either emergently or electively using endovascular techniques, without affecting the surrounding brain parenchyma.
Preoperative embolization of brain tumors
Endovascular techniques are also used preoperatively to reduce the vascularity of highly vascular brain tumors, making surgical removal safer and more effective.
Continuity of care by a specialized neurosurgeon
At the 1st Neurosurgery Clinic, diagnosis, treatment planning, endovascular and surgical management, as well as postoperative follow-up are all performed by the same neurosurgeon, ensuring continuity and consistency of care.
Experience and high success rates
Experience from more than 3,500 endovascular and open neurosurgical procedures ensures high cure rates, with minimal hospitalization time and reduced burden for the patient.