5th Neurosurgery Clinic - Clinic of Minimally Invasive Brain and Spine Surgery

Metropolitan General’s 5^th Neurosurgery Clinic - Clinic of Minimally Invasive Brain and Spine Surgery is staffed by renowned scientific personnel.

Angioneurosurgery

Our Department specializes in treating the full range of vascular diseases of the brain, cervix and spinal cord. Our team consists of a neurosurgeon, invasive radiologist, neurologist and vascular surgeon, all specializing in America.

Minimally Invasive Surgery

Through modern neuronavigation systems and special microsurgery instruments, the surgeon is guided to the most inaccessible areas of the brain, through incisions of a few centimeters. This makes possible the removal of benign and malignant tumors (primary and metastatic) as well as vascular malformations.

Minimally invasive brain surgery also involves the use of the endoscope, through the nasal cavity, at the base of the skull, which allows access to deeper areas of the brain (anterior cranial fossa, sella turcica, clivus, etc.). This optimally treats pituitary adenomas, Rathke cysts, meningiomas, chordomas, craniopharyngiomas and other diseases of these anatomical areas. The main advantage of minimally invasive brain surgery is the reduction of morbidity caused by usual surgical access. Thus, the patient has fewer scars (or no scars at all), less postoperative pain, shorter duration of hospitalization and faster recovery.

Minimally Invasive Spine Surgery (MISS) involves performing surgery on the cervical, thoracic and lumbar spine, with as little surgical trauma as possible compared to conventional surgery. To achieve this, cylindrical dilators or endoscopes and micro-instruments are used, which allow the performance of surgeries with high precision, without the need for wide surgical accesses. At the same time, with the use of a suitable neuronavigation system (O-arm, Medtronic) of the latest technology, the execution of exceedingly small diameter incisions or the placement of screws percutaneously is achieved, with astonishing accuracy. Unlike traditional "open" surgery, MISS realizes less tissue trauma, shorter hospital stay, much less blood loss with usually no need for a transfusion, minimizes postoperative pain, smoother and faster mobilization reducing the rate of wound infection.

Minimally invasive spinal surgery can be performed to decompress nerve roots or the spinal cord in appropriately selected patients in cases of disc herniation, osteophytes, rupture or spinal stenosis, to stabilize the spine in cases of vertebral disc and in kyphoplasty / elastoplasty for osteoporotic or metastatic fractures.

Brain diseases:

Tumors of the brain, base of the skull, pituitary gland, ventricular system and craniocervical junction.
Intracranial / extracranial vascular diseases (aneurysms, arteriovenous malformations, Moya-Moya).
Traumatic injuries.
Cerebrospinal fluid circulation disorders (hydrocephalus).
Trigeminal neuralgia
Spontaneous intracerebral hematomas (hemorrhagic strokes).
Infectious diseases (abscesses, emphysema).
Epilepsy (vagal nerve stimulation, temporal lobectomy)
Parkinson's (DBS)

Spinal diseases:

Degenerative diseases of the cervical, thoracic and lumbar spine (intervertebral disc herniation, spinal stenosis).
Extradural, intradural and intramedullary tumors.
Traumatic injuries, instability and osteoporotic fractures along the entire length of the spine.
Infectious diseases (spondylodiscitis, epidural abscess).
Disorders of cerebrospinal fluid circulation (syringomyelia).
Minimally invasive treatments for pain (facet blocks, nerve root blocks, sacroiliac joint injections).

Peripheral nerve diseases::

Staff

Chief:
Theophilos Machinis, Neurosurgeon – Assistant Professor Virginia University, USA

* The Director of the Clinic, Neurosurgeon Mr. Machinis has completed a dual specialization program (dual-trained neurosurgeon) in America, using endovascular or open cerebrovascular techniques, depending on the particularities of each case.

Assistant:
Amanda Oostra Georgala, Neurosurgeon

Assosiate:
Periandros Karamanis, Anesthesiologist

Contact number: +30 210 6502060

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