Отделение малоинвазивной нейрохирургии

       Currently, all modern surgery, including neurosurgery, is leaning towards minimally invasive approaches to various human pathologies. Operations performed through minimal incisions and a minimal bone "window", as well as operations without skin incisions, are safer with the same, and often higher efficiency compared to classical approaches.

The use of minimally invasive neurosurgical operations makes it possible to shorten the length of the patient's stay in the clinic, there is a decrease in the number of postoperative complications, disability and social maladaptation of patients. In addition to the above, there is also a cosmetic effect: there are no long scars, no traces of extensive craniotomy, no bone defects.

The minimally invasive neurosurgery department performs surgeries on patients with tumors of the central and peripheral nervous system (benign and malignant tumors of the brain and spinal cord, tumors of the chiasmatic-sellar region, tumors of the brainstem and skull base, metastatic lesions of the central nervous system, congenital and acquired cysts of the brain, tumors of the cranial and peripheral nerves), patients with hydrocephalus, degenerative processes of the spine (herniated and protrusion of intervertebral discs), with defects of the bones of the cranial vault, as well as with various pain syndromes due to damage to the roots, nerve trunks and cranial nerves (for example, trigeminal neuralgia). The department has 14 beds.

Diseases and conditions:

  • brain tumors;
  • intervertebral disc herniations;
  • spondylolisthesis;
  • functional instability of the spine;
  • spinal canal stenosis at different levels;
  • hydrocephalus, brain cysts;
  • cerebral vascular aneurysms;
  • occlusions of the main arteries of the brain (in the extra- and intracranial regions);
  • stenosis of the vessels of the head and neck;
  • arteriovenous malformations of the vessels of the brain and spinal cord;
  • extra and intramedullary tumors of the spinal cord;
  • neuralgia of the cranial nerves, facet nerves of the spine;
  • consequences of acute cerebrovascular accidents, head and spinal cord injuries;
  • diseases of the peripheral nervous system.

Department capacities:

Since the opening of the Neurosurgery Center in 2008, new surgical methods and technologies introduced:         

  • Endoscopic transnasal transsphenoidal removal of tumors of the chiasmal-sellar region;

  • Use of a neuronavigation intraoperative system;

  • Microsurgical removal of skull base tumors using endoscopic assistance;

  • Microsurgical removal of brain gliomas using intraoperative fluorescence;

  • Microsurgical treatment of craniovertebral pathology (chordomas and other tumors) by transoral access using microscopic and/or endoscopic techniques;

  • Anastomosis of the hypoglossal-facial nerve with displacement of the intratemporal segment of the facial nerve (reinnervation of the facial nerve);

  • Microsurgical removal of brain tumors with preserved consciousness;

  • Stereotactic aspiration of hematoma;

  • Endoscopic third ventriculostomy with biopsy of pineal tumor;

  • Endoscopic removal of tumor of the third ventricle;

  • Radiosurgery with Gamma Knife.


The department has its own operating room, during surgical treatment we use all modern methods and diagnostic equipment:

  • Karl Stortz endoscopic video systems;
  • Carl Zeiss Vario S88 surgical microscope;
  • a system for monitoring the biomechanical properties of the brain and intracranial pressure;
  • ultrasound and laser disintegrator;
  • microsurgical equipment and instruments;
  • frame stereotaxic system;
  • catheters and devices for endovascular operations;
  • cerebrospinal fluid drainage systems;
  • frameless neuronavigation station Medtronic Stealth;
  • rigid and semi-rigid (children's) skull fixation system;
  • intraoperative neurophysiological station;
  • autohemotransfusion stations;
  • modern angiographic unit allowing to conduct studies of the vessels of the brain and spinal cord and intravascular operations;
  • neurostimulators.

Head of the Department is Dr. Viktor Aleinikov.