Department of Brain Neurosurgery
The Department of Brain Neurosurgery has 26 beds. The unit was created to provide highly specialized medical care to patients with tumors of the central nervous system (benign and malignant tumors of the brain of the supra and subtentorial localization, tumors of the chiasmal-sellar region, tumors of the brainstem and skull base, metastatic lesions of the central nervous system, congenital and acquired cysts of the brain), as well as patients with hydrocephalus, abscess and parasitic lesions of the brain and with defects of the bones of the cranial vault.
The Department of Brain Neurosurgery develops and improves surgical approaches, tactical techniques and methods for removing brain tumors that ensure the preservation of adequate blood supply and functions of the brain, including in hard-to-reach parastem localization. Particular attention is focused on improving approaches, tactics and techniques for surgical treatment of the most complex and common neuro-oncological pathologies:
- basal meningiomas of various localization and distribution;
- neuromas of the VIII nerve;
- pituitary adenomas;
- gliomas of the brain GI - GIV;
- tumors of the cerebral ventricles and pineal region;
- hydrocephalus of various etiologies;
- arachnoid and other cysts of the brain.
- secondary tumors of the brain.
- tumors of the bones of the base and vault of the skull.
- craniopharyngiomas
The staff of the Department of Brain Neurosurgery are members of the Society of Neurosurgeons of Kazakhstan, the European Society of Neurosurgeons. The introduction of new diagnostic methods, new surgical approaches and techniques, treatment methods into practice has significantly improved the treatment results for neuro-oncological patients.
The use of modern microsurgical equipment gives positive results in the treatment of tumors of the third ventricle, pineal gland, subcortical structures, and brainstem. When removing tumors localized in functionally important areas of the brain, we widely use an intraoperative neuronavigation system. Also, for tumors of the skullbase, pituitary adenomas, we use endoscopic transnasal transsphenoidal access. This approach is currently the main approach in global practice for removing tumors of the skull base and brain, i.e. neoplasms located in a hard-to-reach and dangerous area where the main vessels and branches of the cranial nerves pass. These are tumors such as pituitary adenomas, craniopharyngiomas, chordomas, skull base cancer, angiofibromas, meningiomas, and others. This method is minimally invasive, since it involves an extracerebral approach, the risk of damage to brain tissue is minimized. This, in turn, leads to a shortening and reduction in the severity of the postoperative period. The percentage of postoperative complications decreases.
Department capacities:
Treatment of patients is carried out according to the principles of minimally invasiveness, minimal trauma and careful treatment of the tissues of the brain and spinal cord. The following methods are used for this purpose:
1. Microsurgical removal of brain tumors using an intraoperative navigation system
2. Microsurgical removal of brain tumors using intraoperative neuromonitoring
3. Microsurgical removal of hard-to-reach skull base tumors using combined approaches and intraoperative neuromonitoring, endoscopic assistance
4. Biopsy of brain tumors using a stereotaxic system
5. Endoscopic biopsy of brain tumors
6. Endoscopic transnasal transsphenoidal removal of brain and skull base tumors using an intraoperative neuronavigation system
7. Implantation of a shunt system for hydrocephalus of various etiologies
8. Endoscopic ventriculocisternostomy for hydrocephalus of various etiologies
Head of the Department is Dr. Nurzhan Ryskeldiev. Neurosurgeon of the highest qualification category. Excellent worker of healthcare of the Republic of Kazakhstan (2010). Holder of the title "Best doctor of JSC National Center of Neurosurgery in 2009". Author of more than 40 publications and 2 inventions.