Neurosurgery is a field of medicine that focuses on the management and treatment of patients with conditions affecting the central and peripheral nervous systems which require surgery. These include conditions involving the brain, spinal cord, and spinal nerves. Neurosurgical options are usually considered when less invasive medical options are not effective.
The educational training needed to become a neurosurgeon is extensive. In addition to completing a four year undergraduate program as well as four years of medical school, neurosurgeons must also complete a neurosurgical residency. A neurosurgical residency can take up to seven years to complete.
Further, neurosurgeons must practice in the field for several years before they are even eligible to become board certified by the American Board of Neurological Surgery.
Neurosurgeons are trained to manage and treat neurological disorders, conditions, and diseases that affect all aspects of the nervous system. These include spinal disorders; herniated discs; stroke; brain injuries; nerve injuries as well as other conditions that affect the nervous system.
Although neurosurgeons are trained in neurosurgical procedures, they may nonetheless recommend non-surgical treatment methods, depending on the nature of a patient’s disease or injury.
Some common conditions that neurosurgeons diagnose and treat include:
Your primary care doctor, or neurologist, may refer you to a neurosurgeon for a surgical opinion regarding your condition. Although neurosurgeons specialize in neurosurgical intervention, not all patients who visit a neurosurgeon require surgery.
Instead, your doctor will conduct a physical examination, review your medical records and ask about your medical history in an effort to understand the cause and extent of your pain. The doctor will also review your diagnostic testing like, MRI scans or EMG/NCV studies, to get a better understanding of your condition. Once all relevant information is reviewed, your doctor will recommend a course of treatment.
Below are some diagnostic tests that a neurosurgeon may recommend:
Computerized Tomography (CT Scan), many intra cranial as well as spinal pathologies can be examined and identified using CT scanning;
Magnetic Resonance Imaging (MRI), detailed images of intra and extra-cranial structures without exposure to potentially dangerous radiation;
Discogram, a type of x-ray used assess whether an intervertebral disc is damaged.
Direct Roentgenogram, a diagnostic method used in patients with head trauma because it provides useful information about bone fractures and bone erosion.
Lumbar Puncture, a procedure where a neurosurgeon inserts a needle between two lumbar bones to take a sample of cerebrospinal fluid for laboratory testing. This fluid surrounds your brain and spinal cord, protecting them from trauma.
Electroencephalography (EEG), evaluates the spontaneous electrical activity of the brain using electrodes positioned on the scalp.
Neurosurgeons perform medical procedures to repair or treat conditions of the nervous system including:
In most cases, you will feel very tired for several weeks after neurosurgery. You may also suffer from headaches, fogginess, or difficulty concentrating. It can take five to eight weeks, or even longer, to recover from neurosurgery.
Your incisions may be sore for about 5 days after neurosurgery. You may also have shooting pains or numbness near your wound. As your wound begins to heal, it may start to itch. Medication and ice packs can help with swelling, headaches, itching, and pain.
The stitches that hold your incisions together may dissolve, or they may need to be removed with the assistance of your doctor, depending on the surgery and type of sutures. You should strictly follow the treatment plan provided by your neurosurgeon including, medications, diet, and rest.
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