SPINAL SURGERY
The spine is the site of several diseases ranging from simple trauma, such as fractures or compressions, to degenerative diseases such as herniated discs, canal stenosis or tumor diseases (meningiomas, schwannomas, metastases, etc.).
The proper treatment of these pathologies invariably requires an accurate diagnosis. In most cases, this requires spinal imaging, such as a CT scan or Magnetic Resonance Imaging (MRI), and in some cases other types of examinations, which are prescribed during the consultation.
Spinal surgery is reserved for certain specific cases, which are discussed in consultation with the patient. The goal of spinal surgery is to treat the patient's symptoms (pain, loss of strength, balance disorders, etc.) in the least invasive way possible, to allow them to get their lives back to normal as quickly as possible. With technological advances, we use an intra-operative microscope that makes it possible to make small incisions of less than 20mm for the treatment of herniated discs, for example.
VASCULAR OR NEUROVASCULAR NEUROLOGY
This is the part of neurosurgery dedicated to the management of strokes and other types of bleeding that can affect the brain. Neurovascular procedures aim to diagnose and treat conditions affecting the blood vessels of the nervous system.
This includes support for:
• cerebral aneurysms;
• arteriovenous malformations;
• non-trauma-related brain hemorrhages;
• etc.
The management of these different pathologies is done in collaboration with interventional radiologists (for angiographies, embolizations, etc.) and in the most complex cases, via surgery. The objective is to restore or preserve normal blood flow in the patient's neurovascular system in order to avoid serious and irreversible complications .
BRAIN TUMOR SURGERY
Tumors are lesions that can affect any tissue in the body, they can be benign (lipomas, meningiomas, etc.) or malignant (lung, breast, colon, ovarian cancer, etc.). The brain is not immune to this type of lesion. Indeed, in the brain and spinal cord, tumors can develop and give rise to symptoms depending on their location. For example, a tumor located near the area that controls language can manifest itself by an inability to express oneself clearly. Or, if it is located near the area that controls motor skills, give rise to a loss of strength on the opposite side of the body.
As a neurosurgeon, I examine the patient and assess the risks and benefits associated with performing surgery to remove the lesion. I then inform the patient. If the benefits outweigh the risks, then surgery is scheduled within one to a maximum of three weeks .
For this type of surgery, I use all the cutting-edge technologies at my disposal (neuronavigation, intraoperative microscope, ultrasound, evoked potentials, etc.) in order to perform this procedure with great precision and ensure patient safety. The goal of these procedures is therefore to remove the lesion in its entirety, without causing irreversible neurological damage.