Department of Neurosurgery
General characteristics
Contemporary neurosurgery is a high-tech and rapidly developing area of medicine. The latest technology in combination with extensive experience allows carrying out minimally invasive, high-quality neurosurgery.
The Department of Neurosurgery of Erebouni Medical Centre was founded in 1998. In 2000 it was integrated with the Department of Neurology, thereby creating a multidisciplinary neurological and neurosurgical clinic managed by professor Mamikon Egunyan (MD, PhD).
The Department of Neurosurgery of MC Erebouni performs about 500 surgeries in various diseases of the brain and spinal injuries (traumatic hematoma, fractures and spinal injuries, tumors of the brain and spinal cord), the peripheral nerves and nerve plexus, brain vessels (endovascular treatment of vascular diseases of the brain). It is also performs the surgeries in diseases caused by degenerative changes of the spine: intervertebral hernias, spondylolisthesis, stenosis of spinal canal etc.
The diagnostics of complex neurosurgical pathology in department is performed by integrated diagnostic facilities of Center in whole: radiology department, department of endovascular surgery (angiography), department of functional and ultrasound diagnostics. Clinical diagnostic laboratory conducts a full examination of the patients both before and after surgery. The specialists of the department consult also patients in other departments of the Center.
At the department operates also the service of "Endoecological Rehabilitation", which carried out an innovative conservative treatment of degenerative diseases of the spine, regardless of their etiopathogenesis.
Diseases and conditions in which patients should apply to the Department of Neurosurgery are
- neurooncology (tumors of the brain and spinal cord, neuromas)
- cerebrovascular disease (hemorrhagic, ischemic stroke, arterial aneurysm, arteriovenous malformation)
- diseases of the brain with hydrocephalus syndrome
- hernia intervertebral disks, ischemia of the nerve roots, spinal stenosis,
- tunnel and pain syndromes
- nerve plexus injury, nerve injury, spinal cord injury
- craniocerebral injury, intracranial hematoma
- trigeminal neuralgia
Malignant or benign brain tumors can radically affect the human condition, both in terms of health and in terms of behavior. As a rule, if the tumor is located in an accessible for work of neurosurgeon place and a not interfere with the important parts of the brain it can be removed by neurosurgical intervention.
Accumulation of cerebrospinal fluid in the skull, so called Hydrocephalus can be as independent disease or occurs as a result of head injury. The most common procedure for Hydrocephalus treatment is a placement of the shunt in the brain, due to which liquid will flow to the abdomen.
The pathologies of the spine including a serious spinal injury, herniated discs, fractured of the vertebrae requires neurosurgical intervention.
Therapy resistant Epilepsy with often onsets can be treated by neurosurgical intervention and implantation of vagus nerve stimulator (VNS).
Due to the fact that the department is located in the multidisciplinary Medical center of Erebouni it gives possibility to offer to our patients the high-quality diagnostic and therapeutic packages. Effective collaboration with the Department of Neurology, Rehabilitation and physiotherapy implements the comprehensive treatment approach for each patient.
All wards of the department are equipped with modern multi-functional beds, monitoring and communication systems. All patients before and after surgery are under the careful supervision of doctors and qualified nurses
Neurosurgery Department has modern operating rooms with independent air conditioning and air purification systems, necessary video equipment, surgical optics, microtoolkit, X-ray with image intensifier, video endoscopic equipment from the leading manufacturers which allowing the use of the newest and most effective treatment of the brain and spine. Additionaly to it there are:
- Two CT scanners - Somoton Emotion 16
- MRI 3 Tesla
- Neuroendoscopy
- Digital X-Ray
- Sonography of the last generation
- Densitometer
- Electromyography
- Electroneurography
- Somatosensory evoked potentials,
- Electroencephalography
The department carries out the surgery in
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various injuries of the brain and spine | |
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tumor of the brain and spinal cord | |
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diseases caused by degenerative changes of the spine: intervertebral hernias, spondylolisthesis, stenosis of vertebral canal and others. | |
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cerebrovascular diseases | |
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The department is planning the specialisation and other training programs for its staff, including introduction of new technologies in the practice of the department:
- the acquisition and implementation of neuroendoscopic system (for the surgery on the spine, brain and basal parts of the brain)
- upgrading the operating rooms with modern equipments according to contemporary requests (two operating theaters for open and endoscopic surgery)
- the acquisition and implementation of the ultrasonic aspirator
- the acquisition and implementation of the microscope
- introduction of pediatric neurosurgery (for children over 8 years) with licensing and personnel policy
- Creation of a multidisciplinary medical team to conduct transnasal surgeries (ENT, endocrinology, neuro-ophthalmologist)
- enhance cooperation with foreign neurosurgical centers, inviting leading experts to perform joint cases
In addition to the surgical intervention the conservative treatment of degenerative diseases of the spine are conducted as well. One of department's priority activities is "Endoecological Rehabilitation" or "Di bluden Therapy".
For patients with a diagnosis of "intervertebral hernia", which does not require surgical intervention to solve the basic problem of disco-radicular conflict the course of rehabilitation therapy for 17 procedures is prescribed . For postoperative patient the course of rehabilitation therapy is prescribed too but just for 10 procedures. The high efficiency of "Endoecological Rehabilitation" is proving by eliminating of inflammation, swelling, pain, local improve of hemodynamics, joint mobility normalization and vertical posture stability increase after therapy.
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Chair
Chair of Neurosurgery, YSMU after. M. Heratsi.
Employees that engaged in teaching activities are:
professor Mamikon Egunyan, MD, PhD, Grand PhD
Vahram Hambardzumyan - Senior Lecturer
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- Karapet Momjyan, MD, , -
- Mamikon Eghunyan MD, , -
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- , - 10 years of activity of neurology and neurosurgery clinic of Medical Center of "Erebouni" , International Congress on Emergency Surgery, 1-3 October 2008, Yerevan, Armenia, p. 8-9
- , Mkhoyan G.G., Mirzoyan, A.M., Zakaryan A., Arutyunyan A.A. - A new approach to non-invasive determination of cerebrovascular hemodynamics in neuro-intensive care patients , Preliminary study; III congress of neurosurgeons of Ukraine in 2003, the Crimea
- , Mkhoyan G.G., Zakarian A.N., Mirzoyan A.M., Arutyunyan A.A., A.T. Kspoyan - A new approach to non-invasive determination of cerebrovascular hemodynamics in neuro-intensive care patients. Preliminary study , Materials of All-Armenian International Congress. Yerevan, 1 - 3 October 2003; pp. 214 - 215
- , - Age specificity of severe brain injury in children , XVI Congress of the European pediatric neurosurgery, Marseilles 1998
- Mamikon Eghunyan MD, , - Age specificity of severe brain injury in children , XVI Congress of the European pediatric neurosurgery, Marsel
- Artur Khachikyan, MD, , Никифоров С.Б. Бывальцев В.А. - Aggrecan, collagens of I, II, X, XI-alpha 2 types of extracellular matrix during degeneration of intervertebral disc , The New Armenian Medical Journal 2017 Vol.11, №1, Yerevan Armenia P16-19
- , Pedachenko G.A., Orlov Y.A. - Analysis of long-term results of surgical treatment of traumatic intracranial hematoma in patients of different ages , Neurosurgery: Rep. Interdepartmental. Sat, Kiev, 1989, vol.22
- , - Analysis of the causes of mortality in severe traumatic brain injury in children of various age groups , Collection of scientific papers. Topical issues of neurosurgery in children. St. Petersburg, 1998
- Artur Khachikyan, MD, , Бывальцев В.А. Калинин А.А. Пестряков Ю.Я. Степанов И.А. Шепелев В.В. - Analysis of the results of the use of arthroplasty of the intervertebral disc of the lumbosacral spine with the prosthesis "M-6 L" , The New Armenian Medical Journal 2017 Vol.11, №1, Yerevan Armenia P48-54
- , Z.R. Ter-Poghosyan, A.O. Hovhannisyan - Anesthesiology and Intensive Care. Laboratory criteria for immunotherapy in patients with traumatic brain injury , Practical-scientific medical journal "Medical Bulletin of Erebouni", 3. 2008 (35) 1-2
- , Orlov J., - Brain axonal contusions and the vegetative state in children , 7-th Congress of Baltic Neurosurgical Association, June 4-6, 1997. Vilnus, Lithuania
- Mamikon Eghunyan MD, , Orlov J., Yegunyan M. - Brain axonal contusions and the vegetative state in children , 7-th Congress of Baltic Neurosurgical Association, June 4-6, Vilnus, Lithuania
- Artur Khachikyan, MD, , Бывальцев В.А. Калинин А.А, Белых, Е.Г. Оконешников А.К. Керимбаев Т - Clinical efficacy of facet fixation in combination with lateral interbody fusion in the treatment of patients with degenerative segmental instability of the lumbar spine , The New Armenian Medical Journal 2017 Vol.11, №1, Yerevan Armenia P27-32
- , Robak O.P. - Computed tomography in diagnostics of severe traumatic brain injury in children , Bulletin 1998 N6
- , Orlov Y. , Verbova L.N., Plavsky N.V., Borisov I.A. - Diffuse axonal damage in children , Ukrainian Journal Psychoneurology 1996
- , Mkhoyan G.G., Mirzoyan, A.M., Zakaryan A.H., Arutyunyan A.A. - Doppler ultrasound in the diagnosis of disorders of arterial and venous circulation of the brain in patients with increased intracranial pressure , III congress of neurosurgeons of Ukraine in 2003, the Crimea
- , - Early postoperative complications in patients undergone surgery for acute traumatic intracranial hematomas , Neurosurgery, Vol. 21, Kiev 1988
- , - Epidural hematomas in children , Bulletin ONE, 1999 N7
- , G.G. Mkhoyan, Z.R. Ter-Poghosyan, A.O. Oganesyan - Evaluation of intensity of cytokininemia as a prognostic criteria for systemic inflammation in polytrauma , International Congress on Emergency Surgery, 1-3 October 2008, Yerevan, Armenia, pp. 8-9
- Artur Khachikyan, MD, , - Expected results of surgical treatment with absolute narrowing of the cervical spine , Вопросы теоретической и клинической медицины Том 15, N5 (72) 2012 Ереван стр. 39-42
- Artur Khachikyan, MD, , Калайджян А.И. Минасян И.С. - Factors affecting the outcome of surgical treatment of stenosis of the cervical spine , Вопросы теоретической и клинической медицины Том 15, N7 (75) 2012 Ереван стр. 62-64
- Mamikon Eghunyan MD, , Protocol of intensive therapy of patients with craniocerebral injuries - GG Mkhoyan M.A.Eghunyan , Hand-book. Yerevan, 2007, "Astghik" Bookstore
- , Orlov J., Curhovskayа N. - Heavy head injury at children of various age , 4-th International Neurotrauma Symposium, August 23-28, 1997, Seul, Korea
- Mamikon Eghunyan MD, , Orlov J., Yegunyan M., Curhovskayа N. - Heavy head injury at children of various age , 4-th International Neurotrauma Symposium, August 23-28, Seul, Korea
- , Fraerman A.P., Arafezh V.A., Kravtsov L.Y., Zotov Yu.V., Polosin N.N., Malnichenko V.A. - Indications for repeat surgical interventions in acute stage of severe traumatic brain injury , Methodical recommendations - Gorky in 1990
- , Yarocki R.Yu. - Intensive therapy for severe traumatic brain injury in children , Bulletin 1998 N6
- , - Intensive treatment of severe traumatic brain injury, combined with injuries of the chest , VII Republican scientific Conference of Young Medical Scientists on topical issues of anesthesiology and intensive care, Alushta 1986.
- Artur Khachikyan, MD, , Бывальцев В.А. Кикута К. Калинин А.А. Белых Е.Г. ЛевинаГ.Ю. Минасян И.С. - Intramedullary ependymal cyst of the cervical spinal cord: Clinical case , The New Armenian Medical Journal 2015 Vol.9, №4, Yerevan Armenia P73-79
- , Z.R. Ter-Poghosyan, A.O. Oganesyan - Laboratory criteria of immunoterapy in patients with traumatic brain injury , International Congress on Emergency Surgery, 1-3 October 2008, Yerevan, Armenia, pp. 8-9
- , Y. Orlov - Liquor-bypass surgery in pediatric neurosurgery , Modern methods of diagnosis and treatment of diseases of the nervous system, part 2, Ufa, 1996.
- , Brodsky Y.S., Verbova L.N., Marushchenko L.L. - Minimally invasive techniques in the treatment of infants with chronic subdural hematomas , Bulletin 1997 N3
- Artur Khachikyan, MD, , Калайджян А.И. Ананян В.Г. - Our experience of epilepsy surgery , Материалы международной научно-практичемкой конференции Том 2 2003г.,Тбилиси Грузия стр. 112-113
- , Momjyan K.G., Hovhannesyan A.K., Haroutyunyan A.A. - Padicular screw fixation for the treatment of vertebral fractures , Congress of trauma and orthopaedic surgeons of Armenia, 2006; Yerevan, Armenia pp. 30-31
- Mamikon Eghunyan MD, , Egunyan M.A., Momjyan K.G., Hovhannesyan A.K., Haroutyunyan A.A. - Padicular screw fixation for the treatment of vertebral fractures , Congress of trauma and orthopaedic surgeons of Armenia; Yerevan, Armenia pp. 30-31
- , - Peculiarities of severe traumatic brain injury in children , Ukrainian Journal Psychoneurology. 1996
- , Yarocki R.Yu. - Peculiarity of treatment of comatose states in traumatic brain injury in children of different age groups , Topical issues of childhood neurosurgery. 1998
- Artur Khachikyan, MD, , Калайджян А.И. - Prediction and evaluation of the results of surgical treatment of stenosis of the cervical spine , Сборник материалов юбилейной научной конференции, посвященной 20-и летию Медицинского Объядинения “ Диагностика“ 2004г., Ереван Армения стр. 156-157
- , Pedachenko G.A., Makeeva T.I. - Prevention of intracranial hemorrhage in the postoperative period in severe traumatic brain injury , Clinical Surgery 1989 N1
- , G.G. Mkhoyan - Protocol of intensive therapy of patients with craniocerebral injuries. Hand-book. , Yerevan, 2007, "Astghik" Bookstore
- , - Severe closed traumatic brain injury in children , Topical issues of neurology, psychiatry and addiction. Venice 1997
- , - Severe traumatic brain injury in children , Monograph. Kiev: 1998
- Artur Khachikyan, MD, , Дамдинов Б.Б. Белых Е.Г. Антипина С.Л. СороковиковВ.А. - Successful treatment of post-traumatic frontal lobe brain abscess in patient during subacute period of penetrating craniocerebral injury , The New Armenian Medical Journal 2015 Vol.9, №4, Yerevan Armenia P80-88
- Artur Khachikyan, MD, , Бывальцев В.А. Калинин А.А, Минасян И.С. - Surgical interventions in unstable form of degenerative lumbosacral spine , The New Armenian Medical Journal 2016 Vol.10, №4, Yerevan Armenia P34-48
- , - Surgical treatment of chronic subdural hematomas , Neurosurgery Vol. 20, Kiev 1986
- Artur Khachikyan, MD, , Калайджян А.И. - Tactics of surgical treatment of stenosis of the cervical spine. , Материалы международной научно-практичемкой конференции Том 2 2003г.,Тбилиси Грузия стр. 226-227
- Artur Khachikyan, MD, , Калайджян А.И. - The advisability of using metal plates as an additional fixation in cervical discectomies with anterior access , Вестник Хирургии Армении N4 2006г. Ереван стр. 57-62
- , - The clinic, diagnosis, outcomes of severe brain injury in children of different age groups , Bulletin. 1998 N7
- , - The peculiarity of diagnostics and treatment of road traffic traumatic brain injury, combined with the chest injuries , Polytrauma. Regional scientific-practical conference, Kharkov, 1986
- , Marushchenko L.L. - The peculiarity of diagnostics and treatment of severe traumatic brain injury in young children , Clinical Neurosurgery 1998
- , - The peculiarity of the severe traumatic brain injury in children , Bulletin. 1998 N6
- , G.G. Mkhoyan, Z.R. Ter-Poghosyan, Z.A. Karelyan, G.R. Hakobyan, M.I. Yeghiazaryan - The role of as a possible prognostic factor in polytrauma. XI All-Russian Congress of Anesthesiologists and Resuscitation , 23 - September 26, 2008, St. Petersburg. The collection of materials, pp. 201 - 202
- , - The role of dialysis system in the prevention of postoperative hematomas , Scientific-practical conference of innovators, 1987
- , T. Khachatryan, K. Khachatryan, A. Zohrabyan - The Role of Intracranial Pressure Pradient Between Right and Left Hemisphere in Pathogenesis of Epileptic Seizure , Poster presentation. Тhe XIV World Congress of Neurological Surgery, Boston, MA, USA; August 30 to September 4, 2009
- Mamikon Eghunyan MD, , Tigran Khachatryan, Kolya Khachatryan, Arshak Zohrabyan, Mamikon Yeghounyan - The Role of Intracranial Pressure Pradient Between Right and Left Hemisphere in Pathogenesis of Epileptic Seizure , Poster presentation; the XIV World Congress of Neurological Surgery, Boston, MA, USA; August 30 to September 4
- , K.G. Momjyan, T.K. Khachatryan - Transpedicular Fixation in unstable fractures of thoracic and lumbar spine , Abstract book of International Congress on Emergency Surgery; 1-3 October 2008
- Mamikon Eghunyan MD, , M.A. Yeghunyan, K.G. Momjyan, T.K. Khachatryan - Transpedicular Fixation in unstable fractures of thoracic and lumbar spine , Abstract book of International Congress on Emergency Surgery; 1-3 October
- , K.G. Momjyan, T.K. Khachatryan - Treatment of Degenerative Spondylolisthesis by Transpedicular Fixation: Case report , Abstract book of International Congress on Emergency Surgery; 1-3 October 2008
- Mamikon Eghunyan MD, , M.A. Yeghunyan, K.G. Momjyan, T.K. Khachatryan - Treatment of Degenerative Spondylolisthesis by Transpedicular Fixation: Case report , Abstract book of International Congress on Emergency Surgery; 1-3 October
- 18.07.2014 - 18.07.2015 - Consultations and surgical treatment of the patients on charity base
- 01.12.2015 - Intraventricular brain tumors
- 10.08.2015 - Removal of giant brain tumor
- 31.07.2015 - Single-step treatment of the cervical spinal stenosis