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Medical Journal Erebouni

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.


Erebouni Medical Center: Department of NeurosurgeryThe 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

 

Erebouni Medical Center: Department of Neurosurgery

 

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.


Erebouni Medical Center: Department of NeurosurgeryThe 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

 
Equipping

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

 

Erebouni Medical Center: Department of Neurosurgery

Main activities

The department carries out the surgery in

 

  various injuries of the brain and spine
  • traumatic hematoma,
  • traumatic injuries of the brain and spinal cord.
  • traumatic injuries of the bones of the skull and spine,
  • traumatic injuries of peripheral nerves.
  tumor of the brain and spinal cord
  diseases caused by degenerative changes of the spine: intervertebral hernias, spondylolisthesis, stenosis of vertebral canal and others.
  cerebrovascular diseases
  • aneurysms, arteriovenous malformations and carotid-cavernous fistula of the vessels of brain and spinal cord.

 
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.

Staff
Mamikon Eghunyan MD Mamikon Eghunyan MD Write a letter Head of Department of Neurosurgery neurosurgeon PhD, Grand PhD (d. m. s) professor
Vahram Hambartsumyan, MD Vahram Hambartsumyan, MD Write a letter Head of Department neurosurgeon PhD
Janik Galstyan Janik Galstyan Write a letter neurosurgeon
Vahagn Tosunyan Vahagn Tosunyan Write a letter neurosurgeon
Education

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

 

 
Research projects
  • - , Noninvasive determination of cerebro-vascular hemodynamic and intracranial pressure in patients at the stage of neuro-reanimation
Publications
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