NEUROSURGERY

The Neurosurgery Service of the São Lucas Hospital has a specialized team and cutting edge structure for the conduct of urgency / emergency surgeries, hospitalizations and elective surgeries, ambulatory calls in HSL and offices in the clinical center of PUCRS .

Professionals use state-of-the-art technology, including surgical microscope, ultrasonic aspirator, endoscope, intraoperative neurophysiological monitoring. In addition, they act in conjunction with the HSL Image Diagnostics Center (CDI) and the Institute of the Brain of Rio Grande do Sul (INSCER), contributing to greater diagnostic precision, therapeutic and surgical planning and in the field of scientific research. < / p>

Main diseases

* refractory epilepsy (due to hippocampal sclerosis, cortical dysplasias, brain malformations, among other causes);

* Cerebral tumors such as gliomas and matastases, meningiomas, pituitary tumors and sealing region, intraventricular tumors; arachnoid cysts;

* Medullary tumors, disc hernias, vertebral canal stenosis;

* Vascular injuries of the central nervous system: cerebral aneurysms, cavernomas, malformations and arteriovenous fistulas (MAVs);

* subdural and extra-durable bruises, intraparenchymy and subarachnoid hemorrhage;

* Hidrocephalias;

* Trigeminal Nevralgia;

* Pediatric pathologies: brain tumors, craniopharyngivity, intraventricular tumors, arachnoid cyst, medullary tumors, hydrocephalus, craniososinostosis, meningomyeloceles.

• Peripheral nerves
  The surgical treatment for peripheral nerve disorders includes the treatment of nerve tumors, nerve lesions and imprisonment syndromes such as carpal tunnel and thoracic gorge syndrome. Peripheral nerve lesions lead to sensory losses, pain and discomfort, and motor losses cause paralysis and, consequently, muscle atrophy, being the most drastic cause in peripheral nerve lesions. To do so, european intervention, both surgical, when necessary, how much physiotherapeutic will minimize the consequences imposed by the injury. The HSL-PUC Neurosurgery service provides a multidisciplinary approach to these pathologies, enabling treatment suitable for these conditions.
• Column
  The HSL-PUCRS Neurosurgery Department offers the most modern in the treatment of spinal column pathologies. The multidisciplinary approach to neurosurgeons and orthopedists allows the most appropriate choice of treatment based on the individuality of each patient. The procedures offered range from surgeries with column fixing with orthoses to minimally invasive ablations and surgeries for pain control. The choice of treatment is based on the clinical and radiological picture of each patient respecting its individuality. Column pathologies treated in the service include: spinal canal stenosis, fractures, disk hernias, facetery pain, malformations.
• Emergencies and emergencies

  Emergencies and emergencies are occasions where a patient is severely affected by an illness and requires a diagnosis and rapid conduct, since the delay can lead to irreparable sequelae and even lead to death. The HSL-PUCRS Neurosurgery service has permanent service in neurosurgery, providing assistance at the time the disease requires, allowing a good evolution even in more extreme cases.

• Pediatric neurosurgery
  From the most complex brain and spinal disorders that require the most challenging interventions until the most common conditions and procedures, our team of pediatric neurosurgeons and neurosurgical nurses offers the full spectrum of multidisciplinary care. In close collaboration with the pediatrics service, we serve birth patients at age 21. We offer initial consultation, surgery and continuous postoperative care. Our neurosurgeons have received advanced pediatric training, which is crucial to take care of the specific needs of children and adolescents. The greatest honor is to hear what our patients are saying and see them doing well. Among the treated pathologies are: tumors, cranial malformations (encephaloceles, craniosisoses), spinal malformations (myelomeningocele, prey marrow, spinal disraxisms) and hydrocephalias.
• Hypophyseal endoscopic surgery

  The pituitary gland, located at the base of the skull, is a small organ that measures about 2x2 cm. The pituitary gland is sometimes called a "master gland" because it releases substances that control the basic functions of growth, metabolism and reproduction. The pituitary gland is divided into two parts called wolves. They are called former and posterior wolves. Each wolf releases special substances or hormones that control the basic activities of the body. A tumor in the pituitary gland causes symptoms by releasing an excess hormone or by pressing the gland, causing it to release little hormone. A hypophysary tumor can also cause symptoms to grow and press the structures, such as eye nerves, around the gland.

  TransesFenoidal operation is the most common operation for a hypophysary tumor. The surgical approach to this operation is by the nose. There is no incision on the face. This surgical approach offers the best tumor exposure with the lowest risk. The operation usually takes two or three hours. After the operation, most patients spend one day in the intermediate or intensive therapy unit before returning to their hospital room. Patients usually remain in the hospital for three or four days after the operation.

  High complexity surgery requiring specific knowledge and specialized material. The HSL-PUCRS Neurosurgery Department has become a regional reference in the treatment of these tumors, offering multidisciplinary care that pathology requires (neurosurgeons, otorrinos and endocrinologists).

• Epilepsy
• Hemorrhagic brain accidents
  The HSL-PUC cerebrovascular disease center brings an integrated and interdisciplinary approach to screening, prevention, diagnosis and treatment for ischemic and hemorrhagic vascular accidents and conditions placing patients at high risk of vascular accidents, including cerebral aneurysms, malformations arteriovenous, cavernous malformations, arteriovenous dural fistulas and ischemic and carotid diseases.

  The treatment is customized for each patient, choosing between medical treatments, either vascular and surgical more advanced.

  The Department of Neurosurgery also has expertise in radiocyurvy gamma knife, which can be used to treat some vascular SNC lesions. HSL-PUCRS specializes in the diagnosis and treatment of these pathologies, which despite severe, if well treated can take the patient to complete healing and full return their usual activities.

• Diseases we treat:

  Brain tumors are abnormal growth of cells located in the brain or arising from the brain coverings. Tumors are usually separated into two categories:

  1) primary brain tumors (those arriving within the head itself) or

  2) Metastatic tumors (tumors that spread from different areas of the body).

  Most primary brain tumors specifically astrocytomas are subsequently classified into a four-stage classification system based on the World Health Organization criteria (WHO). The classification varies from I (benign and curable) to IV (malignant). Metastatic tumors are much more common and are found in thousands of patients per year. All metastatic tumors are considered malignant, and the behavior of these tumors varies widely according to the type of tumor they have emerged.

  The most common types of metastatic tumors in frequency order are 1) lung cancer, 2) breast cancer, 3) renal cell cancer, 4) melanoma and 5) colon cancer. The HSL-PUCRS is specialized in the treatment of these pathologies, joining a strong neuroanamic and surgical technical base allies the use of the latest technological advances, with a multidisciplinary integrated view.

  We participate in groups with neuro oncologists, neuropathologists, neuroradiologists, radiotherapists among others to bring to our patients what is best in modern medicine for the treatment of brain tumors, the base of the skull and the spinal cord.