
Expertise in Neurological Disorders: Neurologists are trained extensively in diagnosing and treating diseases that affect the brain, spinal cord, nerves, and muscles. They have in-depth knowledge of the complex structures and functions of the nervous system.
Specialized Diagnosis: Many neurological disorders present with complex symptoms that require specialized diagnostic tests and examinations. Neurologists are skilled in interpreting imaging studies (like MRI and CT scans) and performing neurological examinations to accurately diagnose conditions.
Treatment Planning: Neurologists develop comprehensive treatment plans tailored to each patient’s specific condition. This may include medications, rehabilitation therapies, surgical interventions, or other specialized treatments.
Monitoring Disease Progression: Neurological disorders often require long-term management and monitoring. Neurologists track disease progression, adjust treatment strategies as needed, and provide ongoing care to optimize patient outcomes.
Coordination of Care: Neurologists work closely with other healthcare professionals, such as neurosurgeons, physical therapists, occupational therapists, and primary care doctors, to ensure integrated and coordinated care for patients with neurological disorders.
Emergency Care: In cases of neurological emergencies such as stroke or traumatic brain injury, neurologists play a crucial role in providing rapid assessment, treatment, and coordination of emergency interventions to minimize long-term damage.
Research and Innovation: Neurologists often engage in research to advance our understanding of neurological diseases, develop new treatment approaches, and improve patient outcomes over time.
Surgical Evaluation: Neurosurgery is often involved in the comprehensive evaluation of individuals with epilepsy who are candidates for surgery. This evaluation includes detailed neuroimaging (such as MRI and PET scans) and neurophysiological testing (like EEG monitoring) to pinpoint the specific area in the brain where seizures originate (known as the epileptogenic zone).
Resective Surgery: One common neurosurgical procedure for epilepsy is resective surgery, where the epileptogenic zone or the part of the brain generating seizures is surgically removed. This can be particularly effective for focal epilepsies where seizures arise from a localized area of the brain that can be safely removed without causing significant neurological deficits.
Hemispherectomy or Hemispherotomy: In severe cases of epilepsy originating from one entire hemisphere of the brain, a more extensive surgery known as hemispherectomy or hemispherotomy may be performed. This involves disconnecting or removing a large portion of one hemisphere to prevent seizures from spreading to the rest of the brain.
Laser Ablation Therapy: This is a minimally invasive neurosurgical technique where a laser probe is used to precisely target and destroy the epileptogenic tissue within the brain. It can be particularly beneficial for individuals with deep-seated or difficult-to-access lesions causing seizures.
Responsive Neurostimulation (RNS): Although technically not a surgery performed by neurosurgeons, RNS is a neurosurgical intervention involving implantation of a device that continuously monitors brain activity and delivers targeted electrical stimulation to disrupt seizure activity before it causes symptoms.
Vagus Nerve Stimulation (VNS): While not a form of neurosurgery in the traditional sense, VNS involves implanting a device that stimulates the vagus nerve in the neck to help reduce seizure frequency and severity. It is sometimes considered when surgery is not feasible or appropriate.
Intraoperative Monitoring: Neurosurgeons often work closely with neurologists and neuropsychologists during epilepsy surgeries to monitor brain activity in real-time and ensure that critical brain functions such as language and motor skills are preserved.