The specialty developed in the treatment of head and brain injuries. Subsequent advances in technology, intensive care and sophisticated non invasive procedures have widened the scope of neurosurgical practice to include oncology services and neurovascular as well as trauma.
The principle sub-specialties of Neurosurgery
- Paediatric neurosurgery – treatment of children accounts for 10-15% of neurosurgery and includes facial anomalies and congenital spinal defects as well as tumours and other rarer conditions.
- Neuro-oncology – The management of brain and spinal tumours.
- Functional neurosurgery – The management of a wide range of problems including epilepsy, spasticity and movement disorders.
- Neurovascular surgery – surgeons work closely with interventional colleagues dealing with complex aneurysms and abnormal or narrowed blood vessels.
- Traumatology – Head injury remains a major cause of death and disability in children and young adults. Research shows that prompt neurosurgical intervention and neuro-intensive care leads to substantially better outcomes.
- Skull-base surgery – Advances in microsurgery, surgical approaches and reconstructions have been incorporated into routine practice of surgeons dealing with disorders of the skull-base and skull base tumours.
- Spinal surgery – Due in part to an increased elderly population the sub-specialty account for more than 50% of department workloads.
The Major Neurosurgery Specialties Are : -
- Brain Abscess
- Chiari Malformation
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