• Endoscopic Neurosurgery & Spinal Surgery Clinic
    Endoscopic Neurosurgery & Spinal Surgery Clinic
  • Endoscopic Neurosurgery & Spinal Surgery Clinic
    Endoscopic Neurosurgery & Spinal Surgery Clinic
  • Endoscopic Neurosurgery & Spinal Surgery Clinic
    Endoscopic Neurosurgery & Spinal Surgery Clinic
  • Endoscopic Neurosurgery & Spinal Surgery Clinic
    Endoscopic Neurosurgery & Spinal Surgery Clinic
  • Endoscopic Neurosurgery & Spinal Surgery Clinic
    Endoscopic Neurosurgery & Spinal Surgery Clinic

Endoscopic Neurosurgery and Spinal Surgery

General characteristic

The clinic of endoscopic neurosurgery and spinal surgery of Nairi Medical Center was founded in 2015. The main activity directions of the clinic are: minimum invasive interventions during various diseases of brain and spinal marrow. Clinic specialist have established an association of minimum invasive and endoscopic spinal surgery (AAMIESS), which is an Armenian branch of ISMISS (Association of minimum – invasive spinal surgery).

The clinic closely collaborates with the leading experts of ISMISS: Prof. H. Leu, V. Radchenko, B. Daruon, E. Chesnulis, V. Parfionov, M. Stepanyan, Yu. Grigoryan, M. Shubert and others.

The clinic’s priority directions of activity are the injuries or other pathology of spinal marrow and spine.

Clinic specialists were the first in Armenia to perform in 2007 vertebroplasty of vertebra’s body and hernia of intervertebral discs by endoscopic method. All surgeries in clinic are carried out in accordance with international standards in the neurosurgery field.

In the clinic, for the treatment of cervical region’s intervertebral hernias we apply the open, as well as the endoscopic method. On injuries and tumors of the spine is applied transpedicular fixation or vertebroplasty. On tumorous diseases is also applied the method of ablation, during which the tumor is cauterize and removed. 

The clinic has purchased Cosman RF – generator, which allows:

  • To carry out ablations of small size intervertebral hernias. The procedure is performed under the CT - control: under the local anesthesia, a special needle is inserted into the intervertebral cartilage and connected to the generator, and as a result, the discharged thermal energy leads to the cartilage shrinkage and hernias disappearance.
  • During backpains (spondylarthrosis) occurs an inflammation of intervertebral joints, and as a result, the volume of movements in the spine is getting limited.  The patient constantly feels tense and pain. In this case, under the local anesthesia, in to the region of affected vertebras the specialist inserts a special needle and their denervation is carried out. The pain disappears.
  • With the help of Cosman RF technologies the treatment of trigeminal nerve’s neuralgia is also possible, through its sensor branches denervation.
  •  Patients with tumorous lesions often suffer the expressed pain syndrome, which doesn’t go away even after taking narcotic analgesics. To these patients for pain relief we offer transcutaneous CT-controlled cordotomy. The main point of this manipulation is a denervation of sensitive nerve fibers of spinal – thalamic tract, which is in upper – cervical region (С1-С2) of spinal marrow. In consequence of influence, one of body parts’ deep sensitivity decreases or disappears: hence, pain impulses, that come out from the tumor, don’t pass to the brain and the patient is free of pain.  Alternative method of the treatment is a stimulation of spinal marrow, when special stimulator is implanted, terminating the transmission of pain impulses.

Since 2016 in the clinic has been introduced the method of spine stimulating surgery, which allows to treat the patients with various pathologies of spinal marrow.

In the clinic we also carry out surgeries for the patients with brain tumor. The Clinic of endoscopic neurosurgery and spinal surgery at Nairi Medical Center is the only clinic in Republic of Armenia, where the endoscopic surgery of hypophysis tumors is performed. This method allows to avoid craniotomy and decreases the stay period in in-patient clinic up to 5-6 days.

In 2016 the Clinic of Endoscopic Neurosurgery and Spinal Surgery at Nairi Medical Center was equipped with neuro – navigation system STEALTHSTATION and ultrasound destructor INTEGRA, which are also innovative technologies in the field of neurosurgery in Armenia. They minimize the possible risks of intraoperative complications.

The Center closely collaborates with different clinics in Russia and Germany. If it is necessary, the specialists of the Center, together with invited specialists – partners have an opportunity to perform joint highly difficult surgeries.

Principal surgical interventions, carried out in clinic:

1. Affection of spine and spinal marrow

2. Brain affection

  • removal and destruction of brain tumor with neuro - navigation,

  • endoscopic removal of brain tumor through transnasal access,

  • surgical treatment of brain injuries and hemorrhagic strokes,

  • surgical treatment of drug-resistant epilepsy,

  • brain biopsy during its different affections, using neuro - navigation.

3. Innovation technologies and methodology

Innovation equipment

 

Doctors

Arman P. Hakobyan, neurosurgeon, MD, PhD,Head of Endoscopic Neurosurgery and  Spinal Surgery