Brain Surgeries

Surgeries for Brain Tumor, Craniotomy, Brain Hemorrhage, Malformation, Aneurism and Traumatic Brain Injury

bRAIN RELATED ISSUES

Please read for the definitions below 

Dr. Ramsis F. Ghaly is a board certified neurosurgeon specializing in brain, spine and carpal tunnel surgeries

Brain Aneurysm

A brain aneurysm, is a bulge in one or more of the arteries in the brain and can be occur at any age.

Many times a brain aneurysm is discovered when they rupture, causing bleeding into the brain. Brain aneurysms can be due to high blood pressure and atherosclerosis. Other causes can be blood infections, low estrogen levels, alcoholism, and head injury.

Once an aneurysm has ruptured, the main goal of treatment is to stop the bleeding and to reduce the risk of recurrence.

Brain Tumor
A cancerous or noncancerous mass or growth of abnormal cells in the brain. Tumors can start in the brain, or cancer elsewhere in the body can spread to the brain. Symptoms include new or increasingly strong headaches, blurred vision, loss of balance, confusion, and seizures. In some cases, there may be no symptoms. Treatments include surgery, radiation, and chemotherapy.
Brain Hemorrhage and Traumatic Brain Injury
  • Brain hemorrhage can be caused by several conditions. Commonly, trauma, a hit to the head or trauma to the head, such as in an accident, may cause the brain to hemorrhage. If the hemorrhage is of a special type, surgery is needed immediately to relieve pressure on the brain. The brain is encased in the skull, which usually protects it, but if the brain suffers a traumatic insult which causes swelling, there is no place for the brain to go and it is squeezed. The patient may feel OK for a while after the accident, perhaps even for several hours, while the swelling continues. But once it is enough to cause pressure on the brain, symptoms will start to appear. This is called herniation. 
    It is important to remember that the brain can only survive for about five minutes without oxygen or blood flow.
  • A second cause of brain hemorrhage is uncontrolled high blood pressure, especially when the upper number is 170 to 180 or even higher. This causes severe headache and pressure in the eyes, causing brain hemorrhage.
  • Third, people who are on blood thinners for other medical conditions may suffer brain hemorrhage. Drugs such as coumadin, Plavix, or even aspirin may cause brain hemorrhage. They need to be monitored very carefully.
  • Also problems in the circulatory system may cause brain hemorrhage, such as an aneurism. This happens in otherwise healthy people and onset of symptoms is very abrupt. If an aneurism is not diagnosed and treated early, before the hemorrhage, some 2/3 of patients will not have a successful outcome. Symptoms include a very severe headache. Patients are usually taken to an emergency room where a CAT scan reveals the aneurism, called a subarachnoid hemorrhage. Treatment is to place a stent-like coil device to open the blood vessel or immediate surgery. Tumors, which bleed, may also cause a brain hemorrhage.
Chiari Malformation

Chiari Malformation is a condition present at birth. There are two types, type I and type II, usually seen in children.

  • Type II causes pressure on the brain stem and fluid in the brain, called hydrocephalus. Patients exper
  • Type I is also congenital, but symptoms do not begin to appear until the person reaches adulthood. Symptoms include headache, neck pain, pain in the arms and legs, pain and focus issues with the eyes and migraine headaches. Surgical treatment makes room for the nerves and decompresses them. Nerves cannot handle pressure of any kind, so one of the main principals of neurosurgery is decompression.
Craniotomy

A craniotomy is a surgical procedure in which a bone flap is removed from the skull, to access the brain. The amount of skull that needs to be removed depends to a large extent on the type of surgery being performed. The bone flap is then replaced using titanium plates and screws or another form of fixation (wire, suture, …etc).

Craniotomy is any bony opening that is cut into the skull. A section of skull, called a bone flap, is removed to access the brain underneath. There are many types of craniotomies, which are named according to the area of skull to be removed Craniotomy is a surgical procedure where the brain is accessed by making a “window” in the skull. The most common reasons a craniotomy may be needed are: Brain Injury, Brain Tumors, Aneurysm and Arteriovenous Malformation.

dR. gHALY DEMONSTRATING bRAIN SURGERY USING AND EXOSCOPE

In-Person Appointment, Second Opinion, Telehealth, Records Review

Please contact Dr. Ghaly for an  in person appointment, telehealth, second opinion or records review if you have been diagnosed with or are suffering from brain related issues.

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Phone: 708-532-6029 • Fax: 708-532-6095

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