Neurosurgery (Brain, Nerve and Spinal Cord Surgery)
Lumbar Hernia Lumbar hernia is a disease that we can say that “it is the bill of standing on both legs of a person.” Lumbar hernia has not been created even experimentally in four-legged creatures. This disease is a nightmare for most patients after being diagnosed. The most important thing for him is losing “time” and the result of the resulting nerve damage can be permanent.
Symptoms The most common leg pain is sciatica pain. This pain, which the patients describe as “a pumice is pulled out” from the back of the leg from the clapper downwards, is greatly aggravated by 87% of the patients during coughing, sneezing or straining. Thinning, weakness or inability to lift the foot up from the ankle, numbness in the foot, hjslessness and a painful cold feeling, and severe urinary incontinence and sexual dysfunction in the late period.
Diagnosis Listening and examination of the patient takes precedence over radiology in determining the treatment. In the examination, straight thigh stretch test was detected in 83% of the positives, loss of muscle strength, loss of sensation, loss of reflex, muscle melting is significant.
Treatment In our hospital, patients who do not have neurological deficits, firstly perform a one-week medical approach. In patients who cannot reach a satisfactory point in relieving their pain and whose complaints continue, surgery is indicated if their lumbar MRI findings coincide with their clinical complaints. The anatomy is protected as much as possible within the framework of the principle of “minimal damage” under the operating microscope, and this allows the patient to return to his normal life in a short time without any restrictions.
Possible Problems After Surgery One of the main problems
that may be encountered after surgery is the recurrence of herniation at the same distance. In our hospital, a surgical technique is also used to remove the disc bilaterally and stabilize between the spine in order to prevent recurrence and reduce back pain.
Naturally, every patient has his own conditions. There is no single type of lumbar hernia in the form of a template. The healthiest information that each patient will receive is firstly the examination and the lumbar MRI to be evaluated after MR. Nowadays, the source of the disease can be clearly revealed thanks to advanced imaging and tools. Also, it has now settled in surgical examinations. Therefore, the days when the diagnosis of lumbar hernia was a nightmare are now left behind with established diagnosis and treatment techniques.
The disease groups that the neurosurgery department is most interested in
Lumbar and Neck Hernias,
Vertebral Column Traumas, Spinal Cord Tumors
Epilepsies that do not respond to medical treatment, Nerve compression in the wrist and elbow,
Congenital spinal cord diseases,
Spondylolisthesis (lumbar slips)
Ponto vertebrae ,
pseudo tumor cerebra,
Neurosurgery (Brain, Spinal Cord and Nerve Surgery)
Waist and leg pains (Lumbar hernia-neck slippage)
Neck – arm pain (neck hernia)
Headache (brain tumor – cerebral hemorrhage)
Head trauma (spine fracture)
Stroke (stroke) â ?? ?? Coma
Water retention in the brain
waist sac in newborn babies