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FSBI "Federal Neurosurgical Center"
Novosibirsk, Russia


Neurosurgical division #5 (Functional)

Функциональное нейрохирургическое отделение ФГБУ "ФЦН" г. Новосибирск

Functional Neurosurgical division is a division of principally new type that was launched among the first in Russia. Its activities are directed to improve life quality of those patients who have complicated neurological and neurosurgical pathology. The most modern computer technologies of the XXI century, experience of medical judgments and patient-centered approach are used in this division.

Our division contains 20 beds and there is an intensive care unit.

The division of functional neurosurgery is a UNIVERSAL neurosurgical division in the structure of the Federal Center able to solve all the operational objectives of general neurosurgery including neuro-oncology and cerebrovascular pathology. Besides, functional neurosurgery widens the regular bounds of neurosurgical care; it is possible to render help to the patients who were weirded to invalidity including patients with interfacing pathology.

Thus, the doctors of the division deal with the treatment of the following diseases:

1.  Defects of voluntary movements, muscle tone and pose regulation:

·      Parkinson’s disease and parkinsonism syndromes – tremor forms, akineticorigid  and akinetic forms;

·      Essential tremor and other types of tremor hyperkinetic disorders;

·      Torsion dystonia – generalized and local forms (including cervical dystonia – spastic twisted neck);

·      Infantile cerebral pasty – spastic form (Little’s syndrome), hyperkinetic form;

·      Spastic syndromes – consequences of spinal column and spinal cord traumas, consequences of neurosurgical operations on spinal column and cord, consequences of brain and spinal blood circulation disorders, consequences of cerebrocranial traumas;

·      Multiple sclerosis – spinal (spastic) form, cerebral (hyperkinetic) form;

·      Hemifacial spasm (operation: microvascular decompression of facial nerve root with the use of pre-op and intra-op neurophysiological monitoring);

·      Trigeminal neuralgia (operation under intra-op neurophysiological monitoring);

-       Transcutaneous radio-frequent thermo destruction of trigeminal root nerve,

-       Microvascular decompression of trigeminal root nerve in the zone of its opening to the brainstem.

2.  Severe neurogenic pain syndromes (CHRONIC PAIN):

·       Pain syndromes due to defects of peripheral nerves and plexus (of traumatic, inflammatory and other origin).

-       Neuralgias, neuropathies of peripheral nerves, plexalgias, plexopathy and other pains connected with pathologies and disorders of peripheral nervous system structures;

-       Low back pain, including pains after numerous failed back surgical procedures (concerning protruded disks, adnations’ resection, copula knots, etc.), so called syndrome of failed back surgery (FBSS), also  Failed Back Therapy Syndrome (FBTS), and Failed Back Syndrome (FBS); 

-       Headaches (some types of migraines, cluster headaches, tension headaches, headaches appearing due to vertebrobasilar insufficiency, cerebral angiodystonia, etc.);

-       Maxillofacial and mouth cavity pains (trigeminal neuralgia, anesthesia dolorosa; glossopharyngeal neuralgia, neuralgia of herpes zoster, etc.);

-       Stump neuralgia;

-       Herpetic and post-herpetic neuralgias;

-       Central pains. Pains due to diseases and disorders of the CNS (post-stroke pains, etc);

-       Complex regional pain syndrome (CRPS).

·       Pain syndromes due to spinal cord injuries and its roots (of traumatic, inflammatory and other origin);

·       Pain syndromes due to cerebrocranial nerves (of traumatic, inflammatory and other origin);

·       Pain syndromes due to cerebral circulation (thalamic pains);

·       Pain syndromes due to oncological processes.

3. Epilepsy – focal medically resistant forms.

4. Regional blood circulation disorders of:

·       Limbs – obliterating endarteritis, Raynaud disease and other forms of angiopathies;

·       Coronary circulation disorders - exertional angina.

1.    Disorders of pelvic organs functions in the sort of urinary retention and involuntary urination (as consequences of spinal pathologies of traumatic, inflammatory, dysontogenetic and other origins).

2.    Some forms of consciousness impairment up to vegetative status after cerebrocranial traumas and brain ischemia.

3.    Cerebrovascular pathology:

·      Arterial brain aneurisms:

-       Microsurgical clipping with the use of operational microscope and method of intraoperational angiography;

-       Single step surgical treatment of numerous arterial aneurisms in 2 or more vascular systems;

-       Application of mini access for clipping, arterial brain aneurisms;

-       Treatment of severe complications of arterial aneurisma rhexis, including patented way of cerebral vasospasm treatment.

·       Arteriovenous brain aneurisms:

-       Microsurgical total removal of vascular malformations including arteriovenous and cavernous forms, with the use of patented equipment of intraoperational embolization of knot malformation with medicated correction.

·       Ischemic stroke. Indications and contra indications for surgical treatment of patients with ischemic brain disorders were worked-out:

-       Brain revascularization with the help of extra-intracrawnial vascular microanastomosis overlapping;

-       Brain revascularization with the help of microsurgical transplantation of greater omentum fragment with creation of arterio-arterial and venovenous microanastomosis.

4.    Neurooncology

·      Here microsurgical treatment of all the types of oncological diseases of the CNS are performed including microsurgery of skull base tumors, brain stem tumors, tumors of Intraventricular distribution;

·      Transnasal transsphenoidal technique of chiasmatic-cellar area tumors’ removal.

5.    Brain dropsy. Significant achievements are reached during different types of bypassing operations with the use of modern types of bypasses.

6.    Pain surgery:

·      Complicated facial pain syndromes including trigeminal neuralgia, migranious and cluster headaches, tension headaches;

·      Minimally invasive percutaneous technologies in treatment of long-lasting back and neck pains (from nucleoplasty up to microdiscectomy): European success rates of surgical treatment of this type of pathology are reached.

7.    Surgical treatment of local forms of epilepsy.


DOCTORS OF THE FUNCTIONAL DIVISION:


Aleksandr Dmitriev

Neurosurgeon of the highest qualification grade, chief of the division.

He has 15-years’ experience in neurosurgery, candidate of medical sciences.

The sphere of his professional interests is microsurgery of brain and spinal cord tumors, skull base surgery, cerebrocranial traumas consequences, and traumas of peripheral nervous system, surgical correction of congenital anomalies of the central nervous system development, brain dropsy of different origin, degenerative and dystrophic disc diseases. Doctor Dmitriev is the co-author of 3 invention patents in the sphere of “neurosurgery” and the author of 18 scientific publications.




Natalia Denisova

Neurosurgeon.
She graduated from the Siberian
State Medical University in Tomsk in 2010.





Dmitry Rogov

Neurosurgeon of the 1st qualification grade. 

He graduated from the Ural State Medical Academy in 1999. From 1999 till 2000 he took his internship training on neurology. In 2000 got his initial specialization on neurosurgery. Starting from 2000 he had been working in the division of emergency neurosurgery and was transferred to the division of planned neurosurgery.

Functional, endoscopic neurosurgery (International certificate d/d 2011), surgery of traumas and diseases of peripheral NS belong to the sphere of his professional interests.




Aleksandr Snegirev

Neurosurgeon





Elena Khabarova

Neurologist.

She is a specialist in the sphere of neurophysiology, Neurorehabilitation and problems of biological feedback.

Doctor Khabarova is the leading specialist of Parkinson’s disease; she’s in charge of the cabinet of extrapyramidal pathology in Novosibirsk.

Doctor Khabarova is a certified specialist on the problems of extrapyramidal pathology, professional pathology, Botulinum toxin therapy in neurology and rehabilitation.




Nursing staff of the Functional division.