Neuroscience Operations

The following is a list of neurosurgical operations commonly performed. They give general information only and do not take the place of a detailed consultation with the neurosurgeon.

The pages listed below are for patient information only. If you have any further questions regarding these conditions, please contact us at St Vincent’s Neuroscience on: (03) 9231 3045

Acute & Degenerative Spinal Conditions

Anterior Cervical Discectomy and Fusion - The indications for performing an anterior cervical spine discectomy and fusion are to relieve pressure on the spinal cord or exiting nerve roots as they course behind the vertebral bodies and discs. Read More

Cervical Laminectomy - A cervical spine laminectomy is performed when the main pathology leading to spinal canal stenosis is behind the spinal cord and over multiple levels. Read More

Lumbar Discectomy - The majority of lumbar disc prolapses will resolve by themselves. A combination of rest, analgesia and anti-inflammatories, and a graduated exercise program targeted at strengthening back and abdominal muscles (including physiotherapy, hydrotherapy, pilates) will be beneficial during the acute period. Read More

Lumbar Fusion- The mainstay of treatment for lumbar spondylolisthesis is a graded exercise program focussed on strengthening the back and abdominal muscle to help support and stabilise the spine. Simple analgesia and anti-inflammatories are also prescribed. The use of back braces or supports is sometimes advocated but may lead to weakening of the truncal muscles. Read More

Lumbar Laminectomy- The mainstay of treatment is a graded exercise program focussed on strengthening the back and abdominal muscles to help support and stabilise the spine. Simple analgesia and anti-inflammatories are also prescribed. Read More

Thoracic Discectomy- The majority of thoracic disc prolapses will resolve by themselves. A combination of rest, analgesia and anti-inflammatories, and a graduated exercise program targeted at strengthening back and abdominal muscles (including physiotherapy, hydrotherapy, pilates) will be beneficial during the acute period. Read More

Brain Cysts

Surgical Treatment of Arachnoid Cyst - There are several ways to surgically treat arachnoid cysts. The aim of surgery is to release the cyst and localised pressure on the surrounding brain and structures and to reconstitute normal CSF flow. Read More

Surgical Treatment of Colloid Cyst - The majority of colloid cysts are situated in the vicinity of the third ventricle of the brain. The third ventricle is in the centre of the brain and allows passage of cerebrospinal fluid (CSF) to flow from the brain down around the spinal cord. Read More

Brain Tumours

Craniotomy & Excision of Acoustic Neuroma - There are several options in the treatment of an acoustic neuroma. Read More

Craniotomy & Excision of Benign Brain Tumour - The currently available treatment options for benign brain tumours include surgery, radiosurgery/radiotherapy or no treatment and observation depending on the type of brain tumour, location and overall health. Read More

Craniotomy & Excision of Malignant Brain Tumour - The currently available treatment options for malignant brain tumours include surgery, radiosurgery, chemotherapy, radiation therapy and immunotherapy, which may be employed in different combinations depending on the type of malignant brain tumour, stage of disease and overall health. Read More

Trans-sphenoidal Excision of Pituitary Tumour- Pituitary tumours are either secreting or non-secreting. The majority of prolactin secreting tumours can be treated with oral medications such as bromocriptine or cabergoline that reduces the production of prolactin and shrinks down the pituitary gland. Read More

Congenital

Posterior Fossa Decompression of Arnold Chiari Malformation- The operation to decompress the lower brain stem and cerebellum will require a general anaesthetic. Read More

Epilepsy Surgery

Epilepsy Surgery - Most epilepsies are treated by the neurologist with medications to control seizures. If CT or MRI scans of the brain reveal a tumour or vascular malformation you will be referred on to the neurosurgeon who will discuss surgery to remove the lesion with you. Read More

Hydrocephalus

Insertion of V/P Shunt- Treatment of hydrocephalus is surgical. Medical management has been attempted in the past with acetazolamide (Diamox) which suppresses cerebrospinal fluid (CSF) production but this is not curative. Read More

Neurosurgical Infections

Laminectomy and Evacuation of Epidural Abscess - The mainstay of treatment of epidural abscess is long term intravenous antibiotics followed by oral antibiotics. Read More

Neurosurgical Treatment of Brain Abscess - Treatment of brain abscess is targeted at removing the bulk of infected tissue, obtaining a diagnosis of the responsible bacteria and killing the causative bacteria with intravenous antibiotics that penetrate the brain. Read More

Neurovascular Conditions

Craniotomy and Clipping of Cerebral Aneurysm - The neurosurgical treatment of an aneurysm involves the patient being put to sleep with a general anaesthetic. Read More

Craniotomy & Resection of AVM- The options for treatment of an arteriovenous malformation (AVM). Read More

Craniotomy & Resection of Cavernous Angioma Pain- The neurosurgical treatment of a cavernoma involves the patient being put to sleep with a general anaesthetic. Read More

Microvascular Decompression of Trigeminal Nerve - The options of neurosurgical treatment include a major operation (microvascular decompression of the trigeminal nerve) and several minor procedures (radiofrequency ablation or balloon occlusion). Read More

Peripheral Nerve Surgery

Carpal Tunnel Release- Surgery is performed as a day case procedure. Read More

Release of Common Peroneal Nerve - The operation involves relieving the pressure around the nerve. It can be performed under local or general anaesthetic. Read More

Ulnar Nerve Neurolysis - There are a number of different treatment options for this condition. Read More

Spinal Tumours

Spinal Tumours- The approaches to the spinal tumour is dependent on the position of the tumour. Read More

Traumatic Head Injury

Craniotomy & Evacuation of Extradural Haematoma- A small extradural haematoma with no neurological deficit may be monitored closely in hospital with regular CT scans. Read More

Craniotomy & Evacuation of Subdural Haematoma- If a subdural haematoma is small and there are no neurological deficits, it can often be monitored with regular CT-scans with the possibility it will resorb itself in time. Read More

Elevation of Skull Fracture- Surgery will involve elevation of the skull fragment and securing with either plates or rivets. Read More

If you have any further questions regarding these operations, please contact us at St Vincent’s Neuroscience on: (03) 9231 3045