Lumbar disc herniation
Example of a lumbar disc herniation on MRI (magnetic resonance imaging).
This is what surgical disc herniation looks like. After the removal of such hernia, the spinal nerve roots are completely released, thus the pain disappears.
A very big disk hernia
evacuated 3 x 1.5 cm
Meningioma
Meningioma at the frontal cranial base before surgery
There is no meningioma after the operation
Trigeminal neuralgia
The neurovascular conflict between the trigeminal nerve and an artery is visible - the nerve is being irritated by the artery in arachoid adhesions. Thus the shooting facial pain is generated.
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The adhesions are cut and the vessel is moved away from the nerve.
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An additional teflon sponge as a cushion is positioned between the nerve and artery. The artery no more irritates the nerve and the facial pain disappears.
Spinal tumour
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The tumour is located in front of the spinal cord
and pushes the cord backwards
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The tumour is being removed
Chiari I malformation
Preoperativa image. Lowering of the cerebellar tonsils and compression of the brainstem is visible. The cerebrospinal fluid flow is compromised.
Postoperative image. Free space around cerebellar tonsils is visible now, no more compression. Free flow of the cerebrospinal fluid has been obtained.
Glioblastoma - malignant brain tumour
Malignant brain tumour visible on the preoperative image (arrow).
The postoperative cavity is visible after the removal of the tumour (arrow).
5-ALA (Gliolan) fluorescence use during the operation. The tumor cells glow red in the blue light (arrow).
Spontaneous intracerebral haemorrhage (haematoma)
Intracerebral haemorrhage is visible.
Postoperative scan- the blood clot has been removed
ETV - endoscopic 3rd ventriculostomy
An opening has been made at the bottom of the 3rd ventricle in a case of occlusive hydrocephalus -
the cerebrospinal fluid is freely pulsating.
Hydrocephalus has been cured.
Cerebral metastasis
Cerebral MTS is visible before the operation
