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What is Neurosurgery?
Conditions / Diagnoses / Surgeries
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Glossary of Terms
Patient Education -- Conditions / Diagnoses / Surgeries

Brain Tumor
Astrocytomas are a type of brain tumor that originate from cells called astrocytes, which are part of the supporting structure of the brain. Because astrocytomas arise from the brain itself they are considered to be a type of primary tumor. Tumors that arise elsewhere in the body and travel to the brain are known as secondary tumors (or metastatic tumors). Astrocytomas are the most common primary brain tumor.

Carpal Tunnel
Numbness of the hand is a fairly common neurological symptom that patients report to their physicians. While there are many potential causes for numbness of the hands, one of the most common is carpal tunnel syndrome. Carpal tunnel syndrome is caused by compression of the median nerve at the wrist. Since the median nerve supplies sensation to the thumb, index, and middle finger, as well as strength of the muscles of the thumb, patients will often note numbness and weakness in these areas. Numbness may be most significant during night when it can actually wake a patient from sleep or during the day when carrying out activities requiring bending of the wrist.

Cervical Pain
Pain or discomfort in the neck is a common reason for patients to seek medical care. Most cases are not serious. A muscle spasm, brought on by poor posture, sleeping position or stress, is the most frequent causes of neck pain. But an aching neck can be a symptom of a more serious problem. Disc degeneration, narrowing of the spinal canal, arthritis and even cancer can cause neck pain. For serious neck problems a primary care physician and often a specialist, such as a neurosurgeon, should be consulted.

Cervical Spine
You have probably been referred to see a neurosurgeon because of pain in your neck or shoulder, or perhaps tingling or numbness in your arms. You may also have experienced some weakness when using your arms or hands. You may be wondering if there is a chance that everything will return to normal or whether the surgery that may have been talked about is very risky. These questions and concerns can be addressed by your neurosurgeon, who is a physician trained in the surgical treatment of disorders of the nervous system.

Chiari Malformation
Chiari malformation is an anomaly that encompasses four separate development malformations. While these malformations may present at any point in life, they have a very particular set of associated symptoms. These malformations along with syringomyelia, a distinct yet closely associated condition, are described below.

Chronic Pain
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. The emotional component of pain is called suffering. Pain is familiar to everyone and yet so complex and subjective it cannot be easily described or treated.

Concussion
Anyone who watches football on TV has seen incidences of concussion. The player "had his bell rung," the announcer will say flippantly after a particularly violent collision. For years this casual attitude toward concussions was common. Coaches and teammates would urge the injured player to "shake it off" and return to the game after a brief rest.

Cranial Aneurysm
An aneurysm is an abnormal increase in the diameter (dilation) of a blood vessel. These occur in all age groups but the incidence increases steadily for patients over 25 years old. The most devastating consequences of intracranial aneurysms, which often lead to severe disability or death, result from their rupture and bleeding into the space around the brain. A major rupture is often preceded by a "warning leak" which manifests itself as a new or uncharacteristic headache. An aneurysm may also be detected prior to rupture due to pressure on surrounding nerves. The outcome for patients treated before a catastrophic hemorrhage is much better than those treated after, so the need for adequate evaluation of patients suspected of harboring an intracranial aneurysm is of paramount importance.

Epilepsy
Epilepsy is a common neurological disorder caused by disturbances in the normal electro/chemical functions of the brain. In normal brain function, orderly electro/chemical information is passed via nerve cells in the brain to other parts of the body. In patients with epilepsy, this pattern is interrupted by sudden and synchronized bursts of electrical energy, which, if intense enough, may briefly affect a person's consciousness, bodily movements or sensations. These physical changes are called epileptic seizures.

Herniated Disk
A herniated disc is a fragment of the disc nucleus which is pushed out of the outer disc margin, into the spinal canal through a tear or "rupture." In the herniated disc's new position, it presses on spinal nerves, producing pain down the accompanying leg. This produces a sharp, severe pain down the entire leg and into the foot. The spinal canal has limited space which is inadequate for the spinal nerve and the displaced herniated disc fragment.

Low Back Pain
If you are experiencing low back pain, you are not alone. More than 65 million Americans suffer from low back pain every year. Back aches are the most common reason for doctor visits, after cold and flu symptoms. Fifty percent of all patients who suffer from an episode of low back pain will have another occurrence within one year.

Lumbar Spinal Stenosis
Lumbar Spinal Stenosis is a narrowing of the spinal canal which compresses the nerves traveling through the lumbar spine into the legs. Although occasionally seen in younger patients (between 30 and 40) from developmental causes, it is usually a degenerative condition seen as part of the normal body aging process that develops when patients are 60 years or older.

Lumbar Sprain / Strain
Lumbar, low back sprain/strain occurs with a sudden stressful injury to the low back region, causing stretching or tearing of the muscle/tendons/ligaments of the low back region. The muscles are large in this area and when a strain occurs, severe low back pain is the result. However, a sprain or strain my be misdiagnoses when an underlying disc injury has not yet made itself evident.

Slipped Disc
What adult has not complained of an aching back at one time or another? How many people have experienced the sudden pain of "throwing one's back out?" In most instances, back pain is simply the result of unusual exertion, fatigue or a twist or sharp movement, but in some cases, there has been an injury to the spine and medical attention is required. One of the most common injuries to the spine is a slipped, or herniated, disc.

Spinal Cord
What is the spinal cord? The spinal cord is part of the nervous system and measures approximately 18 inches long, extending from the base of the brain to about the waist. The nerves that branch out from the spinal cord to the other parts of the body are called lower motor neurons (LMNs). These spinal nerves exit and enter at each vertebral level and communicate with specific areas of the body.

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