University Hospital Bergmannsheil Bochum
Department of Neurosurgery and Neurotraumatology (501023)
Specialized in: neurosurgery, neurotraumatology
About the department
The Department of Neurosurgery and Neurotraumatology at the University Hospital Bergmannsheil Bochum offers the full range of services in these fields and specializes in providing comprehensive emergency care to patients with diseases of the skull, brain, spinal cord, and peripheral nerves. The department works round the clock. The specialists of the department practice advanced surgical techniques with the use of high-precision neuronavigation systems, due to which they achieve optimal treatment results. The Chief Physician of the department is Prof. Dr. med. Ramón Martínez-Olivera.
The operating rooms in the department are equipped with the state-of-art equipment, such as the last generation fluorescent microscopes with the possibility of application of aminolevulinic acid (for the treatment of brain tumors), devices for indocyanine green angiography (for vascular malformations), neuro-endoscopic systems, neuronavigation equipment for skull and spinal surgery, electrophysiological monitoring systems, device for micro-Doppler examinations (in vascular diseases of the brain and spinal cord), devices for intraoperative computed tomography, etc. The combination of advanced medical technologies with the high professionalism of doctors allows to perform extensive and particularly complex neurosurgical interventions on the brain, spinal cord and peripheral nervous system, providing the patient with the best possible accuracy and safety during the operation.
The service range of the department includes:
- Surgical treatment of all types of injuries of the central nervous system
- Emergency care in traumatic brain injuries (for example, treatment of intracranial hemorrhage, microscopic therapy in brain hemorrhages, emergency care in skull fractures)
- Secondary medical care for the treatment of injury consequences (for example, closure of skull base defects, closure of bone defects with the help of autologous bone tissue, 3D skull reconstruction, bypass surgery in posttraumatic hydrocephalus)
- Surgical treatment of spinal cord diseases
- Surgical interventions using neuronavigation systems
- Surgical treatment of patients with stroke (ischemic or hemorrhagic) in collaboration with the Department of Neurology
- Surgical treatment of patients with chronic pain syndromes, including epidural spinal cord stimulation, subcutaneous nerve stimulation
- Surgical treatment of intracranial brain tumors (all operations are performed using neuronavigation, intraoperative electrophysiological neuromonitoring, endoscopic techniques, fluorescent techniques with the use of aminolevulinic acid, intraoperative CT)
- Benign and malignant gliomas (also using fluorescent technique with the possibility of aminolevulinic acid application, Zeiss Pentero microscope)
- Brain metastases
- Meningiomas (tumors of the brain meninges)
- Intraventricular tumors
- Skull base tumors (for example, pituitary adenomas (transsphenoidal, transnasal or transcranial access), craniopharyngiomas, external skull base tumors, meningiomas, as well as craniofacial tumors (in collaboration with the Department of Otolaryngology)
- Skull tumors, including cranial vault plastic surgery
- Posterior cranial fossa tumors (meningiomas, acoustic neuromas, hemangioblastomas, ependymomas, etc.)
- Surgical treatment of hydrocephalus
- Navigational endoscopic interventions on the brain ventricles
- Installation of bypass systems (ventriculoperitoneal or ventricular-atrial)
- Surgical treatment of spinal diseases (all osteosynthesis procedures are performed using neuronavigation, 3D X-ray device, intraoperative CT, minimally invasive techniques are used if possible; spinal cord tumors are operated with the help of microsurgical techniques using intraoperative neuromonitoring)
- Degenerative spinal diseases
- Microscopic interventions for the treatment of spinal disc herniation (with appropriate indications, intervertebral disc replacement surgery)
- Minimally invasive microscopic dilatation of the spinal canal in spinal stenosis
- Spinal fusion (anterior, posterior and combined access) of all spinal regions, including corporectomy (vertebrae removal) with vertebral body replacement
- Dynamic (mobility-preserving) stabilizing operations using screw-rod systems (in appropriate indications)
- Spinal cord tumors (intradural and extradural), for example, meningiomas, neuromas, astrocytomas, ependymomas, metastasis of other tumors, etc. (including osteosynthesis/corporectomy)
- Inflammatory spinal diseases (spondylodiscitis, spondylitis, abscesses), including osteosynthesis/corporectomy
- Traumatic spinal injuries (osteosynthesis/corporectomy)
- Vascular malformations of the spinal cord (for example, cavernomas, dural arteriovenous fistulas)
- Other diseases: syringomyelia, arachnopathy, Arnold–Chiari malformation
- Degenerative spinal diseases
- Surgical treatment of stroke
- Clipping of aneurysms, arteriovenous malformations, cavernomas or other vascular malformations, including intraoperative angiography with indocyanine green
- Microsurgical hemostasis with the use of local trephination, navigation systems
- Minimally invasive implantation of a catheter to stop hemorrhage using neuronavigation
- Hemicraniectomy after stroke
- Surgical treatment of chronic pain syndromes
- Epidural spinal cord stimulation
- Subcutaneous peripheral nerve stimulation
- Motor cortex stimulation in chronic pain in the arms after brachial plexus injuries
- Implantation of intrathecal drug pumps (Morphine, Baclofen)
- Surgical treatment of peripheral nerve compression syndromes, benign and malignant tumors of the peripheral nervous system
- Compression syndromes
- Carpal tunnel syndrome
- Cubital tunnel syndrome
- Tarsal tunnel syndrome
- Morton's metatarsalgia
- Meralgia paresthetica
- Benign and malignant tumors of the upper and lower limbs (including intraoperative electrophysiological neuromonitoring)
- Compression syndromes
- Removal of subdural hematomas, epidural hematomas, post-traumatic hematomas due to the brain contusions (including microsurgical techniques)
- Installation of special probes and catheters in the brain (also using neuronavigation)
- Treatment of skull fractures, including the external skull base
- All modern types of neuromonitoring in intensive care: intracranial pressure sensors, combined external ventricular drainage with intracranial pressure monitoring, transcranial Doppler of the cerebral vessels
- Secondary treatment of the effects of injuries
- Closure of bone defects (the use of the patient’s own skull bones or 3D reconstructive plastic surgery)
- Treatment of post-traumatic hydrocephalus using bypass systems (diversion into the abdominal cavity or heart)
- Other medical services
- Study of Medicine, Faculty of Medicine, University of Seville, Spain (graduation in 1993).
- 06/1993 Admission to medical practice, Spain.
- 08/1995 Admission to medical practice, Germany.
- 12/1999 Doctoral thesis defense, Faculty of Medicine at the University of Erlangen-Nuremberg. Subject: "Long-term results of surgical removal of the pituitary adenoma in Cushing's disease".
- 04/2005 Medical Specialist in Neurosurgery.
- 03/2010 Habilitation, Faculty of Medicine at the University of Dresden. Subject: "Genetic and epigenetic analysis of pathogenetic and prognostically significant regulatory genes in glioblastoma multiforme".
- 11/2016 Visiting Professor, Georg-August University of Goettingen.
- Basic and Master Certificate of the German Spine Society (DWG).
- European Spine Diploma (Eurospine).
- 1994 - 1995 Assistant Physician, Department of Neurology, University of Heidelberg.
- 1995 Fellow at the German Cancer Research Center Heidelberg.
- 1995 - 1999 Assistant Physician, Department of Neurosurgery, University of Erlangen-Nuremberg.
- 1999 - 2003 Assistant Physician, Department of Neurosurgery, University of Dresden.
- 2001 - 2002 Postgraduate Scholarship, Department of Surgery, University of Dresden.
- 2003 - 2007 Assistant Physician and Functional Senior Physician, Department of Neurosurgery, Klinikum Fulda.
- 2007 - 2011 Senior Physician, Department of Neurosurgery, University of Goettingen.
- 2011 - 2014 Leading Senior Physician, Deputy Head of the Department of Neurosurgery at the University of Goettingen.
- Since 08/2014, Head of the Department of Neurosurgery and Neurotraumatology at the University Hospital Bergmannsheil Bochum.
Main Clinical Focuses
- Comprehensive spinal cord surgery.
- Surgical reconstruction of peripheral nerves after injuries.
- Surgery of the malignant brain tumors in the eloquent brain regions with the help of neuromonitoring.
- Orbital and skull base surgery, including pituitary surgery with the use of minimally invasive techniques.
Main Research Focuses
- Molecular neuro-oncology of malignant brain tumors, analysis of proteome and epigenome in the brain tissues in traumatic brain injury.
- Neurocomputer interface in functional regeneration of neural networks of the central nervous system after complex injuries.
- Minimally invasive spinal surgery in tumors and degenerative spinal diseases using neuronavigation and robotic systems.
- Journal of Neurological Surgery.
- Central European Neurosurgery.
- Lancet Oncology.
- PLOS One.
- BMC Genetics.
- Journal of Neuropathology and Experimental Neurology.
- Molecular Neurobiology.
- Journal Neurosurgical Sciences.
- Musculoskeletal Disorders.
- Biomedical Engineering.
- Archives of Medical Research.
Editorial Board Membership
- Epigenetics Diagnosis and Therapy.
- Clinical Reports in Oncological Medicine.
Department of Neurosurgery and Neurotraumatology.
University Hospital Bergmannsheil Bochum:
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