Ұлттық нейрохирургия орталығының дәрігерлері жұлын ісігіне шалдыққан науқасқа күрделі ота жасады

Vladimir, 35, from Almaty, began to suffer from weakness and numbness in his right arm and right leg in March of this year. He received treatment from a neurologist at his place of residence, but his health did not improve. Soon the patient was sent for MRI diagnostics of the cervical spine. According to the results of the MRI images, the patient was diagnosed with an intramedullary vascular tumor at the level of the C1-C4 vertebrae (cavernoma). The tumor was located inside the spinal cord, which passes into the brain at the base of the skull. The location of the tumor was in a very difficult place and required the great skill of neurosurgeons, modern equipment and techniques. It is worth noting that such a complex operation can only be performed at the Neurosurgery Center. According to the patient, before coming to the Neurosurgery Center, he sent several applications for treatment to foreign clinics in Korea and Germany. “Many of my friends advised me to go abroad for treatment. They asked me for 29,000 euros for the same operation performed at the Neurosurgery Center in Korea. In addition, Korean doctors did not guarantee that the operation would be successful or that I would not be disabled after the operation. After asking in Germany, I was able to talk to doctors in Germany. They asked why I did not apply to the National Center for Neurosurgery in Kazakhstan (Nur-Sultan). German doctors spoke about the Center for Neurosurgery in Nur-Sultan as a modern clinic that uses modern methods and technologies in treatment, has all the necessary equipment and tools, qualified specialists and performs successful operations. " - shared the patient Vladimir. He said that he did not know that such a clinic existed in our country. Then, having collected the necessary information and documents, he sought medical help at the National Center for Neurosurgery JSC, where he received a consultation from the head of the department, Doctor of Medical Sciences, Professor Kerimbayev Talgat Tynyshbayuly. Doctors from the Department of Spinal Neurosurgery, Pathology of the Peripheral Nervous System performed a 4-hour operation to remove a craniovertebral passage tumor with compression of the spinal cord and brain stem. Before the operation, a 3-Tesla MRI study with tractography was performed, with the help of which the doctors were able to clearly see the location of the tumor, which facilitated the work of neurosurgeons in choosing surgical treatment tactics. Also, intraoperative neuromonitoring was used, which allows you to control surgical manipulations in the spinal structures during the operation, which allows you to prevent neurological complications. The operation was performed by the head of the Department of Spinal Neurosurgery, Pathology of the Peripheral Nervous System, Talgat Tynyshbayuly Kerimbayev, who has almost 30 years of practical experience, and neurosurgeon Zhandos Mukhtarovich Tuygunov. According to Talgat Tynyshbayuly, the primary task during the operation was to reach the tumor along the anatomical grooves and remove it without damaging the conductive pathways and centers of the spinal cord. “The craniovertebral transition zone is a very dangerous localization for tumors. The brain system passes there, there are vertebral arteries, respiratory vessels, and motor centers. In case of damage to these vital centers, the patient may become paralyzed, and even die. In this case, it was technically difficult to achieve, but it is safe for the patient, which allows us to completely remove the tumor while preserving the functions of vital body structures. We often encounter such complex operations. "- said Dr. Kerimbayev. The operation was successful, the tumor was completely removed. After 2 days, the patient was able to stand up. The patient underwent surgery under the quota within the framework of the МОСИС. During hospitalization, the patient had right hemiparesis, weakness, and numbness in the right half of the body. The patient had difficulty performing his daily needs, could not lift objects with his right hand, fine motor skills of the hand were impaired, and muscle strength decreased. The patient is already feeling better, the numbness of the right side of the body has disappeared, and muscle strength and fine motor skills of the hand have improved to normal in dynamics. A repeated MRI showed that the tumor was completely removed. Today, the patient is preparing to go home 7 days after the operation. "I underwent a complex operation, the tumor is located in an inaccessible place. Today, a week has passed since the operation, I walk, move, feel good, I am improving every day and recovering quickly. I am very grateful to all the medical staff who helped restore my health. The doctors here are the best, I am proud that Kazakhstan has such Centers - modern Neurosurgery, Cardiosurgery, Oncology Centers. There is no need to go abroad and spend a lot of money, all this is available in our country." - shared hi...