The most precise neuronavigation in brain tumour surgery at Acibadem Sistina Hospital



Acibadem Sistina Hospital uses the most detailed and state-of-the-art neuronavigation in brain tumour interventions. The team of neurosurgeons performs surgical interventions with a series of procedures that result in success. The tumour is precisely localized and the area where the intervention is performed is specified so that no nerve centres are damaged during surgery. Prof. Dr. Kiril Lozanche says that the procedures used in the interventions at Acibadem Sistina are rarely done elsewhere in our country.

One of the last interventions using neuronavigation was performed in a young, thirty-year-old patient who went home with no problems after the surgery of a brain tumour located in nerve centres. The advantage of the methods used in Acibadem Sistina has, in fact, made it possible to avoid damaging nerve centres in this case too, since brain nerve damaging means more negative consequences for the patient.

Prof. Dr. Lozanche is categorical that when treating a brain tumour it is most important to localize it precisely so as not to injure a nerve. For this purpose, the first thing done at Acibadem Sistina Hospital is magnetic resonance marking or defining the tumour site. We perform magnetic resonance imaging with tractography as well, which records all the nerve fibers coming out of the nerve centres, i.e. motor pathways are being marked. Functional magnetic resonance imaging is also done to accurately determine motor centres in the brain. In addition, surgical microscopes and electrophysiological monitoring of motor centres are used intraoperatively. A modern ultrasound device that accurately defines the tumour site is used too. The camera delivers a crisp, clear image instantly, contrast photos, 3D photos.

“What we are using now and what is a significant additional help is the ultrasound that shows where the tumour is located. This allows us to precisely remove the tumour, and intraoperative electrophysiological monitoring is performed to see the motor centres in detail so that they are not damaged. With all these methods tumours are removed completely safely, and such interventions are rarely done in our country. Without these methods, it is possible that the ability to move some parts of the body (arms or legs) is lost with the interventions, but with this neuronavigation the operation is completed without any defect – says Dr. Lozanche.

The young patient is now feeling well and the tumour has been removed without consequences.