स्नायुशल्यचिकित्सा

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Insertion of electrode during parkinson surgery.

Neurosurgery is the surgical discipline focused on treating those central and peripheral nervous system diseases amenable to mechanical intervention.

1 Definition and scope
2 Training
3 Conditions
4 Reference
5 External links

[परिवर्तन्] Definition and scope

According to the U.S. Accreditation Council of Graduate Medical Education (ACGME), Template:Cquote

[परिवर्तन्] Training

Old German engraving depicting a trepanation, an ancient and still performed neurosurgical procedure

In the U.S., neurosurgeons undergo a rigorous training program, known as a residency, consisting of 5-7 years of postgraduate study in neurosurgery (following a mandatory one-year surgery internship). After completing their residency training, some neurosurgeons undertake advanced subspecialty training in programs known as fellowships which are typically one or two years in duration. Some examples of subspecialty areas in neurosurgery include cerebrovascular and skull base surgery, epilepsy, functional and stereotactic neurosurgery, neurosurgery trauma, spine surgery, and pediatric neurosurgery. Admission into advanced fellowship training programs is extremely competitive.

In the United Kingdom and Ireland, competition is fierce for the senior house officer and specialist registrar posts leading up to a consultant qualification^[1].

[परिवर्तन्] Conditions

Neurosurgical conditions include primarily brain, spinal cord and peripheral nerve disorders.

Conditions treated by neurosurgeons include:

Spinal disc herniation
Spinal stenosis
Hydrocephalus
Head trauma (brain hemorrhages, skull fractures, etc.)
Spinal cord trauma
Traumatic injuries of peripheral nerves
Brain tumors
Tumors of the spine, spinal cord and peripheral nerves
Cerebral aneurysms
Some forms of hemorrhagic stroke, such as subarachnoid hemorrhages, as well as intraparenchymal and intraventricular hemorrhages
Some forms of pharmacologically resistant epilepsy
Some forms of movement disorders (advanced Parkinson's disease, chorea, hemiballism) - this involves the use of specially developed minimally invasive stereotactic techniques (functional, stereotactic neurosurgery)
Intractable pain of cancer or trauma patients and cranial/peripheral nerve pain
Some forms of intractable psychiatric disorders
Malformations of the nervous system

[परिवर्तन्] Reference

↑ Chelvarajah R. Brain surgery... not rocket science. BMJ Career Focus 2004;328:95. Fulltext.

[परिवर्तन्] External links

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