EXPERT NEUROSURGERY IN DUBAI | NEUROSURGEON DUBAI

NEUROSURGERY HOSPITAL

Our neurosurgery department is staffed by an elite handpicked team of neurosurgeons with access to cutting edge medical technology, including 3d imaging, navigation and neuromonitoring.

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What is
Neurosurgery?

Neurosurgery is a speciality in medical care that is focused on diagnosing and treating issues with the body's nervous system. Whilst most people tend to think of neurosurgery as being strictly related to the brain and brain surgery, however it extends beyond the brain to the spinal cord and spinal column as well as other nerves in the body. Our neurosurgery department is led by a renowned German neurosurgeon Dr Nils Haberland, who has authored more than 20 research publications on spine and brain surgery with robotics on a wide range of topics including intracranial and spinal tumors, as well as other highly renowned and experienced neurosurgeons and specialists.

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Valiant Clinic & Hospital's Neurosurgery Department

The focus of our hospital in Dubai and more specifically our neurosurgery team is on delivering the benefits of advances in medical techniques and technology to our patients.

Our neurosurgery team is capable of treating a full spectrum of brain and spine disorders, including conditions such as blood clots, brain tissue issues, spinal cord issues and many more.

Our patients also benefit from the significant investments we have made in medical technology, with 3d imaging-enhanced surgical navigation, robotic surgery for the spine and spinal cord and frameless stereotaxy for advanced brain surgery.

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MEET OUR TEAM OF NEUROSURGEONS

All

All
Neurosurgery

Dr Nils D. Haberland PhD

Dr. Imad Hashim Ahmad

Dr. Mohammad Al Olama

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Find out more about the cutting edge neurosurgery technology available at our hospital in Dubai:

3d Imaging Surgical Navigation

The advances in modern technology have brought about a revolution in neurosurgery and neurosurgical techniques, including in surgery on the brain, brain tissue and the spinal cord. Modern neurosurgery was made possible by the advent of anesthesia and the ability to exclude bacteria from the surgical procedure, when radiography or X-rays were developed this provided a further dimension to the understanding of the skull and brain tissue.

In the early years of neurosurgery craniotomy was often large, in layman's terms a craniotomy refers to the removal of a portion of the skull. Advances in cutting edge 3d Imaging and computer-assisted surgery (CAS) technologies in hospital have worked to help reduce this and the procedure to conduct intraoperative assessments particularly in the skull base and intra-axial tumors have been improved increasing the potential efficacy and prognosis for treatment by surgery.

Thrombosis, or blood clots, form one of the major causes of several diseases that range from cerebral stroke to myocardial infarction. High resolution ultrasound imaging has been touted as one of the ways in which blood clots can be examined in a non-invasive manner, providing high spatial and temporal resolution.

A stroke may damage brain cells, sometimes terminally, and inflammation that occurs can make it difficult to determine the extent of the damage which is often the reason why determining the extent of any damage can only be done once pressure and swelling have receded, even then neuroplasticity means that some other parts of the brain can be trained to substitute for damaged areas.

One of the principal ways in which this advanced form of imaging benefits surgeons when it comes to the brain is the ability to rotate the model created of the target area for surgery in real time, which significantly aids the diagnosis process.

Modern medicine is progressing further with 3d printing of the 3d imaging, such as at the University of Sao Paolo's Medical School, where neurosurgeons pioneered a procedure to use of a 3d printed brain model to help treat an infant suffering from the Sturge-Weber Syndrome.

Frameless Stereotaxy

Frameless stereotaxy is a cutting edge technique that uses advanced mathematics to create a relationship between radiographic imaging and physical reality. In the procedure, this is called 'registration', whereby each spot in an image is mapped to the corresponding part of the anatomy with extremely high precision, allowing the doctor to plan the most effective strategy for treatment and recovery of the patient.

The mathematical principles used in the mapping is a Cartesian coordinate system that uses a three dimensional grid with a centre point that is called the origin, this can then be used to map locations in space along the three axis, which are usually referred to as X, Y and Z axis.

In neurosurgery, which when compared to other procedures in medical science is a relatively new surgical speciality, frameless stereotaxy assists the doctor conducting the surgery to achieve positive results by helping to provide a precise map of the surgery area, particularly in the brain and spinal cord, which helps improve the treatment, reduce risk, avoid unnecessary bleeding and other associated risks.

Robotic Surgery For the Brain, Spine and Spinal Cord

Robotic systems have come to play an increasingly important part in helping doctors conduct surgical procedures, the field of neurosurgery is one area in particular where robotic systems have been increasingly explored. In treatment, researchers have developed a steerable catheter for brain surgery that helps reduce the risk and pain in the treatment, enhancing the chances of a positive outcome for surgery in hospital.

Often known as ROSA or robotic stereotactic assistance, robotic systems have helped in surgery because they provide a degree of accuracy and a less invasive operational procedure, particularly for the skull and brain.

The principal benefits of robot assisted surgery is that it often negates the requirement for a craniotomy, whilst shortening the time in surgery for neurosurgeon and shortening the recovery time. Risk of infection is reduced due to the reduced incision size, robotic assisted surgery is useful in the implanting of electrodes, retrieving a sample of brain tissue for biopsy (in the case of a tumor as a severe example).

Technological developments continue in the field and most recently a team from MIT have developed a robot assisted surgical procedure that can help treat stroke by getting to the blood clot using real-time 3d imaging.

Neurosurgeons Who Believe in Evidence-Based Treatment Practices

We believe a neurosurgeon should focus providing patients with the most comprehensive review of cutting edge techniques and our department and management is always focused on providing an exact, clear, accurate diagnosis for each and every patient.

After this our neurosurgeons create a treatment plan, which first includes all non-surgical therapies, such as targeted physiotherapy, optimized pain therapy, ergonomic design of the workplace, and a healthy lifestyle.

However, if all conservative methods are failed, we will treat you with the most modern surgical techniques. The aim of these surgeries is to provide to our patients the highest possible quality of life through the smallest possible intervention.

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Advanced Cutting Edge Brain Surgery Treatment

Valiant Clinic & Hospital’s Neurosurgery department and the Spine Center Frankfurt in Germany, the Spine Center of St. Elisabethen Hospital Frankfurt cooperate scientifically and the centers regularly collaborate with each other on surgical and non-surgical care, to ensure that the best treatment options are determined for each individual patient.

SPINE

Cervical, thoracic, and lumber spine herniated discs.
A herniated disc is called a slipped disc or a prolapsed disc, and is where the soft tissue which acts as a cushion between the bones in the spine is pushed out of place. A herniated disc may cause symptoms such as pain the back, numbness or tingling in the shoulders back arms hands legs or feet, neck pain, inhibited range of spinal motion, muscle weakness and pain in the buttocks, hips or legs.
Condition of sciatic nerve
The sciatic nerve is the largest nerve in the human body, formed by the combination of 5 nerve roots from the lower spine, when it is impinged it can cause pain that is called sciatica.
Spine stenosis
Spinal stenosis happens when the space inside the backbone is too small, putting pressure on the spinal cord and the nerves that ravel through the spine, most often occurring in the lower back and in the neck it can require treatment despite no obvious symptoms.
Spondylolisthesis
Spondylolisthesis is a condition that involves instability in the spine and happens when the vertebrae in the spine slips forward, this can cause extreme pain in the spinal cord and most commonly occurs in the lower back.
Scoliosis and Kyphosis
These conditions involve the curvature of the spine, kyphosis is a spinal disorder that causes the top of the back to appear more rounded than normal creating an exaggerated forward curve, whilst scoliosis causes a sideways curvature.
Back pain and cervical pain treatment
Spine tumor
A tumor in the spine or spinal tumor is a growth that can develop within the spinal cord, spinal canal or even within the bones of the spine itself. A spinal cord tumor is also called an intradural tumor, wherever it appears this abnormal mass of tissue can grow and multiply uncontrollably, requiring medical intervention and comprehensive treatment to minimise the associated risks.
Spine injuries
Spine infection
Spinal infections are classified by the location in the body they are located, this can include the vertebral column, spinal canal, invertebral disc space or the surrounding soft tissue. Infections are sometimes caused by bacteria or fungus and sometimes are a resulting complication after surgery, and can be treated with surgery or in a nonsurgical manner with long term intravenous antibiotic or antifungal therapy.

Pediatric Neurosurgery

All kinds of pediatric neurosurgery for brain and spine
Brain Surgery

We are able to assist with tumors of the brain and pituitary gland, intracranial hypertension, hydrocephalus, cerebral hemorrhages, head injuries & head infections.

PERIPHERAL NERVES

We are able to assist with syndromes of the carpal, cubital and tarsal tunnels as well as peripheral nerve injuries.

THE SURGERIES THAT WE OFFER

Minimally Invasive Spine Surgery (MISS)

Lumbar Spine Fusion

Spine pain treatment

Thoracic Spine Fusion

Cervical Spine Fusion

Brain Surgery

Peripheral Nerves

Endoscopic Disc Herniation Surgery

Endoscopic Facet Joint Denervation

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A member of our team will reach out to you & quickly get you booked in for an appointment with the most relevant member of our orthopedic team.

PARTNERING WITH LEADING
MEDICAL INSURANCE PROVIDERS

We work with leading medical insurance providers in the country, if you have any questions or queries just give us a call on 8008254268.

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FREQUENTLY ASKED QUESTIONS ABOUT
BACK PAIN & SPINE SURGERY

What is the difference between traditional spine surgery and minimally invasive spine surgery?

Minimally invasive surgery is a form of keyhole surgery that is a relatively new treatment option that can help relieve back pain, sciatica, lumbar fusion and even disc replacement.

Traditional spine surgery, long incisions are required in the back, with muscles that are cut and separated so that the spine can be accessed, whereas the minimally invasive option only requires small incisions in the back with special instruments to achive the same results with less blood loss, smaller scars, shorter hospital stay and generally less pain for patients in recovery after the operation.

Surgeons like Dr Nils Haberland are experts in using this and robotic surgery to achieve results for our patients with a wide range of conditions and disease.

How to Know When You Might Need Spine Surgery?

Back surgery can be one of the best ways to ease the pain, one of the most common reasons patients come for spinal surgery is pain in the lower back. In most cases medication such as anti-inflammatory medicine can resolve lower back pain and recovery is often seen within 3 months.

Patients also come to us with major spine issues like scoliosis, scoliosis is a condition whereby the spine twists and curves abnormally, requiring specific care.

The majority of scoliosis cases have no obvious cause, which in medicine is known as idiopathic scoliosis, the minority of cases can be caused by muscular degenerative and other conditions like muscular dystrophy, cerebral palsy and Marfan syndrome.

In the majority of cases, surgery for the spine and spine issues should be a last resort, however a specialist orthopedic surgeon that specialises in treatment of the spine and neck is the best authority on the treatment options for a patient with back pain.

Our surgical team is well placed to diagnose and treat the whole spectrum of issues including scoliosis and other spinal disease and conditions, one of our surgeons is always available to undertake a physical examination, imaging and scanning of your back to determine the first course of action.

If the pain being experienced by the patient is severe, we recommend avoiding any delay in seeking the opinion of a qualified orthopedic surgeon.

What is the treatment for Herniated Disc?

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One of the treatments available for herniated discs is a cervical disk prosthesis known as an elastic spine pad or ESP. The ESP offers significant benefits compared to other methods as it allows all the segments of the cervical spine to remain mobile, with unique shock-absorbing functionality, minimising any loss of strength and helping to ensure a quicker return to a symptom free life.

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Case Study - Spinal Navigation

Spinal navigation in surgery uses image guided technology in real-time as an aid for the surgeon to help ensure the accurate placement of fixation screws whilst addressing some of the limitations of fluoroscopy.

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Where fluoroscopy can be thought of as a form of real-time x-ray, machine vision in spinal navigation uses structured light imaging to create a precise and detailed 3d image that provides extremely accurate navigation for the surgeon.

Dr Nils Haberland PhD recently treated a patient who was suffering from pain in the lower back and sciatic pain, which was affecting the L5 vertebrae on the right side causing numbness.

The patient was a 47 year old male patient and the pain being experienced had reached the point where he was only able to walk for a period of 2 to 3 minutes at a time before having to stop for a rest.

Lumbar spine X-ray and dynamic X-ray was carried out which found Spondylolytic Spondylolisthesis in the L5-S1 grade 1 with intra-extraforaminal disc herniation on the right side.

By using the gold standard posterior lumbar interbody fusion with microdiscetomy L5-S1 using advanced spinal navigation with 3d imaging and neuromonitoring, Dr Nils managed to achieve an excellent outcome without any lower back pain or sciatica pain for the patient which was confirmed in the long term by a follow up appointment some time after the operation.

Case Study - Cervical Myelopathy

Cervical myelopathy is a condition that results from the compression of the spinal cord in the neck area.

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As a condition, it can cause a variety of problems ranging from impaired motor skills and fine motor skills to pain, stiffnesss and vertigo or trouble balancing.

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Dr Nils treated a 41 year old male patient who was experiencing progressive numbness in the arms and legs accompanied by headache and nausea. The patient found that his cervical spine range of motion was limited, after stretching he felt a sensation of numbness in his entire body, motor function was however not affected. Dr Nils conducted an MRI scan which showed a large cervical myelopathy in vertebrae C6 and C7.

The patient had been referred to Dr Nils from another facility where he had been misdiagnosed with the recommendation of anterior cervical discectomy and fusion in C5-C6 and C6-C7.

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After a cervical CT scan at Valiant Clinic & Hospital showed evidence of ossification of the posterior longitudinal ligament (OPLL), Dr Nils performed an anterior microsurgical decompression and corpectomy in the C6 vertebrae with implantation of an expandable cervical cage and anterior plate from C5 to C7. After the operation the patient reported that all the initial symptoms had disappeared completely.

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