Neurosurgical Department №3 (pediatric)

Neurosurgical Department №3 (pediatric) has a professional team of pediatric neurosurgeons. The Department has a capacity of 30 beds. Each year, in the department are performed more than 500 neurosurgical interventions, from which 100-120 are performed for tumors of the central nervous system (CNS), and 250-300 for treatment of hydrocephalus and its complications. The Department accepts foreign citizens on paid basis, and patients were treated from Russia, Ukraine, Kazakhstan, Georgia, Armenia, Azerbaijan, and Latvia.

Talabaev Mikle, Head.of the department, PhD, high category neurosurgeon, main specialist of pediatric neurosurgery of the Ministry of Health of the Republic of Belarus.

• Koren Alexander, high category neurosurgeon.
• Kalenchik Sergei, neurosurgeon second qualification category.
• Mironets Eugene, neurosurgeon second qualification category.
• Truhan Stepan, neurosurgeon second qualification category.
• Myaleshka Maksim, neurosurgeon second qualification category.
• Novitskaya Valeriya, neurosurgeon.

The scientific curator of the neurosurgery department №3

• Chief Researcher of the neurosurgical department, Doctor of Medical Sciences, Professor. Karatkevich Evgeny

In severe cases, counseling and medical help are provided by:

• Smeyanovich Arnold. - Head of the Department of Neurosurgery, MD, professor, academician of the National scientific Academy of the Republic of Belarus, Honored Scientist of the Republic of Belarus, laureate of the State Prize in Science and Technology, neurosurgeon of higher category.
• Shanko Yuri - Director for Science, Doctor of Medical Sciences, professor, neurosurgeon of higher category.
• Kulikova Svetlana - leading researcher of the neurological department, PhD, curator of the neurological department number 4 (for children), neurologist of higher category.

In the department we are performing neurosurgical intervention for:

• Brain tumors, spinal cord tumors and skull tumors.
• Congenital CNS Malformations, spinal cord malformations and pathologies of the skull such as Spina bifida; craniostenosis; Chiari malformation, teathered spinal cord syndrome. diastematomieliya, syringomyelia, and others.Treatment of some of this pathologies are treated in the early neonatal period.
• Hydrocephalus: shunt and endoscopic neurosurgery.
• Cysts of the brain and spinal cord which are performed both direct and minimally invasive by endoscopic surgery.
• Vascular diseases of the brain and spinal cord: are treated surgical or endovascular interventions.
• Peripheral nerve injuries.
• Degenerative diseases of the spine.
• Traumatic brain injury: Plastics for skull defects, post-traumatic CSF. Facial nerve plastics.
• Treatment for liquorrhea with the use of microsurgical and endoscopic procedures.
• Minimally invasive stereotactic neurosurgery.
• Surgical treatment of Parkinson's disease, muscular dystonia, essential tremor etc.
• Surgical treatment of drug-resistant forms of epilepsy.
• Surgical treatment of spastic syndrome with cerebral palsy (CP).
• Traumatic brain injury and concomitant injury.
• Purulent and parasitic lesions of the brain and spinal cord.

For accurate diagnosis we use modern diagnostic techniques such as:

• Spiral computed tomography (CT) in the dual-energy tomography,
• CT - angiography;
• Magnetic resonance imaging (MRI) at 3.0 slides machine;
• Digital subtraction cerebral angiography, spinal angiography;
• Neurosonography (brain ultrasound);
• Duplex ultrasound of brachiocephalic arteries, transcranial Doppler.
• Electroencephalography (EEG), Holter monitoring EEG, video - EEG, polysomnography, concentration of anticonvulsant drugs in the blood control.
• Electroneuromyography (electroneuromyographic)
• Evoked potentials broad modalities - acoustic, visual, cognitive, somatosensory test.

We utilize a wide range of modern equipment:

• The operating microscope of the latest generation;
• Surgical Navigation system.
• Intraoperative ultrasonography;
• Intraoperative neuromonitoring;
• Endoscopic video system;
• Ultrasonic disintegrator;
• Microsurgical instruments shunt system, intraventricular reservoir - ports.

Hydrocephalus

For the treatment of patients with hydrocephalus of different etiology in the department carried out various shunt surgical techniques (ventriculo-peritoneal, ventriculo-atrial, ventriculo-venous, ventriculo-vesicoureteral, lumbo-peritoneal shunt) and also for shunting complications, infection, etc.

We do neuroendoscopy in different cases of occlusive forms of hydrocephalus, multilevel occlusion of liquor pathways and brain cysts.

Endoscopically we perform: Endoscopic third ventriculostomy (ETV), aqueductoplasty, ventriculocysternostomy.

We have considerable experience in the treatment of complications of hydrocephalus and shunt operations.

Neuroendoscopy

With the use of modern equipment we perform:

• Minimally invasive intervention for obstructive hydrocephalus, Endoscopic third ventriculostomy (ETV), aqueductoplasty, ventriculocysternostomy, etc.
• Brain biopsy and removal of small intraventricular tumors;
• Trans-nasal removal of tumors from the sellar region.

Neuro oncology

Pre- and post-operative evaluation of patients is carried out in accordance with the recommendations adopted by the International Society of Pediatric Oncology (SIOP) and the diagnosis of tumors of the CNS Committee.

For intraoperative surgery are various types of neuronavigation systems as Medtronic and Brain Lab.

For radical removal of complex tumors we perform mapping of the motor cortex by intraoperative monitoring to control the function of cranial nerves and identified the location of the pathological process in the projection of the motor parts of the brain and increase the life quality of the patient.

Implantation of reservoir - ports for intrathecal chemotherapy for tumors of the central nervous system.

 Congenital malformations of the central nervous system

• Craniostenosis: sagittal (scaphocephaly), coronary and coronal (frontal plagiocephaly) metopic (trigonocephaly);
• Neural tube defects (in the case of open defects (spina bifida) operations are performed in the first 48 hours after birth);
• Lipomyelocele;
• Syringomyelia;
• Chiari malformation;
• Diastematomieliya.

Traumatic brain injury of different severities and cases. We perform complex types of plastics for defects vault and skull base, and closures of cerebrospinal fluid fistulas.

In department are conducted research projects on topics of neuro oncology, hydrocephalus and cerebral vascular disease.

In the department are carried out several scientific and clinical studies with other researching institutions such as:

• State Institution "Republican Scientific and Practical Center of Pediatric Oncology, Hematology and Immunology"
• State Institution "Republican Scientific and Practical Center " Mother and Child "
• Institute of Physiology, National Academy of Sciences of Belarus.

Neurosurgeons of the department regularly improve their professional level at the Department of Neurology and Neurosurgery BelMAPO, also participating in courses of The World Association of Neurosurgeons neurosurgical schools and educational seminars, congresses and conferences in neurosurgery outside of the Republic of Belarus.

Department of Neurosurgery №3 (for children) constantly carry out consultations for children with neurosurgical pathology in other medical institutions in Minsk, if is necessary to all corners of our country through the National Center for Emergency Medical Aid of the Ministry of Health of Belarus.

Department of Neurosurgery №3 (pediatric) was created on January 3, 1994 at the 9th City Clinical Hospital of Minsk by the National Scientific Academy of The Republic of Belarus with the contribution of Professor, Head of the Department of Neurological and Neurosurgical diseases BSMU F.V. Oleshkevich. For many years he was the scientific head of the Department. On 01.02.1998 was created the pediatric neurosurgical intensive care unit with a capacity of 6 beds.

Head of the department: +375 17 369-79-50

Staff room: +375 17 369-94-67

Nurse room: +375 17 369-94-67

Schedule meetings with the head of department of relatives of patients: Tuesday, Friday 13.30-15.00 h.