Comprehensive Clinical Guide · 2026

Brain and Neurosurgery Treatments

From brain tumors to trigeminal neuralgia, microsurgery to DBS — the full spectrum of modern neurosurgery

For a wide range of conditions including brain tumors, aneurysms, hydrocephalus, Parkinson's disease, acoustic neuromas, and trigeminal neuralgia, we determine the most appropriate treatment method through clinical examination, imaging, and multidisciplinary evaluation. This guide provides detailed clinical information for each condition.

What is Brain and Neurosurgery?

Brain and neurosurgery (neurosurgery) is a medical-surgical specialty that encompasses the central nervous system (brain and spinal cord), peripheral nerves, and the spine. Brain tumors, vascular diseases (aneurysms, AVMs), hydrocephalus, movement disorders (Parkinson's disease), and nerve compression are its main focus areas.

Modern neurosurgical applications use advanced technologies such as microsurgery, navigation-guided surgery, stereotactic biopsy, Gamma Knife radiosurgery, and deep brain stimulation (DBS). Surgical decisions are made by multidisciplinary team evaluation of clinical presentation, imaging findings, and the patient's overall health status.

Dr. Özgür Akşan provides brain and neurosurgery services at Izmir Mimarin Medical Konak clinic. Below you will find detailed guides for each treatment area.

Conditions We Treat

Main disease groups encountered in brain and neurosurgery.

Brain tumors (gliomas, meningiomas, pituitary adenomas, metastases)
Vascular diseases (aneurysms, AVMs, cavernomas)
Hydrocephalus and fluid circulation disorders (NPH)
Movement disorders (Parkinson's disease, essential tremor, dystonia)
Nerve compression (carpal tunnel, cubital tunnel, tarsal tunnel)
Trigeminal neuralgia, occipital neuralgia, hemifacial spasm

Our Clinical Approach Principles

3 fundamental principles in modern neurosurgical practice.

1

Appropriate Patient Selection

Not every treatment suits every patient. An individualized treatment plan is created by evaluating the disease type, stage, patient age and general condition together. In brain surgery there is no 'one right answer' — there is a context-specific correct approach.

2

Multidisciplinary Evaluation

In brain tumors, AVMs and complex cases, decisions are made with neurology, radiology, oncology, anesthesia and intensive care teams. A team approach rather than a single specialist's opinion improves outcomes.

3

Minimally Invasive Approach

Smallest possible incision, use of microscope/endoscope, anatomical preservation under neuronavigation — fundamental principles to optimize functional outcome. However, real surgery is performed for real pathology; a small incision is not always the right solution.

Frequently Asked Questions

When is brain surgery necessary?
Brain surgery is indicated for masses causing compression, hemorrhage, hydrocephalus or pain/movement disorders unresponsive to conservative treatment. The decision is made by evaluating neurological examination, MRI/CT imaging and patient's general condition together.
Can you evaluate my MRI remotely?
Yes. You can send your MRI/CT images via WhatsApp or email and receive a preliminary evaluation. This helps clarify the appropriate treatment option without a long journey. A detailed examination clinic appointment can be scheduled later.
What is Gamma Knife radiosurgery, who is it suitable for?
Gamma Knife is a method where tumors or vascular lesions are treated with radiation without open surgery. It is suitable for acoustic neuromas, small metastases and certain types of AVMs. For details, please see our Q012 and Q019 guides.
Is DBS (Deep Brain Stimulation) used for conditions other than Parkinson's?
Yes — it is also used for essential tremor, dystonia and some obsessive-compulsive disorders. Patient's medication response, symptom characteristics and overall health status determine DBS suitability. See Q020 guide for details.
How do I book an appointment for a neurosurgeon consultation?
You can call our clinic secretariat at +90 232 404 00 61, message via WhatsApp at +90 532 289 80 35 or get preliminary information from our Atlas AI artificial intelligence assistant. For those coming from outside the city, online MRI pre-evaluation is available.

Get Expert Opinion in Brain and Nerve Surgery

Send your MRI, let's evaluate treatment options suitable for you together. Dr. Özgür Akşan Clinic — İzmir Konak.

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