“One of the most active units in Europe” - Helsinki Neurosurgery department

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Exclusive interview / Dr. Anton Titov MD and Professor Dr. Mika Niemela MD, leading cerebrovascular and brain tumor neurosurgeon.

- Professor Niemela, you run one of the largest and most active neurosurgery departments in the entire Western Europe. Could you please talk more about your department and the kind of neurosurgical work on treating cerebrovascular diseases and brain tumors that you are doing here? Helsinki neurosurgery was established in 1932. It's very active, we have 25 doctors here, 18 neurosurgeons, 7 residents, and we treat surgically or endovascularly all together 3,500 patients per year. We have many visitors, we have had over the last 20 years about 3,000 visitors from all over the world to see what we are doing, so we are very happy to collaborate. We have international connections both to neurosurgeons and patients from all over the world as well as researchers. So we enjoy our visitors and our international collaboration a lot. Your neurosurgery patients come not only from Finland but literally from all over Europe, and some as far away as Asia, for example... Yes, my patients have come between Toronto and Addis Abeba - so from everywhere. Your work also focuses both on cerebrovascular diseases and brain tumor treatment. Yes, both, and we have been known for a long time for our cerebrovascular research and also clinical work in neurosurgery. We also treat patients endovascularly with the most modern techniques. And also we have had a lot of active research on brain tumors, both malignant and benign, and also we treat brain tumor patients at our department very actively. You treat both adult and pediatric patients...

- Both adults and children - so we have dedicated team for each patient group, including the pediatric patients and also for different kinds of tumors - intrinsic brain tumors in eloquent areas, awake surgeries are done by some neurosurgeons, skull base benign tumors by others, and also posterior fossa tumors. We have divided these tumors into dedicated teams, so there's always between 2 to 5 neurosurgeons who can handle all the cases. Also you have a dedicated team for the spine microneurosurgery... Absolutely, 1/3 of our patients have spine problems, so we also do minimally invasive spine surgery, with very short incisions, and also we do endoscopic lumbar spine disc surgery - the incision is only one centimeter long.

- Your neurosurgery department is also very well known for its educational efforts internationally.

- Exactly! - As we briefly discussed, there is a very interesting neurosurgery course on an annual basis that you run in your department. Yes, this year for the 18th time, the first week of June, we dedicate to teaching neurosurgeons from all over the world, we have famous neurosurgeons coming here to operate cases along with us, and it is considered to be a very unique and the best live micro neurosurgery course in the world, because it's not only us but also international neurosurgeons operate on difficult cases, and there are between 60 to 90 participants taking a look at what we are doing...

“One of the most active units in Europe” - Helsinki Neurosurgery department cancer treatment in japan
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