Erebouni Medical Center
Medical Journal Erebouni

Department of Neurosurgery

General characteristics

The Department of Neurosurgery of Erebouni Medical Centre was founded in 1998. In 2000 it was integrated with the Department of Neurology, thereby creating a multidisciplinary neurological and neurosurgical clinic. In the Department of Neurosurgery of MC Erebouni more than 1000 surgeries are performed annually in various diseases of the brain and spinal injuries (traumatic hematoma, fractures and spinal injuries, tumors of the brain and spinal cord), the peripheral nerves and nerve plexus, brain vessels (endovascular treatment of vascular diseases of the brain).It is also performs the surgeries in diseases caused by degenerative changes of the spine: intervertebral hernias, spondylolisthesis, stenosis of spinal canal etc.

 Diseases and conditions in which patients should apply to the Department of Neurosurgery are:


գ neurooncology (tumors of the brain and spinal cord, neuromas)


գ cerebrovascular disease (hemorrhagic, ischemic stroke, arterial aneurysm, arteriovenous malformation)


գ diseases of the brain with hydrocephalus syndrome


գ hernia intervertebral disks, ischemia of the nerve roots, spinal stenosis,


գ tunnel and pain syndromes


գ nerve plexus injury, nerve injury, spinal cord injury


գ craniocerebral injury, intracranial hematoma


գ anterior pain (prosopalgia), trigeminal neuralgia

Brain tumors


Malignant or benign brain tumors can radically affect the human condition, both in terms of health and in terms of behavior. As a rule, if the tumor is located in an accessible for work of neurosurgeon place and a not interfere with the important parts of the brain it can be removed by neurosurgical intervention.


Accumulation of cerebrospinal fluid in the skull, so called Hydrocephalus can be as independent disease or occurs as a result of head injury. The most common procedure for Hydrocephalus treatment is a placement of the shunt in the brain, due to which liquid will flow to the abdomen.

The pathologies of the spine


Serious spinal injury, herniated discs, fractured of the vertebrae requires neurosurgical intervention.


Epilepsy

In cases where drug treatment is useless, and the patient has an epileptic attack, the vagus nerve stimulator (VNS) is implanted by surgical intervention.


Effective cooperation with the departments of neurology, rehabilitation and physiotherapy ensures a comprehensive approach to the treatment of each patient.


 

All wards of the department are equipped with modern multi-functional beds, monitoring and communication systems. All patients before and after surgery are under the careful supervision of doctors and qualified nurses.

 

 

 


Equipping

Neurosurgery Department has modern operating rooms with independent air conditioning and air purification systems, necessary video equipment, surgical optics, microtoolkit, X-ray with image intensifier, video endoscopic equipment from the leading manufacturers which allowing the use of the newest and most effective treatment of the brain and spine. Additionaly to it there are:

 

  • Two CT scanners - Somoton Emotion 16
  • MRI 3 Tesla
  • Neuroendoscopy
  • Digital X-Ray
  • Sonography of the last generation
  • Densitometer
  • Electromyography
  • Electroneurography
  • Somatosensory evoked potentials,
  • Electroencephalography

 

Erebouni Medical Center: Department of Neurosurgery

Main activities

The department carries out the surgery in

 

  various injuries of the brain and spine
  • traumatic hematoma,
  • traumatic injuries of the brain and spinal cord.
  • traumatic injuries of the bones of the skull and spine,
  • traumatic injuries of peripheral nerves.
  tumor of the brain and spinal cord
  diseases caused by degenerative changes of the spine: intervertebral hernias, spondylolisthesis, stenosis of vertebral canal and others.
  cerebrovascular diseases
  • aneurysms, arteriovenous malformations and carotid-cavernous fistula of the vessels of brain and spinal cord.

 
The department is planning the specialisation and other training programs for its staff, including introduction of new technologies in the practice of the department:

 

  • the acquisition and implementation of neuroendoscopic system (for the surgery on the spine, brain and basal parts of the brain)
  • upgrading the operating rooms with modern equipments according to contemporary requests (two operating theaters for open and endoscopic surgery)
  • the acquisition and implementation of the ultrasonic aspirator
  • the acquisition and implementation of the microscope
  • introduction of pediatric neurosurgery (for children over 8 years) with  licensing and personnel policy
  • Creation of a multidisciplinary medical team to conduct transnasal surgeries (ENT, endocrinology, neuro-ophthalmologist)
  • enhance cooperation with foreign neurosurgical centers, inviting leading experts to perform joint cases


In addition to the surgical intervention the conservative treatment of degenerative diseases of the spine are conducted as well. One of department's priority activities is "Endoecological Rehabilitation" or "Di bluden Therapy".


For patients with a diagnosis of "intervertebral hernia", which does not require surgical intervention to solve the basic problem of disco-radicular conflict the course of rehabilitation therapy  for 17 procedures is prescribed . For postoperative patient the course of rehabilitation therapy is prescribed too but just for 10 procedures. The high efficiency of "Endoecological Rehabilitation" is proving by eliminating of inflammation, swelling, pain, local improve of hemodynamics, joint mobility normalization and vertical posture stability increase after therapy.

Staff
Mamikon Eghunyan MD Mamikon Eghunyan MD Write a letter Head of Department of Neurosurgery neurosurgeon PhD, Grand PhD (d. m. s) professor
Artur Khachikyan, MD Artur Khachikyan, MD Write a letter Head of Department neurosurgeon +37444777967 dockhachikyan@gmail.com
Artyom Stamboltsyan Artyom Stamboltsyan Write a letter neurosurgeon
Nairi Margaryan Nairi Margaryan Write a letter neurosurgeon
Write a letter neurosurgeon
Education

Chair
Chair of Neurosurgery, YSMU after. M. Heratsi.


Employees that engaged in teaching activities are:
professor Mamikon Egunyan, MD, PhD, Grand PhD
Vahram Hambardzumyan - Senior Lecturer

 

 
Research projects
  • - , Noninvasive determination of cerebro-vascular hemodynamic and intracranial pressure in patients at the stage of neuro-reanimation
Publications
Price list

Service

Price (AMD)

 

 

Primary examination by head of the Department (head of Service)

10,000

 

Repeated examination by head of the Department (head of Service)

5,000

 

Primary examination by doctor

5,000

 

Repeated examination by doctor

3,000

 

Cost for 1-Day treatment (medication and examinations are not included)

20,000

 

Cost for 2-Day treatment (medication and examinations are not included)

40,000

 

Cost for 3-Day treatment (medication and examinations are not included)

60,000

 

Cost for 4-Day treatment (medication and examinations are not included)

80,000

 

Cost for 5-Day treatment (medication and examinations are not included)

100,000

 

Cost for 1-Day treatment (including medication, without examinations)

30,000

 

Cost for 2-Day treatment (including medication, without examinations

60,000

 

Cost for 3-Day treatment (including medication, without examinations

90,000

 

Cost for 4-Day treatment (including medication, without examinations

120,000

 

Cost for 5-Day treatment (including medication, without examinations

150,000

 

Day-time inpatient treatment (medication and examinations are not included)

115,000

 

Conservative treatment                                                                                                           

170,000

 

 

Types of medical care and services

Price (AMD)

 

Intervertebral disc herniation

600,000

 

Acute and chronic subdural hematoma, intracranial hematoma, depressed fracture

500,000

 

Extracerebral tumors

1,200,000

 

Spine, spinal cord tumors

660,000

 

Intracerebral tumors

810,000

 

Bypass surgeries

430,000

 

Plastic surgery of skull defects

500,000

 

Brain abscess, parasitic diseases

500,000

 

Spine, spinal cord abscess

660,000

 

Decompression of the spinal canal of the spinal cord (laminectomy)

500,000

 

Primary brain tumors

1,200,000

 

Intraventricular tumors

1,200,000

 

Vertebral stenosis

600,000

 

External ventricular drainage (cost of drainage not included)

150,000

 

Syringomyelia, Arnold Chiari Malformation

810,000

 

Surgical treatment of soft tissues of the head under local anesthesia

45,000

 

Surgical treatment of soft tissues of the head under general anesthesia

100,000

 

Reimbursement of additional medicine, based on the actual costs incurred

1,000

 

Reimbursement of additional medicine, based on the actual costs incurred 1

5,000

 

Reimbursement of additional medicine, based on the actual costs incurred 2

10,000

 

In the case of concomitant somatic chronic diseases of the I degree, the cost of surgery and treatment is added

40,000

 

In the case of concomitant somatic chronic diseases of the II degree, the cost of surgery and treatment is added

80,000

 

In the case of concomitant somatic chronic diseases of the IIИ degree, the cost of surgery and treatment is added

120,000

 

In the case of concomitant somatic chronic diseases of the IV degree, the cost of surgery and treatment is added

160,000

 

Various small surgical interventions in the dressing room

15,000

 

Surgical interventions of moderate severity performed in the dressing room under local anesthesia

45,000

Co-payment approved by Order N 91-A of the RA Minister of Health dated 27.01.2011

 

Sepsis

180,000

 

Short-term medical care (1-3 days) completed / price per 1 day

7,000

 

Brain and spinal cord injuries without surgical intervention

150,000

 

Brain and spinal cord injuries with surgical intervention. Decompression craniectomy

250,000

 

Surgeries for acute subdural, epidural, intracerebral hematomas and fractures of the cranial vault

300,000

 

Surgeries for acute injuries-spine-spinal cord:  Orthopedic fixation device (the cost of fixation device is not included)

300,000

 

Surgical treatment of arterial and arteriovenous aneurysms

300,000

 

 

 

Price list of the vertebral pathology service

 

 

Service

Price (AMD)

 

Vertebroplasty

520,000

 

Surgical treatment of scoliosis in one stage, surgery for spondylolisthesis, surgical treatment for Bekhterev's disease, reduction of the rib hump

500,000

 

Surgical treatment of scoliosis in 2 stages

610,000

 

Posterior spondylolisthesis surgery with the installation of an intervertebral cage, spinal canal stenosis, removal of a herniated disc with the installation of an intervertebral cage, removal of the metal structure of the spine

610,000

 

Surgical treatment of spinal fractures

500,000

 

Blockade of the lumbosacral joint

20,000

 

 

 

Cost of paid hospital rooms

 

Hospital room

Price (AMD)

 

308

3,000

 

307

3,000

 

306

10,000

 

310

7,000

 

 

 

* All prices do not include the cost of special and hard-to-reach diagnostic tests approved by the RA Minister of Health.

 

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