The operating microscope
Magnification plus coaxial light reveals tissue planes, tiny vessels and nerve fibres invisible to the naked eye.
Treatments · Brain Surgery
Microsurgical & Vascular Neurosurgery
Microsurgical and vascular procedures of the brain and spine, performed within the full neurosurgical scope of the practice.
What it is
Surgery at magnification
Microsurgical and vascular neurosurgery operates on the brain, its vessels and the spinal cord through the operating microscope — where a millimetre is a margin and seeing more means removing less healthy tissue.
Vascular lesions
Aneurysms, malformations and cavernomas demand control of blood flow measured in millimetres — the microscope's home territory.
Tumour boundaries
Distinguishing lesion from healthy brain or cord depends on seeing the interface, which only magnification provides.
Minimal collateral cost
Smaller, exact corridors mean less retraction of healthy tissue on the way in and out.
Suitability is assessed individually — outcomes vary by case. This page is for general information and does not constitute medical advice.
What to expect
Planned to the millimetre
Vascular and microsurgical cases are choreographed from imaging long before the operating day.
01
Microsurgical planning
Approach, positioning and each operative step are defined from imaging before the day of surgery.
02
Monitored execution
Where the cord or critical pathways are at stake, electrophysiological monitoring watches function continuously.
03
Aftercare
Neurological observation leads early recovery, with rehabilitation starting from whatever baseline surgery preserves. Report fever, wound changes or new neurology promptly.
Common questions
Things patients ask us
What makes surgery 'microsurgical'?
The routine use of the operating microscope for dissection, vessel handling and closure — technique and magnification, not a separate specialty.
Which conditions need it?
Brain and cord tumours, vascular malformations, and any lesion wrapped around critical nerves or vessels — your imaging decides.
What are the risks?
Bleeding, stroke, infection and new neurological deficit are the honest risks of operating near eloquent tissue; monitoring and planning exist to minimise them.
Who decides if I need it?
A multidisciplinary review of your imaging and symptoms — surgery only when it is genuinely the right path for your condition and goals.
Start with your case.
Send your imaging and reports. The ProSpine team will review your case and respond with the next steps.
Free · No obligation · Reviewed by the ProSpine team