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Surgery

Dr. Mika Niemela

1. Dr. Mika Niemelä. Brain aneurysm and AVM neurosurgery. Brain tumor neurosurgeon. Biography. 0

Dr. Anton Titov, MD, interviews the renowned neurosurgeon about his clinical practice.

2. “We are one of most active brain and spine neurosurgery clinics in Europe”. 1

Dr. Mika Niemela, MD, explains the comprehensive work of Helsinki University Hospital's Neurosurgery Department. He details the high-volume treatment of 3,500 patients annually. The department...

3. Why brain aneurysms rupture? Rupture risk of small and thin-walled intracranial aneurysm. 2

Dr. Anton Titov, MD, provides crucial insights for patients and families seeking to understand this serious condition.

4. Up to 6% of all people have unruptured brain aneurysms. Risk factors for intracranial aneurysm rupture. 3

Dr. Mika Niemela, MD, explains the pathophysiology and risk factors for brain aneurysm rupture. He details how inflammation weakens the aneurysm wall over time. Blood...

5. Brain aneurysm treatment. Clip, coil, or stent? How to choose best therapy for intracranial aneurysm? 4

Dr. Mika Niemela, MD, explains how to choose the best brain aneurysm treatment. He details the critical factors in the coiling vs. clipping decision. Patient...

6. Cerebral Cavernous Malformations. When to treat cavernoma? When to observe? 5

Dr. Mika Niemela, MD, explains how to decide between treatment and observation for brain cavernomas. He details the critical factors that influence this complex decision....

7. Brain Cavernous Angioma. Bleeding risks. Which cavernoma is likely to bleed? 6

Dr. Mika Niemela, MD, explains brain cavernous angioma bleeding risks. He details how hemorrhage risk depends on cavernoma location and size.

8. Brain Dural Arteriovenous Fistula. BDAVF. What are treatment options? 7

Dr. Mika Niemela, MD, explains how to choose the best treatment for a brain dural arteriovenous fistula (BDAVF). Treatment selection depends on the fistula's location...

9. Intracerebral Hemorrhage. Treatment and prognosis of brain bleeding. 8

Dr. Mika Niemela, MD, explains the critical role of prevention in brain bleeding outcomes. He emphasizes that hypertension treatment is the most effective strategy. Surgical...

10. Brain Tumor treatment in era of precision medicine. How to obtain the best long-term prognosis? 9

Dr. Anton Titov, MD, covers treatment strategies for both benign and malignant brain tumors.

11. Glioblastoma. High-grade Glioma. How treatment options improved recently? 10

Dr. Mika Niemela, MD, explains modern glioblastoma management. He details how surgical techniques have advanced with tools like neuronavigation and Gliolan dye.

12. Brain aneurysm rupture in a 45 year-old man. Clinical case. 11

Dr. Mika Niemela, MD, explains how to treat a ruptured brain aneurysm. He details a clinical case of a 45-year-old male smoker. Treatment decisions depend...

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