Neurology: Playing the Balancing Act

Neurology is the scientific study of the nervous system with respect to its relative structure, functions, and abnormalities.[i] Neurologists are medical doctors who specializes in treating diseases of the nervous system.[ii] Medical doctors treat patients that have abnormalities with the central and peripheral nervous system. During the neurosurgery, doctors perform  computer assisted imaging computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), magneto encephalography (MEG), and stereotactic radio surgery.[iii]


Quick facts

  • There are no pain receptors in the brain tissue
  • CT Scans are helpful in identifying the intracranial hemorrhage (bleeding in the brain)
  • CT scans and magnetic resonance imaging (MRI) are helpful for identification of brain puss
  • Surgical removal of a lobe of an organ is done to treat Epilepsy surgery


    1. Preparation Before the neurosurgery, you should visit your physician within 30 days from the date of the procedure. It is important that you have a pre-operative physical examination atleast seven days before the operation. Ensure that you do not take Aspirin, pain relievers, blood thinners, and vitamins. Do not have Chemotherapy before the surgery as this will have a direct effect on the bleeding and clotting.


    1. Procedures for Ailments[v] a) Brain hemorrhage: A hemorrhage in the brain is caused due to the result of the neurological worsening symptoms like focal neurologic deficits and loss of consciousness. CT scans help in spotting the intracranial hemorrhage such as Subarachnoid Hemorrhage and Spontaneous Intracerebral Hemorrhage (SICH) and severe head injuries and tumors. Secondary tumors are treated by reducing the tumor mass and this can be performed by a needle biopsy.b) Degenerative disorders of the spine: If you are experiencing pain in your lower back in the lumbar spine, you should seek medical attention. There is a high chance that lumbar discs suffer from herniation and desiccation as a result of the excessive load on your back. The body comprises of several nerves that extend from the vertebrae to distant structures. As the discs in the back degenerate, it can cause nerve compression. Symptoms include numbness, restriction of neck movement, paresthesia, and severe pain.


  1. Treatmenta) Congenital abnormalities surgery: Congenital abnormalities are formed at the time of birth. During the development of a human embryo, the chemical and growth changes develop the nervous system. There can be defects that surface during this stage which include myelomeningoceles, encephaloceles, hydrocephalus, and craniosynostosis.b) Central nervous system infections surgery: Central nervous system infections are formed due to infections in the brain. CT scans and magnetic resonance imaging (MRI) can be used to find brain abscesses. Surgery is only necessary if the abscess worsens after antibiotic treatment or brain herniation

    c) Functional neurosurgery: Functional neurosurgery is conducted to check certain types of pain caused by movement or epilepsy. Stereotactic neurosurgery is the practice of locating targets in the brain that are removed by a minimal invasive.[vi] The procedure is done by fixing a frame on the scalp.

    d) Epilepsy surgery: There is a chance of 3% risk of developing epilepsy in one’s lifetime. Most cases are temporal lobe (the brain lobes located on the sides of the head) epilepsy. The epilepsy surgery or partial anterior temporal lobectomy is most common. The patient and neurosurgeon should only consider surgery if continual seizures that cause injuries.

If you have any enquiries or want to meet a specialist of the brain or spine, please call PIH 799 88 000 or email us at .


PIH is Port Moresby’s largest private hospital offering more than 14 specialties under one roof, with specialists and technologically advanced equipment being utilized to bring modern healthcare to PNG. It has the country’s only functional MRI as well as 2 CT Scan machines ( 16 –Slice & 64 Slice). And regularly gets specialist of various areas of health to come down to Papua New Guinea.


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