Welcome to der-nerv.com. On the following pages, you will find comprehensive information regarding neurosurgically relevant diseases, injuries, diagnostic pathways, and surgical management of the nervous system, including:
- The Brain & Cranium (Neurocranium)
- The Spinal Cord & Spine
- Peripheral Nerves & Brachial Plexus (in Adults and Children)
- Facial Nerve Palsy, Facial Hemispasm, and Trigeminal Neuralgia
We present selected clinical examples from our practice in anonymized form. The objective is to provide patients and colleagues with an overview of neurosurgical conditions and contemporary, evidence-based management strategies. Every patient requires individual evaluation to tailor the optimal treatment plan.
Consultation & Second Opinions
I am pleased to examine, counsel, and treat you personally, or organize specialized interdisciplinary care.
Prof. Dr. med. Kartik G. Krishnan
Specialist in Neurosurgery & Plastic Surgery
Over 25 years of international clinical and academic experience in:
- complex surgery of the spine and spinal cord
- brachial plexus and peripheral nerve surgery
- tumors of the brain, spinal cord, and peripheral nerves
- vascular neurosurgery & skull base surgery as well as
- surgical pain management
Core Clinical Areas & Specializations
Detailed medical insights, diagnostics, and microsurgical management
Brain & Skull Base Surgery
- Brain tumors, meningiomas, and skull base tumors
- Pituitary adenomas (purely endoscopic transsphenoidal surgery)
- Vestibular schwannoma (acoustic neuroma)
- Sequelae of traumatic brain injury and reconstruction
- Cerebral bypass surgery in adults and children (Moya-Moya disease)
Spine Neurosurgery
- Disc herniations (cervical and lumbar, endoscopic procedures)
- Spinal canal stenosis and synovial facet cysts
- Spondylolisthesis and spinal instability
- Comprehensive management of spinal trauma & fractures
- Spinal cord tumors, metastases, and nerve sheath tumors
Peripheral Nerve Surgery
- Nerve entrapment syndromes (carpal tunnel, cubital tunnel)
- Peripheral nerve trauma & autologous nerve grafting
- Complex brachial plexus surgery in adults & infants (obstetric palsy)
- Peripheral nerve tumors (schwannoma, neurofibroma, MPNST)
- Functional muscle transfer and reanimation for chronic paralysis
Nerves of the Face
- Acute and chronic facial nerve palsy (reanimation & dynamic transfers)
- Hemifacial spasm (uncontrolled facial twitching)
- Trigeminal neuralgia (facial pain) / Microvascular decompression
- Medically refractory neurogenic arterial hypertension
- Intractable neurogenic tinnitus
Pain Surgery & Neuromodulation
- Spinal cord stimulation (SCS) for chronic refractory pain syndromes
- Refractory neuropathic pain following spinal surgery (Failed Back Surgery Syndrome – FBSS)
- Severe complex regional pain syndromes (CRPS) and peripheral neuropathies
- Peripheral nerve field stimulation (PNFS) and targeted neuromodulation
- Minimally invasive surgical implantation of stimulation leads and pulse generators