Neurosurgery Department

   About the Department:

   The Neurosurgery Department of the National Hospital provides a full range of modern specialized neurosurgical care, including high-tech surgical interventions on the brain, spinal cord, and peripheral nervous system. Over the past 10 years, the department has performed approximately 9,000 successful neurosurgical operations. Annually, more than 1,000 complex surgical procedures are carried out, reflecting the high level of clinical activity and professional expertise of the specialists.

   The department performs surgeries for cerebrovascular diseases, central nervous system tumors, degenerative spinal diseases, chronic pain syndromes, and other congenital neurosurgical pathologies. Modern endovascular, microsurgical, endoscopic, and minimally invasive technologies are widely used in clinical practice, ensuring a high level of safety and treatment effectiveness.

   Neurosurgeons of the department have completed internships and advanced training in leading international neurosurgery centers in the USA, Japan, Turkey, and South Korea. The specialists continuously improve their professional skills and participate annually in major international scientific congresses and conferences in Europe, the USA, and Asia.

   The department is actively involved in scientific and educational activities. Currently, the team includes three PhD candidates, four Masters of Public Health, and three physicians with an MBA, reflecting a high level of scientific potential and effective clinical management.

   Over the past decade, the department’s staff has published more than 10 articles in journals recommended by the Committee for Quality Assurance in Science and Higher Education of the Republic of Kazakhstan, as well as over 10 articles in international peer-reviewed journals indexed in Scopus (Q1–Q3), demonstrating the department’s high scientific activity and contribution to modern neurosurgery.

   The department regularly hosts training masterclasses and international conferences. It collaborates with leading neurosurgeons from regional and international clinics, conducting joint consultations and, when necessary, collaborative treatment at the hospital.

   The department also serves as an educational and clinical base for neurosurgeon training. Over 30 specialists from Kazakhstan and abroad — including Uzbekistan, Tajikistan, Kyrgyzstan, India, Mongolia, and Uganda — have completed internships and clinical training at the department.

   The combination of high clinical volume, modern technologies, international collaboration, and active scientific activity allows the Neurosurgery Department of the National Hospital to occupy a leading position in the region for neurosurgical care.

   Types of Surgeries Performed:

   Endovascular Procedures:

• Endovascular embolization – cerebral aneurysms; cerebral arteriovenous malformations (AVMs); arteriovenous fistulas of the brain; carotid-cavernous fistula;
• Endovascular embolization – spinal AVMs and arteriovenous fistulas;
• Endovascular treatment of chronic subdural hematoma;
• Endovascular embolization of the sphenopalatine artery – epistaxis resistant to nasal packing;
• Endovascular stenting – stenosis and occlusion of neck and brain vessels;
• Endovascular mechanical thrombectomy – ischemic stroke within the therapeutic window (0–6 hours from symptom onset);
• Diagnostic selective cerebral angiography.

   Microneurosurgical Procedures:

• Extra-intracranial microvascular anastomosis – cerebral vessel occlusion; Moyamoya disease; chronic cerebral ischemia;
• Microsurgical tumor removal – brain and spinal tumors (gliomas, meningiomas, skull base tumors);
• Microsurgical aneurysm clipping and AVM removal.

   Spinal Degenerative Disease Surgeries (Osteochondrosis):

• Microscopic and endoscopic intervertebral disc herniation removal;
• Vertebroplasty – compression fracture, osteoporotic fracture, vertebral hemangioma;
• Spinal canal decompression;
• Spinal stabilization with hardware – spinal stenosis, instability, vertebral displacement or spondylolisthesis;
• Selective blocks for chronic and acute pain – chronic back pain, sacroiliac joint pain, facet joint syndrome, occipital neuralgia.

   Functional Neurosurgery:

• Spinal cord stimulator implantation for pain syndrome;
• Vagus nerve stimulator implantation for epilepsy;
• Deep brain stimulator implantation for Parkinson’s disease;
• Microvascular (endoscopic) decompression – neurovascular conflicts: hemifacial spasm, trigeminal neuralgia, glossopharyngeal neuralgia.

   Peripheral Nerve Microsurgery:

• Endoscopic carpal tunnel decompression.

   Other Surgeries:

• Posterior fossa decompression for Arnold-Chiari malformation;
• Decompressive craniotomy; removal of intracranial hematomas (epidural, subdural, intracerebral) – trauma, displacement of midline brain structures;
• Skull defect reconstruction using bone cement or titanium plate – post-traumatic or post-operative defects;
• Ventriculoperitoneal shunting, programmable shunt placement – hydrocephalus;
• Radiofrequency ablation, thermocoagulation, denervation – trigeminal neuralgia, chronic back pain, facet joint syndrome, occipital neuralgia.

   Minimally Invasive Technologies:

• Endoscopic spinal surgery;
• Endoscopic microvascular decompression of neurovascular conflicts;
• X-ray endovascular surgery;
• Transnasal endoscopic pituitary adenoma removal.

   Equipment:

   The department is equipped with modern high-tech equipment:

• Philips Azurion biplane angiograph;
• Richard Wolf endoscopic system;
• Intraoperative neuromonitoring system InoMed ISIS Expert;
• GE C-arm;
• Endoscopic and microsurgical instruments;
• COSMAN thermal and radiofrequency ablation devices.

   Department Physicians:

• Marat Amangalievich Sarshaev – Head of Department;
• Mynzylky Saylauovich Berdikhodzhaev – Neurosurgeon;
• Maksat Gabitovich Musabekov – Senior Neurosurgeon;
• Daulet Shaykibekovich Suyeumbetov – Neurosurgeon;
• Shayakhmet Shorekhanuly Makhanbethan – Neurosurgeon;
• Abzal Kairatuly Zhumabekov – Neurosurgeon;
• Rauan Maratuly Ayteli – Neurosurgeon;
• Saida Abdugapparbekovna Aynekova – Neurologist;
• Mahmut Muratovich Mirzakhemetov – Neurologist.