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Neurosurgery
Neurosurgery

Neurosurgery

Neurosurgery

The Neurosurgery department provides care for all cranial and spinal neurosurgical pathology. Clinical activities include consultations, diagnostic procedures and treatments for neurosurgical conditions requiring specific monitoring and/or surgical intervention.

The Neurosurgery department provides care for all cranial and spinal neurosurgical pathology. Clinical activities include consultations, diagnostic procedures and treatments for neurosurgical conditions requiring specific monitoring and/or surgical intervention.

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Chu Caen Normandy

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Chu Caen Normandy

  • Consulting & Team

    Information for making an appointment

    Appointments for neurosurgery can only be made by email at neurochirurgie@chu-caen.fr

    You must send in the email:

    • The referral letter from your attending physician
    • A copy of your identity document (front/back)
    • All your administrative information mobile phone number , postal address, etc.)

    Your request will be processed within one week of receiving your email .

    The secretary will send you a summons specifying the date and time of the appointment as well as the name of the practitioner who will see you.

    If you would like a specific practitioner, please specify this in the subject line of the email.

    Cranial pathologies:

    • Cerebral vascular pathology (aneurysm, arteriovenous malformation, cavernoma): Pr Gaberel, Dr Borha
    • Brain tumors:
      • Glioma: Professor Emery, Dr Borha, Dr Leclerc
      • Meningioma: any practitioner except Dr. Guillard
      • Skull base tumors (acoustic neuroma): Pr Emery, Pr Gaberel
      • Pituitary adenoma, clivus lesion: Dr Rault, Pr Gaberel, Pr Emery
    • Pediatric neurosurgery: Dr Borha, Dr Di Palma, Dr Malczuk
    • Hydrocephalus: Dr. Borha, Dr. Rault, Dr. Malczuk, Dr. Leclerc, Dr. Kissao
    • Chronic pain, spasticity: Dr. Di Palma
    • Trigeminal neuralgia, facial hemispasm: Professor Emery, Dr Di Palma, Dr Leclerc
    • Chiari Malformation: Pr Emery, Dr Bohra, Dr Di Palma, Dr Malczuk, Dr Leclerc, Dr Rault

    Spinal pathologies:

    • Cervical spine (herniated disc, cervical arthritic myelopathy): all practitioners except Professor Gaberel
    • Lumbar spine:
      • Narrow lumbar canal, lumbar disc herniation: all practitioners except Professor Gaberel
      • Disc disease, spondylolisthesis: Dr Guillard, Dr Ben Tebra, Dr Anzalone, Dr Kissao, Dr Rault
      • Complex spine (scoliosis, spine already operated on): Dr Guillard, Dr Ben Tebra, Dr Anzalone
      • Spinal cord tumor: Pr Emery, Pr Gaberel, Dr Leclerc

    Professors Emery and Gaberel practice private consultations.

    If you do not have an email address, you can send your request by post with a copy of the letter from your doctor, proof of identity and all your administrative information (numbers and postal address) to the following address:

    • Neurosurgery Department – Secretariat
    • Caen Normandy University Hospital
    • Avenue de la Côte de Nacre
    • 14000 CAEN Cedex

    The secretariats:
    – General secretariat: 02 31 06 46 06
    – Consultation secretariats:

    • Professor Emery, Dr Anzalone, Dr Laborie: 02 31 06 46 05
    • Pr Gaberel, Dr Rault, Dr Malczuk: 02 31 06 46 03
    • Dr Borha, Dr Guillard: 02 31 06 45 96
    • Dr Ben Tebra, Dr Di Palma, Dr Kissao, interns: 02 31 06 46 04
    • Dr Leclerc, Dr Ducloie: 02 31 06 46 01

    – Hospitalization secretariat: 02 31 06 43 47

    Composition of service

    • 2 University Professors
    • 5 Hospital Practitioners
    • 1 Head of Clinic of Universities · Assistant of Hospitals
    • 1 Specialist Assistant
    • 3 Junior Doctors
    • 1 senior health officer
    Team detail
    • University Professor · Hospital Practitioner
      Professor Évelyne Emery
      General neurosurgery, neuro-oncology/skull base surgery, awake surgery, spine, pain surgery
    • University Professor · Hospital Practitioner
      Professor Thomas Gaberel
      General neurosurgery, Vascular neurosurgery (referent), Brain tumours, Skull base neurosurgery, Clinical and preclinical research in neurovascular pathologies
    • Hospital practitioner
      Dr Aymen Bentébra
      Neurosurgery, general, Degenerative Spine, brain tumors, spinal tumors (referent)
    • Hospital practitioner
      Dr Alin Borha
      General and pediatric neurosurgery (referent), Hydrocephalus and endoscopic techniques (referent), Brain tumours, Vascular neurosurgery, Degenerative spine
    • Hospital Practitioner
      Dr Camille DiPalma
      General, pediatric and functional neurosurgery, Brain tumours, Degenerative spine
    • Hospital practitioner
      Dr Benjamin Guillard
      General neurosurgery, and spine surgery, scoliosis, complex spine, head of the University Spine Institute.
    • Attached specialist assistant
      Dr Nissao Kissao
      General neurosurgery · degenerative and traumatic spine · brain tumors
    • Head of Clinic for Universities · Assistant for Hospitals
      Dr. Fréderick Rault
      General neurosurgery, pituitary and skull base endoscopy (referent), spine surgery.
    • Junior Doctor
      Dr. Joséphine Malczuk
      General neurosurgery, pediatric neurosurgery
    • Junior doctor
      Dr Arthur Leclerc
      Brain tumors (awake surgery), Degenerative spine, Pain
    • Junior Doctor
      Dr Louis Anzalone
      General neurosurgery, spine surgery.
    • Hospital practitioner
      Dr Mathilde Ducloie
      Medical neuro-oncology
    • Hospital practitioner
      Dr Marie Francoise Amiel
      Pain doctor
    • Neuropsychologist
      Catherine LaLevee
    • Senior health executive
      Sebastien Hamard
    • social service assistant
      Julie Docagne
      Emergencies from Wednesday to Friday, Rheumatology, Neurosurgery on the 11th floor
    • social service assistant
      Margaux Patoit
      Neurology, Neurosurgery on the 12th floor
    Évelyne Emery

    Professor Évelyne Emery

    head of service
    Sebastien Hamard

    Sebastien Hamard

    Senior health executive

  • Our support

    Tasks

    The Neurosurgery department at CHU Caen Normandie provides care for all cranial and spinal neurosurgical pathology in the entire former Basse-Normandie region and neighboring geographical areas. The service provides 24/7 emergency activity throughout the year. Clinical activities include consultations, diagnostic procedures and treatments for neurosurgical conditions requiring specific monitoring and/or surgical intervention in both adult and pediatric pathology. The population basin is 1.8 million inhabitants.

    Activities

    Each year, more than 9,000 consultations and nearly 2,300 operations are carried out in the Neurosurgery department. Innovative techniques are regularly developed and evaluated within the framework of clinical research protocols. These techniques concern all themes and more particularly neurosurgical neuro oncology, spinal surgery, vascular neurosurgery and functional neurosurgery (except deep brain stimulation and SEEG).

    Care

    Care activities cover all neurosurgical pathology, both in the adult and pediatric population, more specifically:

    • Craniocerebral trauma (fractures, hematomas, cerebral oedema, etc.) ,
    • Brain tumors (metastases, gliomas, meningiomas, acoustic neuromas, pituitary tumours, etc.),
    • CSF circulation disorders (hydrocephalus, Chiari malformations, syringomyelia, etc.),
    • Vascular pathology (cerebral aneurysm, arteriovenous malformations, cavernomas, etc.),
    • Spinal pathology:
      • Traumatic (vertebral fractures, ligament instability, etc.) ,
      • Tumor (metastasis…) ,
      • Degenerative (herniated disc, narrow lumbar canal, spondylolisthesis, scoliosis, etc.),
      • Innovative activities: disc prostheses, anterior approaches, percutaneous arthrodesis,
    • Pathologies of the spinal cord (tumors, vascular malformations) ,
    • Peripheral nerve pathologies (carpal tunnel, neuromas, etc.) ,
    • Functional neurosurgery:
      • Chronic pain surgery (cerebral or spinal cord stimulation, cordotomies, drezotomy, morphine pumps, vascular-nervous decompression and balloon for trigeminal neuralgia, radiofrequency techniques),
      • Surgery for refractory epilepsy (essentially lesional) ,
      • Spasticity surgery (neurotomies, tenotomies, Baclofen pumps) ,
    • Pediatric neurosurgery (craniostenosis, brain tumours, hydrocephalus, dysraphisms) .
    Hospitalizations

    The Service has 57 full hospitalization beds spread over three units (2 units on the 12th floor of the Côte de Nacre Tower and 1 unit on the 11th floor , with a continuous care sector of 5 beds) . In addition 2 HDJ armchairs.

    Pediatric hospitalization is at the FEH in the pediatric surgery and/or pediatric intensive care units.

    The consultation sector organized on level 12 is divided into 4 consultation rooms and a room for rTMS stimulation and Pain nurse consultations. RAAC nurse is also located within the consultation sector.

    Patients with serious neurosurgical pathologies requiring intensive care are hospitalized in the surgical intensive care unit (3 units on the 6th floor and 1 unit on the 16th floor ) .

    Surgical activities are carried out in 2 operating rooms: a block dedicated to neurosurgery, on the 12th floor (3 operating rooms), and a block dedicated to emergency interventions in the University Hospital Emergency Medicine as well as access in the pediatric unit of the Woman·Child·Hematology Hospital ( FEH ) and some outpatient surgery shifts at the FEH as well.

    The technical platform

    The technical platform of the operating theater is made up of:

    • 4 latest generation operating microscopes,
    • 2 neuronavigation guidance systems,
    • 1 neuro-sono-navigation guidance system,
    • 1 neurosurgical endoscopy column,
    • 3 ultrasonic vacuum cleaners,
    • 1 stereotaxy system,
    • 1 intraoperative electrophysiological monitoring system for awake surgery, and peripheral nerve monitoring for skull base surgery.
    • Recently a navigation for the spine with 3D amplifier will be acquired as well as a third neuronavigation

    Pathologies

    Trigeminal neuralgia

    What is trigeminal neuralgia? How to treat it? What techniques are used? You will find the answers in this patient sheet.

    Professor Évelyne Emery (neurovascular decompression and percutaneous techniques) and Dr Arthur Leclerc (percutaneous techniques) are able to see you in consultation to take care of you.

    Radiosurgery is not performed in our center.

    Arnold's neuralgia

    What is Arnold's neuralgia (or occipital nerve)? How to treat it? You will find the answers in this patient information sheet.

    Professor Evelyne Emery , Dr Camille Di Palma and Dr Arthur Leclerc are able to receive you in consultation to take care of you.

    Facial hemispasm

    What is facial hemispasm? What treatments are available? What are the post-operative consequences?

    Professor Evelyne Emery is able to receive you for a consultation to take care of you.

    Pituitary adenoma

    What is a pituitary adenoma? Is it necessary to operate? What treatments are available? You will find the answers in this patient information sheet.

    Professor Evelyne Emery , Professor Thomas Gaberel and Dr Frédérick Rault are able to receive you for consultation to take care of you.

    Clivus chordoma

    What is a clivus chordoma? How does the surgery take place? What are the surgical risks? You will find the answers in this patient information sheet.

    Professor Thomas Gaberel and Dr Frédérick Rault are able to receive you in consultation to take care of you.

    Awake Surgery for Brain Tumors

    How is awake surgery performed for the treatment of a brain tumor? Why operate with awake surgery?

    All the answers are in this video.

    Professor Evelyne Emery and Dr Arthur Leclerc are able to receive you for a consultation to take care of you.

    Useful document(s)

    RAAC passport

    RAAC Passport

    Improved Rehabilitation After Surgery

    • Collaborations & labels

      Collaborations

      There is constant collaboration with several other specialists from the CHU and other partner hospitals, allowing multidisciplinary care. Thus, in parallel with department staff meetings, Multidisciplinary Consultation Meetings ( RCP ) take place on a weekly basis, with the participation of neuro-oncologist colleagues, radiotherapists, neuro-pathologists, neuroradiologists, rheumatologists, etc.

      Spinal Osteoarticular Infection Center

      Spinal joint ostheo infections

      Labels & institute

    • Research & teaching

      Memberships & partnerships

      The Neurosurgery department is affiliated with the University of Caen Basse-Normandie and provides teaching activities to medical students and offers a 3 rd cycle training program in Neurosurgery developed from European standards.

      On the other hand, the department undertakes to explore and develop new treatments by participating in several clinical or fundamental research projects. In particular, with the partnership of one of the largest neuroscience research centers in France, Cyceron , many research projects aimed at improving the treatment of our patients are very regularly conducted. Our service is one of the world leaders in research on ruptured intracranial aneurysms. We are also recognized for our research work in neuro-oncology. The dynamism of the research neurosurgery department ensures that you always benefit from the best treatment, possibly innovative, and always validated according to the most rigorous scientific standards.

      Publications and research protocols

      The department's research activity can be measured by the number of scientific publications in specialized international journals, which has exceeded 100 over the past 10 years.

      Another indicator of the recognition of the Neurosurgery department on a national scale is its ability to obtain significant public subsidies to conduct large-scale studies on the national territory. Over the past 5 years, the service has obtained 3 major grants, for an amount of around 2 million euros, which allows us to offer ever more innovation at the service of our patients.

      Teachers, service researchers

      This important research activity also translates into important responsibilities at the national level for the service's teacher-researchers:

      • Professor Evelyne Emery , head of the neurosurgery department, is also the president of the National University Committee for Neurosurgery, the highest authority for neurosurgery teacher-researchers in France.
      • Professor Thomas Gaberel is editor-in-chief of the journal Neurochirurgie , an international scientific journal emanating from the French Society of Neurosurgery and the French-language Neurosurgery Society.

      Recent publications of the Neurosurgery Department CHU Caen Normandie (since 2020)

    • The latest news related to the service…

    Locate / contact service

    Neurosurgery

    Côte de Nacre Hospital

    Avenue de la Côte de Nacre CS 30001 14033 Caen Cedex 9

    Neurosurgery

    Service Secretariat

    02 31 06 46 06
    e-mail
    Level GPS accessCar park Hall
    Service
    Côte de Nacre Tower
    Level : 12
    GPS Access: Main
    Car Park: Car Park 1
    Main Entrance of Caen Normandy University Hospital
    : 02 31 06 46 06
    Consultation tray · Door D
    Côte de Nacre Tower
    Level : 1
    GPS access: Côte de Nacre
    Car Park: Car Park 2
    North Entrance Côte de Nacre
    : 02 31 06 46 06