Dr. Necmettin Pamir

Dr. Necmettin Pamir

Brain and Spine Specialist - Neurosurgeon

  Acibadem Hastanesi - Altunizade, Istanbul, Turkey

  28 Years of experience

BIOGRAPHY

Dr. Necmettin Pamir is one of the finest Brain and Spine Specialist in Turkey. He is an experienced Neurosurgeon in the Turkey. The Medical practitioner has been associated with various reputed hospitals in the Turkey. The physician is currently working as a Professor, Acibadem Hastanesi - Altunizade, Turkey. The doctor is a well-reputed and sought after medical expert and is

  • Haydarpasa High School Istanbul University Cerrahpasa School of Medicine Hacettepe University School of Medicine Neurosurgery

qualified. Dr. Necmettin Pamir has been associated with many hospitals over the course of his illustrious and experienced career.

The hospitals include:

  • 1976 - 1981 Hacettepe University School of Medicine Norosirurji Department, Uzmanlik Egitimi
  • 1981 - 1985 Hacettepe Un. School of Medicine Norosirurji A.B.D. , Hacettepe University School of Medicine Norosirurji Department, Uzman Hekim,
  • 1984 - 1985 Karolinska Institute (Stockholm-Isvec) ve Zurich University, Norosirurji Department, Burslu Ogretim Uyeligi ,Karolinska Institute (Stockholm-Isvec) ve Zurich University
  • 1985 - 1985 Hacettepe University School of Medicine Norosirurji Department, Yardimci Associate Professor
  • 1985 - 1985 Hacettepe University School of Medicine
  • 1985 - 1986 Hacettepe University School of Medicine
  • 1986 - 1991 Marmara University School of Medicine Norosirurji Department, Associate Professor
  • 1986 - 2007 Marmara University School of Medicine Norosirurji Department Baskani
  • 1986 - 1991 Marmara University School of Medicine
  • 1991 - 2008 Marmara University School of Medicine Norosirurji Department, Professor
  • 1991 - 1992 Marmara University School of Medicine
  • 1992 - 1993 Pittsburg Un, Virginia Un, George Washington Un.
  • 1992 - 2006 Marmara University Neurology Bilimler Institute Mudurlugu
  • 1992 - 1997 Marmara University School of Medicine

Dr. Necmettin Pamir has more than 28 Years of clinic experience. The Clinician specializes in and performs the following surgeries:

  • Brain Tumour Treatment
  • Craniotomy
  • Deep Brain Stimulation
  • Neurology
MEMBERSHIPS (14)
  • International Gamma Knife Association
  • Agri Association
  • American Society of Neurosurgery (AANS)
  • Nervous System Surgery Society
  • The Japan Neurosurgical Society (Guest Member)
  • Euroasian Academy of Neurosurgeon
  • European Association of Neurosurgery (EANS)
  • European Society of Stereotactic and Functional Neurosurgery
  • World Federation of Neurosurgical Societies (WFNS)
  • War Association with Epilepsy
  • Turkish Electron Microscopy Association
  • Turkish Society of Hematology
  • Turkish Neurosurgical Society
  • International Medical Paraplegia Association
RESEARCH PAPERS AND PUBLICATIONS (8)
  • Distal Middle Cerebral Artery Aneurysms
  • Totally Thrombosed Giant P2 Aneurysm: A Case Report and Review of Literature
  • The Transsphenoidal (Large Craniopharyngeal) Canal Associated with a Normally Functioning Pituitary Gland and Nasopharygeal Extension, Hyperprolactin emia and Hypothalamic Hamartoma
  • Primary Hypophysitis : Idiopathic Inflammatory Disorders of the Pituitary Gland.
  • Internal Carotid Plexus Schwannoma of the Cavernous Sinus: Case Report.
  • Gamma Knife in The Treatment of Tremor. Case Report
  • Anterior Tarsal Tunnel Syndrome: Case Report
  • Tumors of The Choroid Plexus
Procedures
Brain Tumour Treatment

A brain tumor is a cancerous or a non-cancerous growth of cells in the brain. This growth of abnormal cells can take place in any part of the brain or it can happen in any other body party and spread to the brain.

It is a fairly common condition that affects millions of people around the world. An undiagnosed brain tumour can prove fatal and therefore, it is necessary to undergo specific tests and initiate treatment as soon as the diagnosis is confirmed.

The symptoms of a brain tumour can be confused with some other medical condition, especially migraine. Increasingly strong headache and blurred vision are the two most common symptoms of a brain tumour. People with this condition can also experience seizures, confusion, nausea, vertigo, impaired voice, and loss of balance.

Treatment for a brain tumour depends on several factors. The type, size, and the location of a tumour, in addition to the overall health of the patient and his or her age, are some of the considerations made by the doctor while preparing a brain tumour treatment plan.

Different treatment modalities can be used to treat brain tumour patients and surgery, chemotherapy, and radiation therapy are among them. Usually, a combination of treatment modalities is used to conduct brain tumour treatment.

Craniotomy

Craniotomy surgery is one of the most common types of brain surgery conducted to treat a brain tumor. It mainly aims at removing a lesion, tumor, or a blood clot in the brain by opening a flap above the brain to access the targeted area. This flap is removed on a temporary basis and again put in place when the surgery is done. Around 90 percent of the cases of brain tumors are diagnosed in adults aged between 55 and 65. Among children, a brain tumor is diagnosed within an age range of 3 to 12 years.

Craniotomy procedures are conducted with the help of magnetic resonance imaging (MRI) scans to reach the location precisely in the brain that requires treatment. A three-dimensional image for the same is achieved of the brain in conjunction with localizing frames and computers to view a tumor properly. A clear distinction is made between abnormal or tumor tissue and normal healthy tissue and to access the exact location of the abnormal tissue.

Who requires a craniotomy?

In a minimally invasive craniotomy procedure, a burr hole or a keyhole may be created to access the brain to fulfill the following purposes:

  • To drain out cerebrospinal fluid in case of hydrocephalus by inserting a shunt into the ventricles
  • To treat Parkinson’s disease by inserting a deep brain stimulator (DBS)
  • To insert an intracranial pressure monitor
  • To conduct needle biopsy, where a small sample of abnormal tissue is removed for study
  • For stereotactic hematoma aspiration, in which a blood clot is drained out
  • For insertion of an endoscope to clip aneurysms and for the removal of small tumors

When there are complex craniotomies involved, the procedure may be referred to as a skull base surgery.  In this kind of surgery, a small portion of the skull is removed from the bottom of the brain. This is the region where delicate arteries, veins, and cranial nerves exit the skull. Complicated planning is done to plan such craniotomies and understand the location of the lesions. This type of approach is usually employed for:

  • The removal or treatment of large brain tumors and aneurysm in the brain
  • Treatment after a skull fracture or major injury like a gunshot
  • The removal of a malignant tumor affecting the bony skull

Primary brain tumors are much less common than secondary brain tumors. Primary ones are found to originate very close to the brain itself or in the tissues very close to it, such as the covering membranes of the brain, including the meninges, cranial nerves, pineal, or pituitary gland. It begins with normal cells, which at a later period undergoes some mutational errors in their DNA. The mutation triggers cells to grow and divide at a very high rate while healthy cells keep dying around it. This results in a mass of abnormal cells which gives rise to a tumor. Unlike primary tumors, the secondary tumors begin as cancer elsewhere and spread to the brain.

Symptoms of brain tumor

  • Different patterns of a headache
  • Headaches get more frequent and acutely painful
  • Nausea
  • Blurred vision, double vision, or loss of peripheral vision
  • Loss of sensation in the arm or any leg gradually
  • Balance difficulty
  • Speech problems with confusion in simple matters
  • Hearing problems
  • Personality change
  • Sudden seizures and attacks or bouts of pain

Types of Craniotomy

No matter what the goal of the surgery is, it is best to ensure that the incision is made to address the intracranial lesion keeping some principles in mind. A wide variety of intracranial processes can be done via a craniotomy with a different variety of incisions. Some of these variations include frontal craniotomy, pterional craniotomy, temporal craniotomy, decompression craniectomy, and suboccipital craniotomy.

Deep Brain Stimulation

Deep brain stimulation (DBS) is a neurosurgical procedure that involves implantation of electrodes within the specific targeted areas of the brain. It is used to treat a variety of disabling neurological symptoms. Deep brain stimulation procedure can be opted for treating a number of neurological conditions, including Parkinson's disease, Essential tremor, Dystonia, Epilepsy, Tourette syndrome, obsessive-compulsive disorder and chronic pain. Deep brain stimulation uses a neurostimulator, commonly referred to as deep brain stimulator,  to deliver electrical stimulation to targeted areas in the brain that control movement.

The impulse sent by deep brain stimulator interferes with and blocks the electrical signals that cause tremor and other Parkinson’s disease symptoms. The targeted areas most often include the thalamus, subthalamic nucleus and globus pallidus. Deep brain stimulation procedure has a long history of research. It was first introduced in 1987 and The Food and Drug Administration (FDA) approved deep brain stimulation treatment for essential tremor and Parkinson's disease in 1997.

What is deep brain stimulation treatment?

Deep brain stimulation treatment is recommended for people who have had Parkinson’s disease for at least four years, are still getting benefited from medications, but have motor complications, such as significant on-off time periods. Brain stimulation therapy works by inactivating the parts of the brain that cause Parkinson's disease symptoms. However, DBS Parkinson does not damage the healthy brain tissue by destroying nerve cells. It blocks electrical signals from targeted areas of the brain.

Deep brain stimulation treatment has proven effective in most of the cases, but it could potentially result in serious complications and side effects. This is the main reason why deep brain stimulation treatment is used only for patients whose symptoms are not appropriately controlled with medications.

Frequently Asked Questions
What area of specialization does Dr. Necmettin Pamir have?
Dr. Necmettin Pamir is specialized in Turkey and of the most sought after doctors in Brain and Spine Specialist.
Does Dr. Necmettin Pamir offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Necmettin Pamir have?
Dr. Necmettin Pamir is one of the most sought after specialists in Turkey and has over 28 Years years of experience.
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