Neuro & Coluna Rio provides specialized evaluation for a wide range of conditions affecting the brain, spine, cerebral blood vessels, peripheral nerves and nervous system.
Spinal conditions may cause pain, limited mobility, tingling, loss of sensation and muscle weakness. In some patients, symptoms remain localized in the neck or lower back. In others, they may radiate to the arms or legs.
The diagnostic process begins with a detailed clinical evaluation. Imaging tests and other diagnostic resources may be requested depending on the symptoms and specific characteristics of each case.
A herniated disc occurs when part of a disc located between the vertebrae moves out of position and may irritate or compress nearby nerve structures.
When it occurs in the lumbar spine, it may cause back pain, pain radiating to the legs, tingling, numbness or muscle weakness. In the cervical spine, symptoms may extend to the shoulders, arms and hands.
Many cases can initially be managed with conservative measures, such as medication, physical therapy, rehabilitation and adjustments to daily activities. Surgery may be considered when symptoms persist despite appropriate treatment, when neurological impairment is present or when quality of life is significantly affected.
The choice of treatment depends on the location of the herniation, the symptoms and the findings identified during the evaluation.
Lower back pain is pain located in the lower region of the spine. It may be related to muscular changes, physical strain, degeneration of spinal structures, herniated discs, stenosis, spinal instability or other conditions.
The intensity of the pain does not always indicate the severity of the condition. Therefore, the evaluation considers factors such as symptom duration, pain radiating to the legs, functional limitations, muscle weakness and changes in sensation.
Treatment may involve medical guidance, physical therapy, muscle strengthening, rehabilitation, pain management and lifestyle changes. When nerve compression, instability or neurological impairment is present, other approaches may be discussed.
Neck pain affects the cervical region of the spine. In some cases, it remains localized. In others, it may extend to the shoulders, arms or hands.
In addition to pain, patients may experience stiffness, tingling, loss of sensation, electric shock-like sensations or reduced strength in the upper limbs.
The evaluation seeks to determine whether symptoms are related to muscular changes, joint degeneration, a herniated disc, narrowing of the spinal canal or compression of the nerve roots.
Treatment is determined according to the cause, duration and intensity of symptoms. It may include conservative measures, pain management procedures or surgery when medically indicated.
Pain that begins in the spine and extends to the arms or legs may be related to irritation or compression of a nerve root.
In the lumbar region, this condition is frequently associated with sciatica. In the cervical spine, pain may extend to the shoulders, arms, hands and fingers.
A neurological evaluation is important to determine whether there are changes in strength, sensation or reflexes. Treatment depends on the cause of the compression and the impact of symptoms on the patient’s daily life.
Spinal stenosis is the narrowing of the space through which the spinal cord or spinal nerve structures pass.
In the lumbar region, it may cause pain, numbness, leg weakness and difficulty walking for extended periods. In the cervical spine, it may cause loss of balance, reduced hand dexterity, tingling and muscle weakness.
Diagnosis may involve a neurological examination and imaging tests. Mild or moderate cases may be treated conservatively. Surgery may be considered when there is significant functional limitation, neurological compression or progression of symptoms.
Scoliosis is characterized by an abnormal curvature of the spine. Other deformities may also alter spinal alignment and affect posture, balance and the distribution of weight across the spine.
These conditions may cause pain, muscle fatigue, body asymmetry, limited mobility and, in more complex cases, neurological impairment.
The evaluation considers the degree of deformity, progression of the condition, the patient’s age and the impact of symptoms. Management may involve observation, rehabilitation, muscle strengthening or surgery in selected cases.
Spinal instability occurs when there is excessive or abnormal movement between the vertebrae.
Patients may experience pain, a feeling of instability when moving the spine, functional limitations or symptoms related to nerve compression.
The condition is investigated through clinical examination and imaging tests. The need for surgical stabilization depends on the anatomical characteristics, the severity of symptoms and the presence of neurological impairment.
Nerve structures may be compressed by herniated discs, narrowing of the spinal canal, bone changes, tumors, trauma or other conditions.
Symptoms may include pain, tingling, numbness, electric shock-like sensations and muscle weakness.
The evaluation seeks to identify the location and cause of the compression. Treatment may range from clinical monitoring and rehabilitation to decompression procedures, depending on the severity of the condition.
The onset of significant muscle weakness, difficulty walking or changes in bladder or bowel control requires immediate medical evaluation.
Spinal tumors may affect the vertebrae, spinal cord, the membranes surrounding the nervous system or nearby structures.
Symptoms vary according to the location and may include persistent pain, pain that worsens at night, muscle weakness, changes in sensation and difficulty walking.
The diagnostic process may involve imaging tests and additional evaluations to determine the nature and extent of the lesion. Treatment planning considers the type of tumor, its location, the patient’s clinical condition and the need to preserve neurological function.
Treatment may involve monitoring, surgery and collaboration with other medical specialties, depending on the diagnosis.
Endoscopic spine surgery uses delicate instruments and a camera to access specific spinal structures through small incisions.
This approach may be considered in selected cases of herniated discs and other conditions that cause nerve compression.
The indication depends on the location of the condition, the patient’s anatomy and the objectives of the procedure. Not all spinal disorders can be treated using this technique.
Not every spine surgery requires the placement of screws or other stabilization devices.
In some cases, the objective is only to remove the structure compressing the nerve or spinal cord. In others, the presence of instability, deformity or the need for spinal fusion may make instrumentation necessary.
The decision is made after a careful analysis of imaging tests, spinal anatomy and the patient’s individual needs.
Many spinal conditions can initially be managed without surgery.
Conservative treatment may include medication, physical therapy, rehabilitation, muscle strengthening, activity adjustments and monitoring of symptom progression.
The response to treatment should be monitored. If symptoms persist, worsen or are associated with neurological changes, a new evaluation may be necessary.
Cerebrovascular diseases affect the blood vessels responsible for circulation in the brain. These conditions include aneurysms, vascular malformations, dural fistulas and strokes.
The diagnostic process may involve computed tomography, magnetic resonance imaging, angiography and cerebral arteriography. The choice of treatment depends on the type of condition, its location, the symptoms and the risks associated with each case.
A brain aneurysm is a localized dilation in the wall of a cerebral artery.
Some aneurysms are identified before causing symptoms. Others may be discovered after rupturing, which causes bleeding around the brain and represents a medical emergency.
The decision between monitoring and treatment considers factors such as size, shape, location, medical history and the estimated risk of rupture.
When treatment is indicated, it may be performed through conventional surgery or endovascular techniques, depending on the characteristics of the aneurysm.
Embolization is an endovascular procedure performed using catheters introduced into the arterial system.
The goal is to reduce blood flow into the aneurysm and decrease the risk of bleeding. The technique used depends on the anatomy and characteristics of the lesion.
Planning requires detailed imaging and specialized evaluation to determine the most appropriate approach.
A flow-diverting stent is a device used in specific situations to redirect blood flow and promote the gradual closure of an aneurysm.
Its indication depends on the location, shape and size of the aneurysm, as well as the patient’s clinical condition.
Like all endovascular procedures, it requires careful planning, follow-up and an evaluation of the potential risks and benefits.
An ischemic stroke occurs when a cerebral artery becomes blocked, reducing or interrupting blood flow to part of the brain.
Symptoms may appear suddenly and include weakness or numbness on one side of the body, difficulty speaking, difficulty understanding speech, vision loss, imbalance and difficulty walking.
A stroke is a medical emergency. If sudden symptoms occur, the patient should seek immediate medical attention or call SAMU at 192.
Treatment depends on the time when symptoms began, the location of the blockage, the size of the affected blood vessel and the patient’s clinical condition.
Mechanical thrombectomy is an endovascular procedure used in selected cases of ischemic stroke caused by the blockage of large cerebral arteries.
Using catheters, the medical team can reach the site of the blockage and remove the blood clot, with the goal of restoring blood flow.
The indication depends on clinical criteria and imaging findings. Time is a decisive factor in stroke treatment.
A hemorrhagic stroke occurs when a blood vessel ruptures and blood leaks into or around the brain.
Symptoms may include a sudden and severe headache, changes in consciousness, weakness, vomiting, difficulty speaking, seizures or loss of balance.
Treatment depends on the location and volume of the bleeding, the cause of the hemorrhage and the patient’s neurological condition. Some cases require intensive clinical management. Others may require surgical or endovascular treatment.
Sudden symptoms should always be treated as a medical emergency.
Arteriovenous malformations are abnormal connections between arteries and veins without the usual network of small blood vessels between them.
They may be discovered during the investigation of headaches, seizures, neurological symptoms or intracranial bleeding. Some are identified incidentally.
Treatment depends on the size, location and characteristics of the malformation. Options may include monitoring, endovascular treatment, surgery or radiosurgery, according to the individual evaluation.
Dural fistulas are abnormal connections between arteries and veins located in the membranes surrounding the brain or spinal cord.
Symptoms vary depending on the location and may include pulsatile noise in the ear, headache, visual changes, neurological symptoms or bleeding.
A detailed vascular evaluation makes it possible to understand the circulation pattern and determine whether endovascular treatment or another approach is indicated.
Cerebral angiography is a catheter-based examination used to visualize the brain’s blood vessels in detail.
It may be indicated in the investigation of aneurysms, vascular malformations, fistulas and other abnormalities of cerebral circulation.
The examination helps clarify the anatomy of the lesion and may be essential when planning a surgical or endovascular procedure.
Vascular Neurosurgery includes techniques used to treat conditions affecting the blood vessels of the brain and spinal cord.
Depending on the condition, treatment may involve conventional surgery, an endovascular procedure or a combination of techniques.
The choice of approach considers the characteristics of the condition and the safety of each alternative for the patient.
Endovascular procedures are performed using catheters guided through the blood vessels to the area requiring treatment.
These techniques may be used in cases involving aneurysms, stroke, vascular malformations and dural fistulas.
Whether an endovascular approach can be used depends on the anatomy, diagnosis and clinical condition of the patient. The indication should be determined after a specialized evaluation.
Neuro-Oncology is dedicated to the evaluation and treatment of tumors affecting the brain, spinal cord, spine and other structures of the nervous system.
Treatment planning may involve different specialties and therapeutic approaches. The strategy is defined according to the type of lesion, its location, its behavior and the patient’s clinical condition.
Central nervous system tumors form a diverse group of conditions. Some originate in the brain or spinal cord. Others begin in another part of the body and spread to the nervous system.
Symptoms may vary and include persistent headaches, seizures, muscle weakness, speech changes, vision loss, balance problems, cognitive difficulties or behavioral changes.
The diagnostic process may involve imaging tests and, in selected cases, tissue analysis.
Treatment may include monitoring, surgery, radiation therapy, chemotherapy or other therapies, depending on the diagnosis and the joint assessment of the specialties involved.
The skull base is a complex anatomical region located near nerves, blood vessels and essential structures.
Tumors in this area may cause visual changes, hearing loss, imbalance, facial pain, difficulty swallowing or other neurological symptoms.
Treatment planning requires a detailed study of the anatomy and careful evaluation of the potential risks and benefits of each approach. Treatment may involve monitoring, surgery and complementary therapies.
In addition to tumors, other lesions may affect the skull base.
Their location and proximity to delicate structures require careful planning and an individualized assessment. The goal is to define a strategy compatible with the nature of the lesion while preserving neurological function.
Neuro-Oncology planning considers the diagnosis, type of tumor, location, extent and the patient’s clinical condition.
In certain cases, observation with periodic imaging may be appropriate. In others, surgery may be indicated, or coordination with medical oncology, radiation oncology and other specialties may be necessary.
Every decision should be discussed clearly with the patient and their family.
Neurosurgery also includes conditions and injuries affecting the peripheral nerves, as well as neurological conditions related to trauma.
These conditions may cause pain, loss of sensation, muscle weakness and functional limitations.
Peripheral nerves connect the brain and spinal cord to the rest of the body.
Trauma, compression, tumors and other abnormalities may impair their function and cause pain, tingling, numbness or muscle weakness.
The diagnostic process may include a neurological examination, imaging tests and nerve function studies. Treatment depends on the cause and may involve monitoring, rehabilitation or surgery.
Neurotraumatology focuses on injuries affecting the skull, brain, spine, spinal cord and nerves as a result of accidents and other forms of trauma.
The severity may range from mild cases to conditions that place the patient’s life or neurological function at risk.
Trauma accompanied by loss of consciousness, confusion, repeated vomiting, weakness, seizures or significant behavioral changes requires emergency medical care.
Some neurosurgical conditions require urgent treatment, particularly when there is bleeding, compression of the brain or spinal cord, an unstable fracture or neurological deterioration.
Management depends on imaging findings, the cause of the injury and the patient’s clinical condition. Treatment may involve observation, intensive monitoring or surgery.
An elective appointment does not replace emergency medical care in cases of severe trauma or the sudden onset of neurological symptoms.
Pain may be related to the spine, peripheral nerves, neurological conditions or the consequences of trauma and previous procedures.
Understanding its cause is essential to defining appropriate care.
Pain management begins by identifying the cause and understanding how the symptoms affect the patient’s daily life.
The approach may involve medication, physical therapy, rehabilitation, specific procedures or surgery when there is a structural condition that justifies intervention.
The goal is to develop a care plan that is proportionate to the diagnosis, avoid unnecessary procedures and monitor the progression of symptoms.
A second opinion may be sought by patients who have received a surgical recommendation, have a complex diagnosis or wish to better understand the available treatment options.
During the evaluation, the medical history, symptoms, imaging tests and previous treatments are reviewed.
The goal is to provide an independent assessment and clarify the available options, including monitoring, conservative treatment, minimally invasive procedures or surgery.
Neurological symptoms and spinal conditions may have many different causes. A careful evaluation helps clarify the diagnosis and determine the next steps with greater confidence.
Contact Neuro & Coluna Rio to check appointment availability at our Ipanema and Tijuca locations.
Schedule Your Appointment
This content is provided for informational purposes only and does not replace a medical consultation, clinical examination or individualized medical evaluation. In the event of sudden symptoms, suspected stroke, loss of consciousness, significant muscle weakness or severe trauma, seek emergency medical care immediately.
