Fabio Moscolo, MD
Consultant Neurosurgeon
Fabio Moscolo was born in Verona in 1974 and lives in Verona. He has performed numerous brain surgeries as first operator for brain tumours, traumas, hematomas, infections and cranial malformations.
Moreover, he has extensive experience in spinal procedures regarding the cervical, dorsal and lumbar column for intramedullary as well as vertebral tumours, spinal trauma, scoliosis, spondilolistesis, spinal stenosis, cervical and lumbar discopathy as well as segmental spinal instability.
Overall, he performed more than 4000 surgeries as first operator.
Locations
Mantova Ospedale Carlo Poma
ADDRESS
Corpo A II Piano
Studio Dott. Moscolo
VISITING TIMES
Days and hours:
MONDAY from 9:30 to 13:30
WEDNESDAY from 9.30 to 13.30
30 minutes from Verona airport
Verona Poliambulatorio CEMS
ADDRESS
Via Lorenzo Fava 2
37139 Verona
VISITING TIMES
Days and hours:
FRIDAY from 8.00 to 12.00
15 minutes from Verona airport
Types of surgery
Glioblastomas and astrocytomas
Gliomas are the most common primary brain tumours. During surgery, the border between normal brain tissue and the tumour is not clear-cut, and often other tumoural cells may reside in more distant areas than those belonging to the main tumour. When considering the histology, WHO grade I and II are considered to be lower grade gliomas (LGGs) and are more benign forms, while WHO grade III and IV are malignant. In most cases, different treatment approaches are dependent on this histological grading.
Meningiomas
Meningiomas are generally benign brain tumours that arise from the meninges. Only 1.5% are malignant. They are slow growing tumours which displace surrounding brain tissue without infiltrating its parenchyma, and therefore become symptomatic only when the volume of the mass is large.
Brain metastases
Brain metastases are the most common type of intracranial tumour. These are secondary tumours which stem from other body organs: most commonly the lung, kidney, breast, colon or skin (melanoma). The clinical presentation may resemble that of brain tumours, occurring in similar locations in the brain (metastasis in a eloquent brain area) or can cause an increase of intracranial pressure (causing symptoms such as vomiting up to coma).
Hydrocephalus
This is a dilatation of the brain ventricular system, for which produced brain cerebrospinal fluid (CSF) is not adequately reabsorbed and therefore results in an increase of intracranial pressure, with progressive (chronic) or sudden (acute) deterioration of brain function. Surgical intervention is required.
Intradural tumours
Spinal meningiomas and Neurinomas constitute 55% of overall tumours occupying the spinal cavity. While they may occur in all districts of the spinal cord, they traditionally arise from the dura of the dorsal spinal cord. Whenever they cause a spinal cord or radicular compression, a surgical procedure after laminotomy is required. Other tumours are Metastases and bone tumor.
Intramedullary spinal cord tumours
Primary tumours of the spinal cord frequently infiltrate the medulla. The most common categories are ependymomas, astrocytomas, emangioblastomas and cavernomas. The clinical presentation is generally mild, with symptoms such as low back pain and radiculopathy.
Minimally invasive surgery
Minimally invasive spinal surgery is performed through small incisions. In contrast with traditional surgery, minimally invasive procedures spare muscles and other tissues enclosing the rachis. Post-surgical recovery is therefore faster and complications are fewer. However, this surgical approach requires dedicated instrumentation and specific surgical team expertise.
Cervical or lumbar disc herniation
Disc herniation is due to a rupture of the anulus fibrosus with following ejection of part or the whole nucleus polposus, with consequent radicular or spinal cord compression. It may require minimally invasive procedures.
Lumbar stenosis
Lumbar stenosis is a narrowing of the vertebral or radicular foramina with following compression of the dural sac or the spinal roots. The degree of stenosis as well as the clinical presentation have to be evaluated whenever considering a surgical procedure.
Spondylolisthesis
Spondylolisthesis is the displacement (anterior as well as posterior slippage) of one spinal vertebra compared to another. It is generally painful. For cases in which medical treatment is unsuccessful and pain is not well tolerated, surgical lumbar fusion (arthrodesis) can be proposed.
Surgical re-intervention
Second surgeries can be required to overcome possible complications resulting from previous surgeries. They require special expertise since there is often previously subverted anatomy.
Vertebral Fracture
These are traumatic fractures with vertebral instability with likely damage to spinal cord or roots. Severe cases require surgical intervention (vertebral fusion, either percutaneus or “open”) while milder cases can be treated with vertebral augmentation (vertebroplasty or kyphoplasty).
Vertebroplasty and kyphoplasty
Vertebroplasty stabilises the fracture by the injection of cement within the vertebra using a cannula. Kyphoplasty is performed by placing a balloon inside the vertebral soma: the vertebral augmentation is achieved by inflating the balloon. Both techniques are performed under local anaesthesia.
Adult degenerative scoliosis (De Novo Scoliosis)
Adult degenerative scoliosis, also known as adult onset scoliosis, describes a side-to-side curvature of the spine caused by degeneration of the facet joints and intervertebral discs which are the moving parts of the spine (arthrosis). Pain is not responsive to medical treatment and arthrodesis is required.
Idiopathic scoliosis
Idiopathic scoliosis, or adolescent idiopathic scoliosis, is a spinal deformity of adolescence that worsens until the end of growth (16/18 for girls, 18/20 for boys). Whenever deformity may occur, surgical correction is required.