Neurosurgeon’s appointment
A neurosurgeon’s consultation is intended for the evaluation of diseases of the brain, spine, spinal cord, and peripheral nerves. During the consultation, we explain the causes of symptoms, evaluate examination results, and create a treatment plan that may include monitoring, conservative treatment, or surgical intervention.
When to see a specialist
Common concerns a neurosurgeon can help with:
- Persistent or radiating back pain: especially if a herniated disc or nerve root compression is suspected.
- Neck and arm pain with numbness or weakness: may be related to changes in cervical vertebrae or radiculopathy.
- Spinal canal narrowing: spinal stenosis can cause pain, difficulty walking, and leg weakness.
- Peripheral nerve entrapment syndromes: such as carpal tunnel syndrome or nerve compression in the elbow region.
- Brain and spinal cord tumors: the neurosurgeon evaluates the finding and decides on the need for further treatment or monitoring.
- Cerebrovascular changes: such as aneurysms or arteriovenous malformations require special evaluation.
- Head trauma and spinal injuries: post-traumatic changes may require neurosurgical evaluation.
- Hydrocephalus: a disorder of cerebrospinal fluid circulation may require neurosurgical treatment.Trigeminal neuralgia: in some cases, neurosurgical consultation may be necessary.
Common symptoms
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New or worsening headaches with neurological symptoms
Especially if accompanied by visual disturbances, nausea, vomiting, or limb weakness. -
Persistent or worsening pain in the back, neck, or limbs
Especially if the pain radiates to the arm or leg and does not respond to conventional treatment. -
Post-traumatic neurological symptoms
After head, neck, or spinal injury. -
Seizures or altered consciousness
These require urgent medical evaluation. -
Urinary or bowel dysfunction with back pain
Especially if numbness in the perineal area is added, this may indicate cauda equina syndrome and requires urgent evaluation. -
Weakness, numbness, or sensation problems in a limb
Especially if the symptoms are persistent or getting worse.
How to prepare for your appointment
- Bring your ID card or other identification document.
- Write down your main symptoms, their onset, and duration.
- Make a list of all medications and supplements you are taking.
- Ensure that the results of your previous examinations (e.g., CT, MRI, ENMG) are available in the Health Portal or bring the results with you to the appointment.Think through the questions you want to ask the doctor.
What to expect during your appointment
Consultation
We will ask you about your symptoms, medical history, and lifestyle.
Physical examination
The doctor will assess your reflexes, muscle strength, sensation, coordination, and balance as needed.
Ordering diagnostic tests
Depending on your symptoms and examination results, we may order additional tests, such as MRI or blood tests.
Developing a treatment plan
After diagnosis, we will create an individualized treatment plan for maintaining heart health, which may include conservative treatment (e.g., physiotherapy, medications), procedures (e.g., injections), or referral for surgical operation.
Follow-up
If necessary, we will arrange a follow-up to assess the effectiveness of the treatment.
Specialists providing this service
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dr Elli AsserNeurosurgeon
Ülemiste Health Centre, Rävala Clinic – Specialist Medical Care and Occupational Health, Digikliinik
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Payment & Appointment Info
Prices
Tallinn
| Service | Price |
|---|---|
| Visit fee Added to the appointment fee. | 20 € |
| Neurosurgeon initial appointment | 120 € A visit fee is added to the price. |
| Neurosurgeon follow-up appointment The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 97 € A visit fee is added to the price. |
| Neurosurgery resident physician initial appointment | 87 € A visit fee is added to the price. |
| Neurosurgery resident physician follow-up appointment | 73 € A visit fee is added to the price. |
Everywhere else in Estonia
This service is not available in selected area
This service is only available in Tallinn. You need to select Tallinn to see a price for this service.
Payment methods
Meliva Health Insurance covers this service under Outpatient Care coverage. Check your personal coverage limits in the ERGO app.
Referral
You can book this service as a self-paying patient without a doctor’s referral.
Clinics offering this service
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Open
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Open
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Frequently Asked Questions
When should I consult a neurosurgeon?
You should consult a neurosurgeon if you have persistent or worsening neurological symptoms, such as pain, numbness, weakness, or examination findings that indicate a structural problem with the brain, spine, or nerves.
Is surgery always necessary?
No. For many conditions, surgery is not the first choice. The neurosurgeon will assess whether monitoring, conservative treatment, or surgical intervention is appropriate.
What examinations are needed before the visit?
Ensure that previous imaging studies, especially MRI, CT, X-ray, and ENMG results, if performed, are available in the Health Portal.
What symptoms require urgent help?
Loss of bladder or bowel control, perineal numbness, rapidly worsening leg weakness, acute severe head trauma, or altered consciousness require urgent emergency evaluation.
Does a neurosurgeon only help with surgery?
No. The neurosurgeon’s role is to evaluate the condition as a whole and decide whether surgery, monitoring, or other treatment is necessary.