Dear colleagues,


The annual congress of the European Association of Neurosurgical Societies (EANS), held between 21st and 25th of October 2018 is officially over.

The event was very well organised, with joint sessions with WFNS, FLANC and AANS. The main topics of discussion were the meaning of the stereotaxic radiosurgery and the molecular typing in metastatic brain tumors, the stage of resection in low-level and high-level gliomas, the meaning of the image-diagnostic methods for grading of the stage of resection of glial tumors, the meaning of intraoperative monitoring, the newest in the treatment of severe cranial-brain trauma and many more.

One of the important aspects of the congress was the specialization in neurosurgery and the differences between the different centers in different countries. In this relation one of the main focuses of EANS is the education and organization of annual courses, to be held three times per year with a duration of 4 days and cover main topics in neurosurgery: vascular neurosurgery, functional surgery, spinal surgery and peripheral nerves. Apart from theoretical courses there are also practical dissection courses being organized, as well as ones for microvascular anastomosis. Dissection courses are both for cranial and spinal surgery, being split into two parts from this year on.

One of the novelties during this congress was the presentation of the best articles for the year in the official journal of EANS – Acta Neurochirurgica. The magazine contains a very significant selection of articles and a rising impact factor of 1.929, as Prof Mathiesen, its chief editor states.

Bulgaria was worthily represented:

This year the award under the name of Prof. R. Braakman, for the best result at the European Neurosurgery Exam, part II,  was awarded to Dr. Toma Spiriev. Having in mind the weight of the exam and the significant competition, the award is a remarkable success, representing both a perfect reference to Dr. Spiriev on a personal level and to the high level of the neurosurgical preparation in Bulgaria.


The following posters with presented with the participation of Bulgarian collectives:

1) Minimally invasive lateral orbital approach for clipping of intracranial aneurysm in the acute stage after subarachnoid bleeding

L. Laleva, T. Spiriev, M. Milev, V. Stefanov, N. Mladenov, M. de Notaris, C. Tzekov,

V. Nakov

Acibadem CityClinic, Tokuda hospital Sofia.

2) Facial nerve proximity-tailored resection of primary extraaxial cerebellopontine angle tumors is associated with better late-term facial nerve function

M. Milev, T. Spiriev, L. Laleva, V. Stefanov, N. Mladenov, C. Tzekov, V. Nakov

Acibadem CityClinic, Tokuda hospital Sofia.

3) Multiple intracranial meningiomas not associated with Neurofibromatosis type 2. Case report

M. Petrov, G. Poptodorov, N. Velinov, D. Stoyanova, M. Kamenova, D. Kachakova, G. Stancheva, N. Gabrovsky

UMBALSM  “N. I. Pirogov”.

4) Three-dimensional printing in neurosurgery
N. Gabrovsky, N. Velinov, M. Laleva, M. Petrov, P. Ilkov, Y. Sofronov, G. Todorov

UMBALSM  “N. I. Pirogov” and Technical University – Sofia.

5) Increase in vertebral body height after vertebroplasty

K. Uzunov, P. Ilkov, T. Iliev, K. Binev

UMBALSM  “N. I. Pirogov” and Technical University – Sofia.

A presentation of a clinical case in a discussion group was delivered by Dr. Emanuil Naydenov from University hospital “St Ivan Rilski” – Sofia: Right temporal lobe glioblastoma multiforme in association with petroclival meningioma: the choice is (not) yours. E. Naydenov (Bulgaria)

After a heated competition among the candidacies of Rotterdam, Hamburg, Krakow and Jerusalem the next organizer of the annual EANS congress in 2021 will be hamburg.

The next EANS congress of EANS will be held in Dublin, Ireland, from 24th to 28th of September 2019.

Wishing you a great and successful week,

Prof. Dr. Nikolay Gabrovsky