Dr. Carlos A. Noreña Osterroth, certified by the Mexican Board of Neurological Surgery. Consultation at Del Prado Medical Tower and surgery at the Tijuana hospitals where he holds appointments.
Craniotomy, tumour microsurgery, aneurysm clipping, haematoma drainage and shunting for hydrocephalus. Every indication is decided on your imaging, not on a diagnosis given over a counter.
Microdiscectomy, decompressive laminectomy and instrumented fusion when rehabilitation is no longer enough — and a straight answer when surgery is not yet the right call.
Neurosurgical conditions in newborns and children get explained twice: once for the chart and once for the parents, until the decision is genuinely theirs.
MRI, CT and plain films are reviewed during the visit, on screen, with you in the room. A neurosurgical second opinion costs far less than an operation you did not need.
Every procedure has its own page: what it is, when it is indicated, what it involves and the questions patients genuinely ask in clinic.
A temporary bone window to reach the brain. The bone is replaced and fixed at the end — no gap is left behind.
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Removal of gliomas, metastases and other brain tumours under the microscope, with neurological function as the limit of the surgical gesture.
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Resection of convexity, falcine, sphenoid wing and skull base meningiomas, with early devascularisation.
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Resection of pituitary adenomas, with endocrine assessment and visual field testing before and after surgery.
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Approaches to the skull base for tumours and lesions neighbouring cranial nerves and major vessels, with functional preservation as the priority.
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Craniotomy and titanium clip placement across the aneurysm neck, with proximal vascular control and microsurgical dissection.
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Microsurgical resection of cerebral arteriovenous malformations, alone or combined with prior embolisation.
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Evacuation of acute or chronic subdural haematoma through burr holes or craniotomy, with closed drainage.
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Placement of a valved shunt system for congenital, adult and normal-pressure hydrocephalus.
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Surgical management of head trauma: haematoma evacuation, elevation of depressed fractures and decompressive craniectomy.
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Nerve root decompression for lumbar disc herniation, through a minimal incision with optical magnification.
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Enlargement of the spinal canal for lumbar stenosis, removing lamina and hypertrophied ligamentum flavum.
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Pedicle instrumentation and bone fusion for instability, spondylolisthesis and lumbar deformity.
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Anterior cervical discectomy with fusion or disc replacement, for cervical radiculopathy and myelopathy.
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Resection and decompression of vertebral, extradural, intradural and intramedullary tumours, with stabilisation where required.
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Percutaneous cement stabilisation of osteoporotic and tumoural vertebral fractures, with no open incision.
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Procedures directed at facial pain, hemifacial spasm, spasticity and drug-resistant epilepsy.
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Release of entrapped nerves, repair of traumatic injuries and resection of nerve sheath tumours.
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Surgical correction of premature cranial suture closure in infants, with vault remodelling.
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Closure of the newborn neural defect, with management of associated hydrocephalus and follow-up for tethered cord.
See the procedureVerifiable certification, your imaging reviewed with you in the room, and an honest indication — including when the answer is that it is not time to operate yet.
Certified by the Mexican Board of Neurological Surgery and a member of the Mexican Society of Neurological Surgery. Both are checkable in a public directory.
MRI and CT are opened on screen during the visit. If you do not understand what you are looking at, the visit is not over.
Tumours, aneurysms, head trauma, disc herniation, canal stenosis and spinal instability. One consultation covers both halves of the specialty.
A large share of the back and head pain that reaches this office is not surgical. Saying so early is also part of the job.
Haemorrhage, haematoma, head trauma and acute neurological deficit are attended 24/7. Call — do not email an emergency.
Patients from Tijuana and San Diego County. Operative report and clinical summary in whichever language your treating physician needs.
Neurosurgeon certified by the Mexican Board of Neurological Surgery, with more than 20 years operating on the brain and spine in Tijuana.
Graduate of the UABC School of Medicine, with neurosurgical residency at IMSS High Specialty Medical Unit No. 25 in Monterrey. Attending neurosurgeon at Hospital General de Tijuana and IMSS HGR 1 Tijuana.
What can actually be verified about a neurosurgeon: where he trained, who certifies him, and where he operates.
Mexican Board of Neurological Surgery
Board certification is the one credential that separates a certified neurosurgeon from a physician who says he is one. Ask for the certificate number at your visit.
School of Medicine, UABC — Residency at UMAE No. 25, Monterrey
Medical degree from the Autonomous University of Baja California and neurosurgical residency at IMSS High Specialty Medical Unit No. 25 in Monterrey, Nuevo León.
Hospital General de Tijuana · IMSS HGR 1 Tijuana
Attending neurosurgeon at the two public hospitals that handle the city's head and spinal trauma. That is daily operating volume, not a monthly list.
Mexican Society of Neurological Surgery
Member of the national society of the specialty — where technique is discussed and updated before it reaches the operating room.
Patients from Tijuana and San Diego County
Consultations run in Spanish or English, and reports are issued in the language your primary physician needs to read — on either side of the border.
Risks, alternatives and prognosis in writing
No operation is scheduled until you have in writing what will be done, what can go wrong, what the alternatives are, and what happens if you decide against surgery.
When back pain needs a neurosurgeon, which headaches need investigating, how to prepare for surgery and what to expect from recovery.
Spine
Eight in ten adults will have low back pain at some point. Almost none of them need surgery. These are the signs that separate one case from the other.
Brain
Most headaches are migraine or tension-type. A handful of features, however, change what should be done next entirely.
Patient guide
What to ask before signing, what to take to hospital, which medications to stop and what to expect in the first days. What is organised beforehand hurts less after.
One consultation with your MRI or CT in hand is worth more than ten internet searches. Book by phone or through the form and you will be told what is there, what it means and what your options are.
