About
Dr. Serge Makarenko is a dedicated Neurosurgeon specializing in the surgical management of disorders affecting the brain, spine, and peripheral nervous system in adult patients. Practicing at a neurosurgery department within a major hospital in Vancouver, BC, he is an integral part of the local surgical and medical community. He provides comprehensive surgical care for a wide range of conditions affecting the brain, spine, and peripheral nerves, including trauma, tumors, and degenerative diseases. His practice is committed to utilizing advanced surgical techniques and fostering a supportive environment for patients undergoing neurosurgical treatment.
Dr. Makarenko graduated with a Medical Degree from the University of British Columbia (Canada) and holds specialty certification as a Neurosurgeon. He maintains certifications including those from the Royal College of Physicians and Surgeons of Canada, ensuring adherence to the highest standards of medical practice and continuing professional development.
His clinical philosophy centers on patient safety, precision in surgical intervention, and the integration of advanced technology into neurosurgical procedures. He is dedicated to providing compassionate, comprehensive care to his patients in Vancouver, communicating fluently in English, and collaborating with multidisciplinary teams to optimize outcomes.
Dr. Serge Makarenko surgically treats a wide range of neurological conditions, including:
Cerebrovascular Disorders (Requiring Surgical Intervention)
- Arteriovenous Malformations (AVMs) of the Brain & Spine: Tangles of abnormal blood vessels connecting arteries and veins, which can disrupt normal blood flow and risk rupture.
- Cerebral Aneurysms (Unruptured & Ruptured): A bulge or ballooning in a blood vessel in the brain, which can leak or rupture, causing a hemorrhagic stroke.
- Cavernous Malformations (Cavernomas): Clusters of abnormal, dilated blood vessels that can occur in the brain or spinal cord and may cause bleeding or seizures.
Peripheral Nerve Disorders (Surgical Management)
- Traumatic Nerve Injuries (requiring repair or grafting): Severe injuries to peripheral nerves that may benefit from surgical exploration, repair, or nerve grafting.
- Carpal Tunnel Syndrome (severe cases requiring surgery): Compression of the median nerve at the wrist, where surgery (carpal tunnel release) may be indicated if conservative treatments fail.
- Ulnar Nerve Entrapment (Cubital Tunnel Syndrome - surgical cases): Compression of the ulnar nerve at the elbow, potentially requiring surgical decompression or transposition.
Spinal Column & Spinal Cord Disorders
- Herniated Disc (Cervical, Thoracic, Lumbar): A condition where the soft inner portion of an intervertebral disc protrudes through the outer ring, potentially compressing nerves.
- Spinal Stenosis (Cervical, Lumbar): Narrowing of the spinal canal, which can put pressure on the spinal cord and nerves.
- Spinal Cord Tumors (Intramedullary, Extramedullary): Abnormal growths within or surrounding the spinal cord that may require surgical removal.
This list is not exhaustive. For personalized advice regarding your specific neurosurgical condition, please consult with Dr. Serge Makarenko.
- Interpretation of Advanced Neuroimaging (MRI, CT, Angiography, Myelography): Expert analysis of specialized imaging of the brain, spinal cord, and vasculature to guide diagnosis and surgical decision-making.
- Spinal Fusion & Instrumentation (Cervical, Thoracic, Lumbar): Surgical stabilization of the spine using bone grafts and/or metallic hardware for conditions like instability, deformity, or after trauma/tumor resection.
- Stereotactic Radiosurgery (e.g., Gamma Knife, CyberKnife) Planning & Coordination: Collaborating with radiation oncologists for non-invasive, highly focused radiation treatment for brain tumors, AVMs, and other neurological conditions.
- Non-Operative Management of Select Neurosurgical Conditions: Providing conservative management options when surgery is not immediately indicated, including observation, medication management referrals, and pain management strategies.
- Surgical Treatment for Trigeminal Neuralgia & Other Facial Pain Syndromes (e.g., Microvascular Decompression): Procedures to alleviate severe facial pain caused by nerve compression or dysfunction.
- Chiari Malformation Decompression: Surgical procedure to relieve pressure on the cerebellum and brainstem caused by Chiari malformation.
- Peripheral Nerve Tumor Resection (e.g., Schwannomas, Neurofibromas): Surgical removal of tumors arising from peripheral nerves.
Note: This list provides a general overview. Neurosurgical treatment plans are highly individualized. Discuss with Dr. Makarenko for care relevant to your specific condition.
All medical and surgical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant neurosurgical care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.
Dr. Serge Makarenko practices at a neurosurgery clinic within a major hospital in Vancouver's Fairview neighbourhood. The facility is conveniently situated near the upcoming Future Subway Extension and Vancouver General Hospital (VGH). Accessible via public transit, including TransLink’s SkyTrain Expo, Millennium, and Canada Lines, as well as bus, SeaBus, and West Coast Express (Waterfront). The location is fully wheelchair accessible, ensuring ease of access for all patients. Metered street parking and nearby parking lots are available for those arriving by car, providing flexible options for visitors.
- Are consultations and neurosurgical procedures with Dr. Makarenko, a Neurosurgeon, covered by Medical Services Plan (MSP) in BC?
- Medically necessary consultations with a licensed Neurosurgeon like Dr. Makarenko, as well as most diagnostic imaging reviews and provincially insured neurosurgical procedures (e.g., for tumors, spine conditions, aneurysms), are generally covered by Medical Services Plan (MSP) in BC when a referral from a family doctor or another specialist is in place. Some advanced technologies, specific implantable devices, or purely elective/cosmetic procedures may have different coverage. It's crucial to discuss coverage specifics with Dr. Makarenko's office, the hospital's financial services, or Medical Services Plan (MSP) prior to any major procedure.
- Do I need a referral to see Dr. Makarenko, a Neurosurgeon?
- Yes, a referral from your family physician, an emergency room physician, or another specialist (like a neurologist or oncologist) is almost always required to see a Neurosurgeon such as Dr. Makarenko. Neurosurgical conditions are typically complex and require initial assessment and investigation before a neurosurgical consultation is appropriate. The referral ensures coordinated care and that you are directed to the right specialist.
- How is a brain tumor typically treated by a Neurosurgeon like Dr. Makarenko?
- The treatment for a brain tumor depends on its type, size, location, and the patient's overall health. For many tumors, surgical resection (removal) by a neurosurgeon like Dr. Makarenko is a primary treatment, aiming to remove as much of the tumor as safely possible. Surgery may also be done to obtain a biopsy for diagnosis. Often, surgery is part of a multidisciplinary approach that may also include radiation therapy, chemotherapy, or targeted therapies, coordinated with oncologists and radiation oncologists.
- Does Dr. Makarenko perform minimally invasive neurosurgery?
- Many neurosurgeons, including potentially Dr. Makarenko, utilize minimally invasive surgical (MIS) techniques when appropriate for the patient's condition. These techniques involve smaller incisions, specialized instruments, and often advanced imaging guidance, which can lead to reduced pain, shorter hospital stays, and faster recovery compared to traditional open surgery. You should ask Dr. Makarenko if minimally invasive options are suitable for your specific neurosurgical needs.
8113-2775 Laurel St, Division of Neurosurgery, Diamond Health Care Center
Vancouver, BC V5Z 1M9
Phone: (604) 875-5235 | Fax: (604) 875-5280
The facility is wheelchair accessible.
Dr. Makarenko is a licensed Neurosurgeon regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Makarenko for services covered by the provincial health plan.
Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/334988/Makarenko%2CSerge