# Online second opinion in neurosurgery > A neurosurgery second opinion without travelling: you send your scans (MRI, reports) and a committee of subspecialised neurosurgeons reviews your case and returns a clear plan within 24-48h. For brain tumours, spine, Parkinson's, epilepsy and trigeminal neuralgia. URL: https://brainandspine-bcn.com/en/second-opinion-neurosurgery/ Fuente: Brain & Spine Barcelona — https://brainandspine-bcn.com --- # Online second opinion in neurosurgery Faced with a major diagnosis, the first step is not to travel: it is to understand it well. You send your scans and a committee of subspecialised neurosurgeons reviews your case and returns a clear plan within 24-48h, wherever you are. A second opinion in neurosurgery is an independent review of your case by specialists other than those treating you. You do it without travelling: you send the scans (MRI, CT, reports) through the website or by email, a committee of subspecialised neurosurgeons studies them, and you receive a report with the diagnosis, the real treatment options and a recommendation, by email or video call, within 24-48h. It is especially useful for major decisions (brain tumours, spine, Parkinson\'s, epilepsy or trigeminal neuralgia), because a well-thought-out indication avoids unnecessary surgery and improves outcomes. If surgery is not needed, we tell you. ## How it works, step by step 1 ### You send your scans MRI or CT (the images), medical reports and, if available, biopsy or lab results. 2 ### Committee review Neurosurgeons subspecialised in the area of your diagnosis study the case. 3 ### You receive the plan A report with diagnosis, real options and a recommendation, by email or video call. 4 ### You decide calmly Use the plan with your local team or coordinate treatment with us. ## Which diagnoses it helps most with A second opinion adds more value the more important the decision. The cases where it helps most: - **Brain tumours:** [gliomas](https://brainandspine-bcn.com/en/brain-surgery/brain-tumor-surgery/gliomas/), [meningiomas](https://brainandspine-bcn.com/en/brain-surgery/brain-tumor-surgery/meningiomas/) and [acoustic neuromas](https://brainandspine-bcn.com/en/brain-surgery/brain-tumor-surgery/acoustic-neuroma/), where maximal safe resection shapes the prognosis. - **Spine:** herniations and stenosis where there is doubt about whether to operate. See [herniated disc](https://brainandspine-bcn.com/en/herniated-disc-symptoms-treatment/) and [lumbar stenosis](https://brainandspine-bcn.com/en/lumbar-spinal-stenosis/). - **Parkinson\'s and tremor:** assessment of candidacy for [deep brain stimulation (DBS)](https://brainandspine-bcn.com/en/brain-surgery/parkinsons-disease/dbs/). - **Refractory epilepsy and [trigeminal neuralgia](https://brainandspine-bcn.com/en/brain-surgery/trigeminal-neuralgia/):** when standard treatment does not control the problem. ## Why review your case with this team Each area is assessed by a neurosurgeon subspecialised in it, and the one who reviews is the one who would operate. The team performs more than 1,000 cases a year, with publications in international journals and precision technology (neuronavigation, robotics, neurophysiological monitoring). That experience is what turns a second opinion into a better-made decision. ## Price and how to start The cost of a second opinion depends on the complexity of the case and whether it includes a video call; we tell you before starting, with no surprises. To begin, all you need is your scans and a few minutes for the form. ### Related information - [What a neurosurgeon is and when to see one](https://brainandspine-bcn.com/en/what-is-a-neurosurgeon/) - [International patients](https://brainandspine-bcn.com/en/international-patients/) - [Brain tumour surgery](https://brainandspine-bcn.com/en/brain-surgery/brain-tumor-surgery/) - [Deep brain stimulation (DBS)](https://brainandspine-bcn.com/en/brain-surgery/parkinsons-disease/dbs/) - [Spine surgery](https://brainandspine-bcn.com/en/spine-surgery/) - [Medical team](https://brainandspine-bcn.com/en/team/) ## Frequently asked questions How does an online second opinion in neurosurgery work? You send your scans (MRI, CT, reports) through the website or by email. A committee of subspecialised neurosurgeons reviews the case and you receive a report with the diagnosis, the real treatment options and a recommendation, by email or video call, within 24-48h. No travel required. Which diagnoses is it useful for? It is especially useful for major decisions: brain tumours (glioma, meningioma, acoustic neuroma), spinal herniations and stenosis, Parkinson's and tremor (candidacy for DBS), epilepsy and trigeminal neuralgia. Which tests should I send? Ideally the latest MRI or CT (the images, not just the report), previous medical reports and, if available, biopsy or lab results. If something is missing, we tell you what to obtain. What if you tell me I don't need surgery? We tell you clearly. The goal of a second opinion is for you to make an informed decision; if surgery is not needed or there are alternatives, we explain them. Can I continue treatment in my own country? Yes. The second opinion is independent: you can use the plan with your local team, or coordinate treatment with us if you prefer, including remote follow-up by video call.