Dr Hanno Vivier – Neurosurgeon – Brackenfell

Dr Hanno Vivier – Neurosurgeon – Brackenfell

Neurosurgeon Dr Hanno Vivier provides specialised cranial and spinal surgery care at Mediclinic Cape Gate Hospital and its Day Clinic in Brackenfell. Moreover, he blends over fifteen years of focused neurosurgical practice with a commitment to patient-centred outcomes. Dr Vivier earned his MBChB from the University of Stellenbosch in 2000, before completing an MMed (Neurosurgery) there in 2008. In addition, he was awarded Fellowship status (FC (Neurosurg) SA) by the Colleges of Medicine of South Africa in 2007 .

Early in his career, he honed emergency neurosurgical skills during registrar rotations at major trauma centres, which sparked his passion for acute neurotrauma management. Consequently, he pioneered minimally invasive spine techniques at a national level, presenting his findings at international neurosurgical congresses. Outside the operating theatre, Dr Vivier volunteers with local spinal-injury support groups and leads community education on stroke awareness. Meanwhile, he maintains resilience through trail running and bird watching, which foster the focus and empathy he brings to every case.

Services

Dr Vivier offers a wide spectrum of neurosurgical services, each delivered with precision technology and multidisciplinary collaboration:

• Brain Tumour Resection – microsurgical removal of both primary and metastatic tumours, utilising neuronavigation and intraoperative ultrasound to maximise safety and extent of resection.

• Spinal Decompression & Fusion – minimally invasive laminectomy, discectomy, and instrumented fusion techniques that relieve nerve compression and restore spinal stability.

• Neurotrauma Management – 24/7 emergency care for head injuries, acute subdural and epidural haematomas, and skull-base fractures, supported by rapid-access ICU facilities.

• Stereotactic Biopsy & Radiosurgery – frame-based and frameless stereotactic systems for precise tissue sampling and collaboration with radiation oncology for Gamma Knife® or CyberKnife® treatments.

• Cerebrovascular Surgery – microsurgical clipping of aneurysms, arteriovenous malformation resection, and extracranial–intracranial bypass procedures to restore blood flow and prevent haemorrhage.

• Functional Neurosurgery Referrals – evaluation and co-management for deep-brain stimulation in Parkinson’s disease and microvascular decompression for trigeminal neuralgia.

• Chiari & Syringomyelia Correction – posterior fossa decompression, duraplasty, and shunt placement to alleviate hindbrain herniation and spinal cord syrinx.

Each procedure integrates intraoperative neuromonitoring—including motor- and somatosensory-evoked potentials—to safeguard neural function throughout surgery.

Additional Information

Mediclinic Cape Gate features dedicated neurosurgical theatres outfitted with high-definition operating microscopes, intraoperative CT/MRI, and real-time neuronavigation systems. Furthermore, the on-site Neuro-ICU offers specialised monitoring and early rehabilitation support, ensuring seamless care from surgery through recovery .

Moreover, a secure digital patient portal provides online appointment scheduling, telehealth consultations for pre- and post-operative reviews, and instant access to imaging and pathology reports. Consequently, patients enjoy transparent communication and reduced administrative delays.

Dr Vivier convenes weekly Neurosurgical Multidisciplinary Meetings—joining neurologists, oncologists, radiologists, physiotherapists, and occupational therapists—to co-create tailored care pathways. In addition, multilingual staff deliver consultations in English, Afrikaans, and isiXhosa, fostering clear dialogue across diverse communities.

Rigorous infection-control and Enhanced Recovery After Surgery (ERAS) protocols underpin every stage of treatment, thereby minimising hospital stays and accelerating rehabilitation. Therefore, schedule a consultation today to benefit from expert, compassionate neurosurgical care that prioritises your safety, function, and quality of life.