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Neurosciences Surgery Treatments

Nerology

• During minimally invasive neurosurgery, the diseased portion of the brain (including the fluid filled ventricles), or spine is reached through the smallest possible incision or “keyhole’.

• With the insertion of a small endoscope equipped with a tiny camera, through a “key-hole” incision in the spine, scalp or nostrils, minimally invasive neurosurgeons can treat a variety of neurological conditions.

• Results are faster and simpler with greatly reduced post-operative complications, minimal brain trauma, faster recovery and less pain and scarring.

This is the most common way to remove pituitary tumors. Transsphenoidal means that the surgery is done through the sphenoid sinus,through the nostril a hollow space in the skull behind the nasal passages and below the brain. The back wall of the sinus covers the pituitary gland.

Less commonly, for larger or more complicated pituitary tumors, a craniotomy may be needed. In this approach the surgeon operates through an opening in the front and side of the skull. The surgeon has to carefully work beneath and between the lobes of the brain to reach the tumor.it is actually safer for large and complex lesions because it provides better visualization and control of important nerves and blood vessels.

Arteriovenous malformations (AVMs) in brain can cause seizure and haemorrhage. Many times they present as acute emergency. In the spinal cord they may present as back pain or progressive weakness sometimes as acute haemorrhage and weakness. They require evaluation with CT brain with angiogram followed by meticulous microscopic excision.

Clipping is a surgical procedure performed to treat a balloon-like bulge of an artery wall known as an aneurysm. As an aneurysm grows it becomes thinner and weaker. It can become so thin that it leaks or ruptures, releasing blood into the spaces around the brain – called a subarachnoid haemorrhage, a life threatening problem. A tiny clip is placed across the neck of the aneurysm to stop or prevent an aneurysm.

Ruptured Aneurysms burst open and release blood into the space between the brain and skull, called a subarachnoid hemorrhage(SAH). Vasospasm is a common complication of SAH, which must be closely managed after treatment to prevent stroke.

Unruptured Aneurysms may not cause symptoms and are typically detected during routine testing. People with a family history of brain aneurysms should have a screening test (CT or MR angiogram). The risk of aneurysm rupture is about 1% per year of remaining life span but may be higher or lower depending on the size and location of the aneurysm. However, when rupture occurs, the risk of death is 40%, and the risk of disability is 80%.

Certain group of epileptic patients who are all refractory to medical treatment will be cured by epilepsy surgery after proper evaluation and work up. We provide all types of epilepsy surgery for suitable patients.

Neurosurgery in paediatric patients require lot of experience and meticulous handling of growing brain and spinalcord. Many of the congenital abnormalities in children from newborn to adult children, like Hydrocephalus, spinal dysrhapism, craniosynostoses and Craniovertebral junction anamolies requires timely identification and proper management. Apart from that paediatric brain tumours like gliomas, medullablastoma, craniopharyngioma and pineal region tumors should be identified earlier and treated. The earlier the treatment the longer the survival.

In co ordination with neurophysicians and stroke icu intensivists lifesaving procedures like Decompressive craniectomy, EVD and evacuation of haematoma in hypertensive ICH and CVT. These procedures offer timely intervention in stroke management in avoiding mortality and reducing the morbidity and improves quality of life.

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Prashanth Hospitals-Multispeciality Hospital in Chennai, Best Hospital in Chennai

Prashanth Hospitals-Multispeciality Hospital in Chennai, Best Hospital in Chennai